Random sections Flashcards
What are the most common US findings of abdominal carcinomatosis in cats? Monteiro 2004
free fluid 100%
masses connecting peritoneum 100%
masses in abd organs 70%
LN enlargement 35%
What is most common primary organ for abd carcinomatotis in cats? Monteiro 2004
liver>panc>SI
What is difference in outcome in dogs treated with intracavitary mito/carbo for carcinomatosis? Charney 2005
MST 25 d untx vs 11mn treated
What are new methods to more accurately calculate BSA in dogs? Borgatti
Use of CT imaging for modeling with whole body contouring with length and height vs using physical measurements
What neutrophil cut-off was recently evaluated for antibiotic prophylaxis (Bisson 2020)?
750 with abx given 8.8% vs 1k 15% vs 1.5k 25%
no diff btw groups and well tolerated cutoff
When should abx be discontinued with chemo induced neutropenia? Bisson 2018
3 days or when count > 1k
What is EZN-3042 and what diseases may it be useful for in dogs? Thamm 2016
survivin (IAP family protein) inhibitor
downregulation induced in canine LSA and OSA cell lines
what is length of time of urine residue for the following drugs: vincristine, vinblastine, cytoxan and doxorubicin? Knobloch 2010
vinc 3 days
vinblastine 7 days
cytoxan 24 hours
doxorubucin 21 days
T/F prednisone increases Pgp levels and MRP1 levels Mealey 2003
False
what is combrestastatin A4-phosphate? Abma 2018
vascular disrupting agent
what is prevalence of proteinuria in cancer bearing dogs? Prudic 2018
50% total with 15% overtly, 37% borderline
30% hypertensive
what is iniparib Saba 2016 Borgatti
PARP1 inhibitor
what heme SE can hydroxyurea cause in dogs? Conrado 2017
anemia & macrocytosis
What is KPT-335 and MTD? London 2014 Borgatti
Selective inhibitor of nuclear export (SINE)
MTD 1.75mg/kg PO twice weekly
What drug was detected as an environmental contaminant at 20 specialty hospitals? Alexander 2018
cytoxan at 4
what is weighted randomization used for? Page 2016
2:1 investigational drug: placebo if determine acceptable by formal stats (more subjects get drug)
What is the least useful endpoint evaluation in clinical trials? Page 2016
Survival time
What are 3 reasons to stop a trial? Habing 2011
- neg stopping due to AE/sig worse outcome
- Positive stopping if benefits sig better with trial drug
- Futility stopping when results unlikely to change w/ continued trial
what are disadvantages of stopping rules? Habing 2011
- interim analysis can create type 1 error (not w/ modern stats)
- early stopping can lead to false negative results
- may not answer all questions re benefits
What starting dose should be used in a phase 1 trial? Vail 2007
1/3 dose of no observable AE or 1/10 severe toxic dose in other species
With a standard 3+3 phase 1 design, how many patient in MTD? Vail 2007?
