Tuesday, October 1, 2013
it depends on the intracellular signaling activation by inte
Pleural effusion, natural product libraries known as hemorrhagic effusion at necropsy, were recognized on thoracic radiographs in 1 dog. Metastasis to an inguinal lymph node have been established after cytologic evaluation and fine needle aspirates in 1 dog during the time of initial presentation. Existence of anaplastic carcinoma with dermal lymphatic invasion have been established in every 12 dogs on histologic analysis of incisional biopsies obtained just before treatment. Inflammatory cell infiltrate had not been a prominent feature in the dogs. Two dogs was euthanized at the time of diagnosis because of extreme pain and poor medical problem or generalized hemorrhage suggestive of disseminated intravascular coagulation. Two dogs had received 1 dose of doxorubicin, 30 mg/m2, IV, on day 1, and cyclophosphamide, 200 mg/m2, PO, on day 4.
Both was offered for re-evaluation on an emergency basis, one at 6 d and the other at 7 d after initiation of the chemotherapy; the clinical symptoms included extreme lethargy ; pale mucous membranes ; melena ; and hematemesis, abdominal hemorrhagic effusion, and inguinal hematomas. Additional diagnostic tests were not allowed by the owners and both dogs Chromoblastomycosis died on the day of presentation. A 3rd dog had been treated with a mix of doxorubicin, 30 mg/m2, IV, at day 1, cyclophosphamide, 200 mg/m2, PO at day 4, 5 fluorouracil, 150 mg/m2, IV, on day 11, and prednisone, 20 mg/m2, PO, everyday. That dog was found dead by the owner 30 d later; a necropsy wasn't performed. A whole blood cell count had been performed only on day 11, before the management of the 5 fluorouracil, and had not revealed any significant abnormalities.
Mean and median survival for that chemotherapy team was 14 and 7 d, respectively. None of the 3 puppies had shown clinical improvement throughout treatment. Eight dogs were handled with piroxicam alone, 0. 3 mg/kg BW, PO, Ivacaftor q24h. Owners of 7 dogs had reported a positive clinical response, including lowered erythema, edema, and pain, and improved standard of living. Progression free survival was defined as the time, after the initiation of piroxicam therapy, from the detection of clinical improvement until clinical confirmation of disease progression, as judged by the owners and by one of the research investigators at monthly physical examinations. Medical progress had been observed in all 7 canines and PFS ranged from 120 to 210 d.
Upon return of clinical symptoms, dramatic deterioration of the clinical position had occurred and euthanasia done within a one month period from the first sign of advancement in every 7 dogs. Mean and median survival times for the piroxicam group were 174 and 185 n, respectively. Suggest survival time for dogs treated with piroxicam was notably longer than that for dogs treated with doxorubicin.
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