12 - Canine Lymphoma Flashcards

1
Q

3 ways to classify lymphoma

A

Anatomic location, histologies grade and immunophenptype

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2
Q

Most common location of lymphoma

A

Multicentric - nodal

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3
Q

4 anatomic locations of lymphoma

A

Multicentric, alimentary, cranial med

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4
Q

50% of Multicentric lymphoma have what involvement

A

Spleen and liver

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5
Q

What is teh #1 differential for cranial mediastinal mass

A

Lymphoma and Thymoma

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6
Q

2 options to classify lymphoma by grade

A

Large cell or small cell

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7
Q

Is large cell or small cell more common

A

Large cell

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8
Q

Which is lymphocytic high grade or low grade

A

Low grade

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9
Q

2 ways to do lymphoma by phenotype

A

B cell and T cell

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10
Q

immunophenotype

A

Cell subtype based on their surface markers

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11
Q

Which cell surface marker is more common

A

B cell

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12
Q

How to diagnose lymphoma

A

FNA cytology and biopsy

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13
Q

Which cell type do we associate with hypercalcemia

A

T cell

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14
Q

Most patients with lymphoma physical exam show

A

Peripheral lymphadenopathy and organomegaly

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15
Q

CBC of lymphoma

A

Anemia, thrombocytopenia, neutrophilia, lymphocytosis

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16
Q

40% dogs have

A

Hypercalcemia malignancy

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17
Q

Serum of lymphoma

A

Increased liver enzymes and total bilirubin

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18
Q

What percent of patients have cranial mediatstinal mass

A

20

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19
Q

What percent have abnormalities with ultrasound

A

50

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20
Q

When do you do bone marrow

A

If cytopenias on CBC

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21
Q

Flow cytometryu will tell you if its

A

B cell or T cell

22
Q

Sample required for flow cytometry

A

Many live cells

23
Q

Clonality =

A

Malignancy

25
Q

Stage I

A

One lymph node

26
Q

Stage 2

A

Multiple nodes on the same side of diaphagrm

27
Q

Stage 3

A

Generalized lymphadenopathy

28
Q

Stage 4

A

Liver or spleen involved

29
Q

Stage 5

A

Bone marrow, peripheral blood, atypical location

30
Q

Two subtypes of WHO

A

A - healthy, b - sick

31
Q

What is the mainstay of treatment for lymphoma

A

Chemotherapy

32
Q

CR

A

Complete remission

33
Q

PR

A

Partial remission

34
Q

SD

A

Stable disease

35
Q

PD

A

Progressive disease

36
Q

Frontline protocol

A

Protocol of choice to induce remission

37
Q

Examples of frontline protocol

A

UW - Madison, Doxorubicin, COP

38
Q

COP

A

CHOP without doxorubicin

39
Q

Rescue

A

Protocol used at the time of relapse

40
Q

What chemotherapy crosses BBB

41
Q

Tanovea

A

Small molecule drug not Classic chemotherapy

42
Q

MOA of tanovea

A

A cyclic nucleotide phosphate

43
Q

you cannot use tanovea

44
Q

Laserdisc

A

Small molecule drug

45
Q

MOA of laverdia

A

Selective inhibitor of nuclear transport and transport between nucleus and cytoplasm is important

46
Q

MOA of laverdia

A

Decreased appetite, anorexia, vomiting

47
Q

MST multi agent chemotherapy protocol

48
Q

MST without treatment

49
Q

What is response rate to single agent doxorubicin

50
Q

MST wiht adriamycin contacting protocol is

51
Q

MST with prednisone alone