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KMID : 1094020170340030193
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Journal of Veterinary Clinics
2017 Volume.34 No. 3 p.193 ~ p.196
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Long-Term Management with Chlorambucil and Prednisolone in a Case of Feline Alimentary Lymphoma
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Kim Myung-Jin
Kim Nam-Kyun
Jang Hyo-Mi
Song Joong-Hyun
Hwang Tae-Sung
Lee Hee-Chun
Sur Jung-Hyang
Jung Dong-In
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Abstract
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A 14-year-old, castrated male, domestic shorthair cat was referred for gastrointestinal (GI) signs, including nausea, regurgitation, anorexia, and weight loss. Abdominal ultrasonography revealed thickening of the wall of the gastric and proximal duodenum, moderately enlarged mesenteric lymph nodes, and coarse echotexture of the splenic parenchyma. The results of the feline leukemia virus test were positive. Based on gastrointestinal endoscopic characteristics and histopathological examinations, low-grade alimentary lymphoma was identified in multiple regions of the gastrointestinal tract. The patient was treated with oral prednisolone and chlorambucil chemotherapy, and the clinical signs resolved gradually. During serial follow-up, ultrasonographic findings demonstrated decreases in the duodenal wall thickness and size of the abdominal lymph nodes over a period of 550 days. Survival time was 886 days with prednisolone and chlorambucil chemotherapy. This report describes clinical features, imaging findings, endoscopic characteristics, histopathological features, and long-term management with chlorambucil chemotherapy in a case of feline low-grade alimentary lymphoma.
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KEYWORD
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cat , low-grade alimentary lymphoma , chlorambucil , long-term management , endoscopy
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