Treatment of advanced canine anal sac adenocarcinoma with hypofractionated radiation therapy: 77 cases (1999–2013)

Currently no standard of care exists for advanced, inoperable or metastatic anal sac adenocarcinoma (ASAC). The objective of this retrospective study was to assess the role of hypofractionated radiation therapy (RT) in 77 dogs with measurable ASAC. A total of 38% of dogs experienced a partial respon...

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Veröffentlicht in:Veterinary & comparative oncology 2017-09, Vol.15 (3), p.840-851
Hauptverfasser: McQuown, B., Keyerleber, M. A., Rosen, K., McEntee, M. C., Burgess, K. E.
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container_end_page 851
container_issue 3
container_start_page 840
container_title Veterinary & comparative oncology
container_volume 15
creator McQuown, B.
Keyerleber, M. A.
Rosen, K.
McEntee, M. C.
Burgess, K. E.
description Currently no standard of care exists for advanced, inoperable or metastatic anal sac adenocarcinoma (ASAC). The objective of this retrospective study was to assess the role of hypofractionated radiation therapy (RT) in 77 dogs with measurable ASAC. A total of 38% of dogs experienced a partial response to RT. For dogs presenting with clinical signs related to the tumour, improvement or resolution of signs was noted in 63%. For dogs presenting with hypercalcemia of malignancy, resolution was noted in 31% with RT alone and an additional 46% with radiation, prednisone, and/or bisphosphonates. Median overall survival was 329 days (range: 252–448 days). Median progression free survival was 289 days (range: 224–469). There was no difference in survival based on radiation protocol, use of chemotherapy, previous surgery or advanced stage. Radiation toxicities were mild and infrequent. Hypofractionated RT is well tolerated and is applicable in the treatment of advanced primary, locoregional or metastatic ASAC.
doi_str_mv 10.1111/vco.12226
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subjects Adenocarcinoma - mortality
Adenocarcinoma - radiotherapy
Adenocarcinoma - veterinary
Anal Gland Neoplasms - mortality
Anal Gland Neoplasms - radiotherapy
anal sac adenocarcinoma
Anal Sacs
Animals
Dog Diseases - mortality
Dog Diseases - radiotherapy
Dogs
Dose Hypofractionation
Female
hypofractionated
Male
oncology
palliative
radiation oncology
radiation therapy
Retrospective Studies
small animal
title Treatment of advanced canine anal sac adenocarcinoma with hypofractionated radiation therapy: 77 cases (1999–2013)
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