12 - Canine Lymphoma Flashcards
3 ways to classify lymphoma
Anatomic location, histologies grade and immunophenptype
Most common location of lymphoma
Multicentric - nodal
4 anatomic locations of lymphoma
Multicentric, alimentary, cranial med
50% of Multicentric lymphoma have what involvement
Spleen and liver
What is teh #1 differential for cranial mediastinal mass
Lymphoma and Thymoma
2 options to classify lymphoma by grade
Large cell or small cell
Is large cell or small cell more common
Large cell
Which is lymphocytic high grade or low grade
Low grade
2 ways to do lymphoma by phenotype
B cell and T cell
immunophenotype
Cell subtype based on their surface markers
Which cell surface marker is more common
B cell
How to diagnose lymphoma
FNA cytology and biopsy
Which cell type do we associate with hypercalcemia
T cell
Most patients with lymphoma physical exam show
Peripheral lymphadenopathy and organomegaly
CBC of lymphoma
Anemia, thrombocytopenia, neutrophilia, lymphocytosis
40% dogs have
Hypercalcemia malignancy
Serum of lymphoma
Increased liver enzymes and total bilirubin
What percent of patients have cranial mediatstinal mass
20
What percent have abnormalities with ultrasound
50
When do you do bone marrow
If cytopenias on CBC
Flow cytometryu will tell you if its
B cell or T cell
Sample required for flow cytometry
Many live cells
Clonality =
Malignancy
Stage I
One lymph node
Stage 2
Multiple nodes on the same side of diaphagrm
Stage 3
Generalized lymphadenopathy
Stage 4
Liver or spleen involved
Stage 5
Bone marrow, peripheral blood, atypical location
Two subtypes of WHO
A - healthy, b - sick
What is the mainstay of treatment for lymphoma
Chemotherapy
CR
Complete remission
PR
Partial remission
SD
Stable disease
PD
Progressive disease
Frontline protocol
Protocol of choice to induce remission
Examples of frontline protocol
UW - Madison, Doxorubicin, COP
COP
CHOP without doxorubicin
Rescue
Protocol used at the time of relapse
What chemotherapy crosses BBB
CCNU
Tanovea
Small molecule drug not Classic chemotherapy
MOA of tanovea
A cyclic nucleotide phosphate
you cannot use tanovea
Westies
Laserdisc
Small molecule drug
MOA of laverdia
Selective inhibitor of nuclear transport and transport between nucleus and cytoplasm is important
MOA of laverdia
Decreased appetite, anorexia, vomiting
MST multi agent chemotherapy protocol
12 months
MST without treatment
2 months
What is response rate to single agent doxorubicin
85%
MST wiht adriamycin contacting protocol is
1 year
MST with prednisone alone
2 months