Kirks Flashcards
Nadir of neutropenia
1) most chemotherapeutic
2) carboplatin
3) lomustine
1) 5-10 days
2) 7-14 days (dogs) and 7-21 days (cats)
3) 7-28 days
Which chemotherapeutic can results in cardiac toxicity?
Doxorubicin
- acute: arrhythmia (via increased histamine and catecholamines)
- cumulative: decreased contractility
Which drug to give before doxorubicin to decrease toxicity?
Dexrazoxane
Both for cardiac or extravasation
Which chemo can results in urinary signs ?
Sterile hemorrhagic cystitis with Acrotelin
- cyclophosphamide
- ifosfamide
Which drug to decrease sterile hemorrhagic cystitis?
Furosemide with cyclophosphamide
Mesna with ifosfamide
Which chemotherapeutic is hepatotoxic?
Lomustine
Vésicant chemotherapeutic?
1) Vincrinstine/vinblastine/vinorelbine
Warm compress and DMSO
2) doxorubicin
Cold compress
Cat specificity with chemo drug ?
- Doxorubicin = cumulative nephrotoxicity
- Cisplatin = fatal pulmonary edema
- 5-fluorouracil = fatal neurotoxicity
Ideal diet content for patient with cancer?
High proteins + fat Low carbohydrate (provides energy to tumor)
Order of most common oral cancer in dogs ?
Melanoma, SCC, fibrosarcoma, peripheral odontogenic fibroma
Immunotherapy for oral neoplasia?
Xenogenic plasmid DNA vaccine
Chemotherapy for oral melanoma?
Carboplatin
Where are the apocrine glands of anal sac located ?
Within the stroma that lies between internal and external sphincter
Chemotherapy for perianal adenocarcinoma ?
Doxorubicin and platinum
Disease free interval for perianal adenocarcinoma of less than 5 cm with surgery?
2 years
AGASACA
Breed ?
Cocker
AGASACA : chemotherapy
Carboplatin
+/- mitoxantrone
Palladia
TCC metastasis sites?
LN, lung, liver, spleen
Pathogenesis of TCC:
1) Drugs
2) gender
3) breeds
- Old flea control, herbicides, cyclophosphamide
- obese females
- Scottish-terrier, WHWT, shetland, beagle, wirehaired terrier
TCC treatment options ?
Piroxicam
Mitoxantrone
Intravesical mitomycin
Risks factors for mammary cancers?
Spay older
Medroxyprogesterone
Obesity at young age
Most common mammary gland involved in dogs ?
Caudal
Negative prognostic factors
Ulceration, invasive, older, German Shepherd, large(>3 cm), male,
Chemotherapy for cats with mammary carcinoma?
Doxorubicin, cyclophosphamide, mitoxantrone
Diagnostic criteria for multiple myeloma?
Monoclonal gammopathy
Osteolytic bone lesion
>10-20% of plasma cell in bone marrow
Ig light-chains (Bence Jones) proteinuria
Effects of paraproteins in multiple myeloma?
Neurological, retinopathy or cardiomyopathy
Blood work changes with multiple myeloma ?
Azotemia, hypercalcemia, hyperglobulinemia, hypoalbuminemia, hypocholesterol
Chemotherapy for multiple myeloma?
Melophalan :)
Chlorambucil, cyclophosphamide, lomustine
Negative prognosticators in Multiple myeloma?
Hypercalcemia, bence jones, extensive lytic lésions
Extramedullary plasma:
Breed
Cocker spaniels, terriers, boxer, golden retriever
Extramedullary plasma:
Location
Skin (trunk, limbs and ears)
Mucosal membrane (oral and lips)
Rectum and colon
OSA metastasis?
Lungs
OSA: âge
Old
Peak at 2 years old
Location of OSA
Metaphysis of long bones
- distal radium
- proximal humerus
- proximal tibia
OSA: breeds
Saint Bernard, Rottweiler, Great Dane , greyhound, Labrador
HSA : over expression of which oncoprotein?
STAT3
HSA: breeds
German Shepherd and golden
HSA: most common primary sites
Spleen, right atrium, skin, SQ tissue , liver
HSA metastasis
Lung liver omentum
HSA : which changes in RBC ?
Schistocytes
Which kinase is higher in dogs with HSA?
Thymidine
HSA; chemotherapy
Doxorubicin
Thyroid carcinoma:
Breeds
Boxers, beagle, golden and Siberian huskies
What can medullary carcinoma produce ?
Calcitonin: results in hypercalcemia
Thyroid carcinoma:
Metastasis
Lungs, retropharyngeal and SM I LN
Prognosis for movable thyroid carcinoma with surgery?
2-3 years
Which parasites can be associated with STS ?
Spirocerca Lupi
Adjuvant metronomic therapy in STS?
Piroxicam and cyclophosphamide
MST with pulmonary carcinoma with surgery and if < 5 cm?
10-13 months
Pulmonary carcinoma chemotherapy?
Vindesine/cisplatin
Vinorelbine
Cytology from thymoma?
Mature lymphocytes + mast cell
Chemodectoma arises from which vessels?
Carotid or aortic body
Chemodectoma: breed
Brachycephalic