Use of lomustine (CCNU) in a case of cutaneous equine lymphoma.
Abstract: A 12-year-old gelding was diagnosed with recurrent lymphoma in multiple cutaneous sites. A highly invasive preputial mass caused urethral obstruction. The horse was treated with surgery and chemotherapy consisting of lomustine (CCNU) and prednisolone. The treatment was well-tolerated and effective. This is the first reported use of lomustine (CCNU) in a horse for the treatment of equine lymphoma. Utilisation de lomustine (CCNU) dans un cas de lymphone cutané équin. Un hongre âgé de 12 ans a été diagnostiqué avec un lymphome récurrent sur plusieurs sites cutanés. Une masse préputiale hautement invasive causait une obstruction urétrale. Le cheval a été traité par chirurgie et chimiothérapie composée de lomustine (CCNU) et de prednisolone. Le traitement a été efficace et bien toléré. Il s’agit de la première utilisation signalée de la lomustine (CCNU) chez un cheval pour le traitement d’un lymphome équin.(Traduit par Isabelle Vallières).
Publication Date: 2013-12-03 PubMed ID: 24293673PubMed Central: PMC3831386
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Summary
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This research article outlines the successful treatment of recurrent lymphoma in a horse using surgery and chemotherapy with lomustine (CCNU) and prednisolone. This is the first reported successful use of lomustine in a horse for this purpose.
Introduction and Case Details
- The subject of the study was a 12-year-old gelding (a castrated horse) which was diagnosed with lymphoma affecting multiple parts of its skin.
- An aggressively invasive mass on the sheath enclosing the penis (preputial mass) was causing a blockage of the urinary tube (urethral obstruction).
Therapeutic Approach
- The horse was treated with two main therapeutic modalities – surgery and chemotherapy.
- The surgical intervention presumably aimed at removing the greatest possible amount of the cancerous tissue, including the obstructive preputial mass.
- The chemotherapy regimen utilized two drugs – lomustine (CCNU) and prednisolone.
- Lomustine is a type of chemotherapy drug termed an alkylating agent which works by damaging the DNA of rapidly dividing cells, such as cancer cells, thus hampering their proliferation.
- Prednisolone is a glucocorticoid hormone which can restrain immune responses and inflammation, and is also known to have beneficial effects in some cases of cancer.
Treatment Outcome
- The treatment was reported to be well-tolerated by the horse, indicating a lack of severe or unmanageable side-effects related to the chemotherapy or surgery.
- The treatments were also indicated to be effective, suggesting a reduction in cancer burden and potentially amelioration of the horse’s condition or prognosis.
Significance
- This case marks the first reported instance of a horse being successfully treated for lymphoma with the use of lomustine. The results suggest that lomustine could be a viable component of therapeutic regimens for equine lymphoma in future.
- These findings also contribute to the limited body of knowledge on therapy options for lymphoma in horses.
Cite This Article
APA
Doyle AJ, MacDonald VS, Bourque A.
(2013).
Use of lomustine (CCNU) in a case of cutaneous equine lymphoma.
Can Vet J, 54(12), 1137-1141.
Publication
Researcher Affiliations
- Department of Health Management (Doyle) and Department of Pathology and Microbiology (Bourque), Atlantic Veterinary College, University of Prince Edward Island, 550 University Avenue, Charlottetown, Prince Edward Island C1A 3P4, and Department of Small Animal Clinical Sciences, Western College of Veterinary Medicine, University of Saskatchewan, 52 Campus Drive, Saskatoon, Saskatchewan S7N 5B4 (MacDonald).
MeSH Terms
- Animals
- Antineoplastic Agents, Alkylating / therapeutic use
- Antineoplastic Agents, Hormonal / therapeutic use
- Drug Therapy, Combination
- Foreskin / surgery
- Horse Diseases / drug therapy
- Horse Diseases / surgery
- Horses
- Lomustine / therapeutic use
- Lymphoma / drug therapy
- Lymphoma / surgery
- Lymphoma / veterinary
- Male
- Prednisolone / therapeutic use
- Skin Neoplasms / drug therapy
- Skin Neoplasms / surgery
- Skin Neoplasms / veterinary
- Urethral Obstruction / etiology
- Urethral Obstruction / surgery
- Urethral Obstruction / veterinary
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This article includes 21 references
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Citations
This article has been cited 1 times.- Luethy D, Frimberger AE, Bedenice D, Byrne BS, Groover ES, Gardner RB, Lewis T, MacDonald VS, Proctor-Brown L, Tomlinson JE, Rassnick KM, Johnson AL. Retrospective evaluation of clinical outcome after chemotherapy for lymphoma in 15 equids (1991-2017). J Vet Intern Med 2019 Mar;33(2):953-960.
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