Chemotherapy in Canine Acute Megakaryoblastic Leukemia: A Case Report and Review of the Literature

Acute myeloid leukemia (AML) in dogs is a rare disease with poor prognosis. In most subjects, palliative treatment or euthanasia is performed. A 3.5-year-old male castrated labrador with AML-M7, which was treated with induction polychemotherapy (8 cycles) using vincristine (0.5 mg/m 2 /cycle), dauno...

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Veröffentlicht in:In vivo (Athens) 2009-11, Vol.23 (6), p.911-918
Hauptverfasser: Willmann, Michael, Müllauer, Leonhard, Schwendenwein, Ilse, Wolfesberger, Birgitt, Kleiter, Miriam, Pagitz, Maximilian, Hadzijusufovic, Emir, Shibly, Sarina, Reifinger, Martin, Thalhammer, Johann G, Valent, Peter
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container_end_page 918
container_issue 6
container_start_page 911
container_title In vivo (Athens)
container_volume 23
creator Willmann, Michael
Müllauer, Leonhard
Schwendenwein, Ilse
Wolfesberger, Birgitt
Kleiter, Miriam
Pagitz, Maximilian
Hadzijusufovic, Emir
Shibly, Sarina
Reifinger, Martin
Thalhammer, Johann G
Valent, Peter
description Acute myeloid leukemia (AML) in dogs is a rare disease with poor prognosis. In most subjects, palliative treatment or euthanasia is performed. A 3.5-year-old male castrated labrador with AML-M7, which was treated with induction polychemotherapy (8 cycles) using vincristine (0.5 mg/m 2 /cycle), daunorubicin (20 mg/m 2 /cycle), cytosine arabinoside (ARA-C, 100 mg/m 2 /cycle) and prednisolone (1 mg/kg/day) is reported. Treatment was well tolerated and complete remission was achieved. Postinduction chemotherapy consisted of ARA-C, daunorubicin and prednisolone. After 3, 5 and 18 months, the subject relapsed. Each relapse was treated with ARA-C (up to 1,000 mg/m 2 ) and etoposide or daunorubicin. Again, no severe side-effects occurred and the disease was controlled, with 37 chemotherapy-cycles (ARA-C, 3 x 1,000 mg/m 2 /cycle), for 24 months. Based on a literature-search, this is the first report documenting a long-term response of canine AML, probably resulting from the high-dose ARA-C. Clinical trials using high-dose ARA-C are now required to confirm antileukemic efficacy in canine leukemias.
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subjects Animals
Antineoplastic Combined Chemotherapy Protocols - therapeutic use
Bone Marrow Cells - drug effects
Bone Marrow Cells - pathology
Cytarabine - administration & dosage
Daunorubicin - administration & dosage
Dog Diseases - drug therapy
Dogs
Etoposide - administration & dosage
Leukemia, Megakaryoblastic, Acute - drug therapy
Leukemia, Megakaryoblastic, Acute - pathology
Leukemia, Megakaryoblastic, Acute - veterinary
Male
Prednisolone - administration & dosage
Remission Induction
Secondary Prevention
Vincristine - administration & dosage
title Chemotherapy in Canine Acute Megakaryoblastic Leukemia: A Case Report and Review of the Literature
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