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Peer-reviewed veterinary case report

Dog with metastatic anal sac cancer treated with chemo and COX-2

By N.C.T. Teixeira et al.·Published in Arquivo Brasileiro de Medicina Veterinária e Zootecnia·2016·View original on DOAJ

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Original publication title: Ciclooxygenase inhibitor and metronomic chemotherapy association for the treatment of metastatic anal sac carcinoma in dog: case report

Species:
dog

Plain-English summary

A 10-year-old female mixed-breed dog was diagnosed with anal sac cancer that had spread to her lymph nodes. After surgery and initial chemotherapy with gemcitabine and carboplatin, she received a special type of ongoing chemotherapy called metronomic chemotherapy, along with a COX-2 inhibitor to help manage the cancer. Although the treatment was adjusted due to side effects, it proved effective, and the dog lived for over 36 months after starting this treatment, which is much longer than typically expected for this condition.

People also search for: dog anal sac cancer treatment · metronomic chemotherapy for dogs · COX-2 inhibitors in dogs

Abstract

ABSTRACT Metronomic chemotherapy consists of an anticancer modality treatment. It is applicable in patients at an advanced stage, with the objective of increasing overall survival. The aim of this study was to report an anal sac apocrine carcinoma case in a dog with lymph node metastasis treated with metronomic chemotherapy sequential to surgery and conventional chemotherapy using gemcitabine and carboplatin. Metronomic chemotherapy was associated with cyclooxygenase-2 (COX-2) inhibitors, due to strong tumor COX-2 immunohistochemistry expression. Metronomic chemotherapy was initiated with cyclophosphamide, but it was replaced by lomustine, also in metronomic dosage, due to adverse effects. Treatment showed effectiveness, since the patient's overall survival exceeded 1095 days (36 months), considerably higher than the mean overall survival expected for this pathology.

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Original publication on DOAJ: https://doi.org/10.1590/1678-4162-8439