at least 6
what is a DLT defined as? Vail 2007
gr3 + AE except heme is g 4+
what is definition of MTD? Vail 2007
highest dose where no more than 1/6 had DLT (or one dose level below 2+ dogs w/ AE)
What is min number of patients recommended for phase 2 trial? What about if a response is noted? Vail 2007
9
increase to 31
What is a randomized discontinuation trial? Vail 2007
1st stage: all pt on drug
2nd stage: those w/ SD randomized to continue vs d/c
What is most common hemostatic disorder in canine cancer? Andreasen 2012
hypercoagulability
T/F telomere length is shorter in tumors and more variable vs normal samples Cadile 2007
False - mean the same (19kb) but tumors more variable
What features on CT are associated with malignancy with effusion present? Reetz 2018
older
nodular diaphgragmatic pleural thickening
costal pleural masses
pulmonary masses
what tumor type MC has pulmonary nodules noted on CT in dogs? Lamb 2019
HSA > OSA > carcinoma > HS > ST > adenocarcinoma
What is the purpose of lymphotropic nanoparticle enhanced MRI for canine head/neck tumors? Griffin 2020
detects met dz in LN and was 100% sen and 88% spc compared to histo results
T/F Dye is better than microbubbles for SNL mapping in dogs Favril 2019
no both useful (17/18 infrared dye vs 18/18 microbubbles)
What features of sternal LN indicate metastatic disease more likely? Iwasaki 2018
size and precontrast attenuation
T/F two well defined margins with rightward shift of cardiac silhouette on CXR more likely indicate thymoma vs LSA in dogs Oura 2019
true - cats no features predictive
In MCT and STS, intraop use of a fluorescent agent detected cancer from normal tissue in what %? Dewitt 2016
92%
What % of pul nodules noted on CT are also detected on CXR? AArmbrust 2012
80%
22g needles result in more ____ and 25g needles result in ___. Both provide cellular/dx samples thought Arai 2018
blood
cellular debris and trauma
Which FNA method provides more diagnostic samples of the liver? Fleming 2019
non-aspiration 94% (higher cellularity/less hemodilution) vs aspiration 81%
How commonly are contralateral LN mets noted in oral melanoma/SCC? Grimes 2019
24% of those removed
what markers indicate mast cell on flow? Sulce 2018
CD18, CD45, CD44, CD117; IgE 82%, CD11b 68%
What is sen and spec for CT predicting retro/man LN mets? Skinner 2018
Sen 10-12% spec 91-96%
T/F - Inter and intra rater agreement is high for SQ mass margins Ranganthan 2018
False - poor
T/F Retropharyngeal mets ONLY occur if mandibular metastasis present Grimes 2019
false 3 of 13 only had retro mets
Of regional LN mets in head/neck tumors what % had ipsilateral and what % contralateral? Skinner 2016
92% ip and 62% contra
What 2 collection methods increase quantity of RNA from FSA and AGASACA? Bowlt 2017
small gauge needle and suction
What method had the highest sen and spec for regional node assessment of mets - PE, cyto, biopsy? Lagenbach 2001
cyto…interestingly
How commonly are second opinion histopath partially or complete different and results in altered tx/prognosis? Regan 2010 and Regan 2015
20%-30% partial
10% - 20% complete
17%-37% change pt plan
Where is most common location of intermuscular lipomas in the rear limb? Case 2012
80% between semimembranosus and semitendinosis
What is the recurrence rate of liposuction for lipomas in dogs? Hunt 2011
28%
What is ORR and MST for horses tx for LSA? Luethy 2018
93% ORR (33% CR)
MST 8mn
What is the most common lymphoma type in horses? Durham 2013
T cell rich B cell
What is dose of doxo and vincristine that cause toxicity in heterozygous MDR1-1 delta? Mealey 2006
- 5mg/m2 dox
0. 56mg/m2 vinc
What is rate of neutropenia and thrombocytopenia in dogs w/ ABCB1 mutation vs wt? Mealey 2008
75% neutro vs 11%
62.5% thrombo vs 4%
An upregulation of MDR1 expression during LSA treaatment is associated with what? Gramer 2013
disease progression
What mutation is noted in ABCB1? Mealey 2008
4 BP deletion causing frameshift and premature stop codon
Does Pgp expression impact outcome for feline LSA? Brenn 2008
No
What type of LSA has higher MDR1 expression compared to multicentric in dogs? Culmsee 2004
GI
CSC are resistant to what treatment and exhibit lower levels of what type of DNA damage? Deguchi 2019
resistant against x-rays
lower DS DNA breaks
EpCAM is an adhesion molecular found most commonly in what cancer subtype and not in which subtypes? Thamm 2016
71% carcinomas expressed (expect adrenal carcinomas)
Not on any sarcomas or hematopoeitic tumors
what is Oct4 a marker of? Trosko 2009
stemness (on CSC)
What is mavacoxib? Hurst 2019
selective COX2 inhibitor, results in apoptosis and inhibited migration and effect independent of COX2 expression
T/F antitumor effects of NSAIDs are only due to inhibition of COX/PG pathway Yoshitake 2017
No- likely independent mechanisms as well