Hematopoietic Tumors (Lymphoma) Flashcards

1
Q

What is the most common treatment for lymphoma in canines?

A

Multi-agent chemotherapy;
CHOP protocol

Cyclophosphamide (per os/inj.)
Hydroxydaunorubicin (Doxorubicin)
Oncovin (or Vincristine)
Prednisolone

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2
Q

If we have hypercalcemia in a lymphoma patient that is persisting and clinically significant, how should we add to our treatment plan?

A

Iv fluids and diuretics
Prednisolone
Biphosphonates
Calcitonin

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3
Q

What dogs should we NOT treat lymphoma with TANOVEA-CA1?

A

WHWT and use with caution in other terrier breeds!!

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4
Q

What is the preferred treatment for lymphoma in the feline patient?

A

Multi-agent chemotherapy;

COP (same as canine, without the DOX—>similar results)

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5
Q

How do we treat cats with low-grade small cell alimentary lymphoma
AS WELL AS
Dogs with indolent/low-grade lymphomas?

A

Chlorambucil and prednisolone

*in dogs, can add Cyclophosphamide can sub for chlorambucil

**in dogs, if confined to the spleen or a solitary lymph node, surgery is also an option

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6
Q

When would we use Radiation therapy in lymphoma?

A

In the case of localized disease (i.e. nasal lymphoma)

  • note that it’s difficult for whole body therapy and multicentric lymphoma
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7
Q

How can anatomical location of lymphoma be a negative prognostic factor?

A

Diffuse alimentary lymphoma, leukemia, and hepatosplenic forms have a poor prognosis

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8
Q

How do we define lymphoid leukemia?

A

Leukemia, as proliferation of neoplasticism cells in the bone marrow

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9
Q

What do cats with ALL often test positive for?

A

FeLV

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10
Q

Clinical signs for ALL?

A

Lethargy, weight loss, intermittent pyrexia, hepatosplenomegaly,neuro signs, anemia, TCP, leukopenia

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11
Q

What is the major cell type in CLL?

A

T-cell lineages

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12
Q

What treatment is most effective in CLL?

A

Chlorambucil and prednisolone

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13
Q

What happens to our ALB when globulins elevate?

A

Drops

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14
Q

How do we diagnose MM?

A

Bone marrow analysis (demonstrate plasmacytosis);
Monoclonal gammopathy;
Skeletal rads

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15
Q

How do we treat MM?

A

Melphalan with prednisolone

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16
Q

Which type of canine lymphoma pertains to more early/young cell lines and large cells, high grade, and grows aggressively?

A

Lymphoblastic

17
Q

Where would we perform a bone marrow aspirate in a dog vs. a cat?

A

Dog:
Greater tubercle of humerus, iliac crest

Cat:
Femoral intertrochanteric fossa

18
Q

In diagnosing lymphoma, what types of samples can we use for lymphoid phenotyping?

A

Smears?
—>immunocytochemistry and PARR

Tissue samples?
—>immunohistochem

Effusion/fluid/cells suspended in fluid?
—>flow cytometry