JVIM 2020 Flashcards
Retrospective evaluation of the use of the international myleoma working group response criteria in dogs with secretory multiple myeloma
Author: Moore et al
MST longer for dogs with >90% denistometric M-protein reduction. Detection of progressive disease correlated with clinical signs - should be used for monitoring dogs with MM.
Response criteria categorized by serum globulins or radial immunodiffusion was not correlated with OST or clinical findings.
What is a treatment option for dogs with obstructive hydrocephalus caused by tumours affecting the third ventricle?
Palliative ventricyloperitoneal shunting.
Name your two main differentials for tumours affecting the third ventricle?
Ependymoma or choroid plexus tumours (most common, comprising 7% all primary tumours of CNS tumours in dogs
What are the main complications associated with ventriculoperitoneal shunting?
Occlusion of the device, increased pressure in the contralateral ventricle.
What was MST for dogs with tumour in the third ventricle treated only with ventriculoperitoneal shunting?
14 months ( only 4 dogs included)
How many dogs treated with toceranib for ASAC had a registered clinical benefit?
70%, 20% had PR, 50% had SD
What was the PFS and OST for dogs with ASAC treated with toceranib +/- surgery or chemo by Heaton et al? and what was the toceranib associated PFS and OST?
300 days and 830 days respectively. 300 and 430 days
What is the mechanism of action of rabacfosadine?
Nucleotide analog (prodrug); it is taken up by lymphoid cells, metabolised to 9-(2.phosphonylmethoxyethyl guanine) which inhibit DNA synthesis and repair after being doubly phosphorylated
Is L-asp and rabacfosadine considered a safe and efficacious treatment option for relapsed multicentric LSA?
Yes
What is the MPFS for dogs rescued with RAB and L-asp?
2 months (63 days) for all, 140 days if CR is achieved.
What is the overall response rate for RAB and L.asp as rescue?
67% . 40% CR
Name the two negative prognostic factors for MPFS in dogs rescued with RAB and L-asp?
Previous administration of l-asp and lack of CR
What was the most common complications with FNA of adrenal lesions?
haemorrhage
What is the reported death rate associated with sampling of adrenal lesions?
1%
Which factors were associated with greater odds of relapse in dogs treated surgically for insulinoma?
Stage and post-op hypoglycaemia