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Epitheliotropic T-cell cutaneous lymphoma in dogs

机译:犬上皮性T细胞皮肤淋巴瘤

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Epitheliotropic T-cell lymphoma is the most common form of cutaneous lymphoma in dogs. However lymphoma affecting the skin is uncommon, making up only 1% of all canine cutaneous neoplasms and about 5% of all canine lymphomas. It is usually a disease of older dogs with the average age of onset of 8-10 years. Clinical subtypes include exfoliative erythroderma, solitary or multiple patches, plaques and/or nodules, muco-cutaneous disease and ulcerative disease of the oral mucosae. Histopathology is required confirm the diagnosis of ETCL however early lesions may appear similar to inflammatory disease and clinical follow-up with sequential biopsies may be required. The treatment of choice in dogs for ETCL is lomustine (CCNU) but potential adverse effectssuch as myelosuppression and hepatoxicity need to be considered. The prognosis is poor and a median survival time of six months following diagnosis irrespective of treatment was recently reported in one review of 30 cases. Many dogs may suffer varying degrees of pain and/or pruritus and although treatment may not alter the rate of disease progression or the length of survival, it may improve quality of life.
机译:上皮性T细胞淋巴瘤是狗中皮肤淋巴瘤的最常见形式。然而,影响皮肤的淋巴瘤并不常见,仅占所有犬皮肤肿瘤的1%,约占所有犬淋巴瘤的5%。它通常是老年狗的一种疾病,平均发病年龄为8-10岁。临床亚型包括剥脱性红皮病,单发或多发性斑块,斑块和/或结节,粘膜皮肤疾病和口腔粘膜溃疡性疾病。需要进行组织病理学检查以确认ETCL的诊断,但是早期病变可能看起来类似于炎症性疾病,因此可能需要进行连续活检的临床随访。在犬中选择ETCL的治疗方法是洛莫司汀(CCNU),但需要考虑潜在的不良反应,例如骨髓抑制和肝毒性。预后很差,最近有30例病例报告了诊断后中位生存期为6个月,与治疗无关。许多狗可能会遭受不同程度的疼痛和/或瘙痒,尽管治疗可能不会改变疾病的进展速度或生存时间,但可以改善生活质量。

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