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134  Lymphomas  1239

               Nasal Lymphoma                                      Cats with high‐grade alimentary lymphoma treated
  VetBooks.ir  radiation therapy may be indicated as a sole treatment.  with a multiagent chemotherapy protocol can respond
               If nasal lymphoma is confirmed to be nonsystemic, local
                                                                  with median survival times of 210 days. A positive

                                                                  Cats achieving a complete or partial remission have a
               Other Anatomic Locations                           response to treatment is the best prognostic indicator.
               Other infrequently encountered forms of lymphoma in   significantly longer survival time of >2 years.
               the cat include laryngeal or tracheal. Cats presenting   Cats with nasal lymphoma can enjoy lengthy  survival
               with disease isolated to these locations can respond   times of 1–3 years or more with radiation therapy
                 positively to  local  radiation  therapy +/‐  chemotherapy   +/‐ chemotherapy.
               for periods of 6–12 months.                         Central nervous system and renal lymphoma are
                                                                  uncommon but when encountered, cats can experience a
                                                                  short period of clinical benefit from  chemotherapy and/
               Prognosis
                                                                  or radiation therapy for a median of 2–6 months.
               Generally, the overall response rate and survival time in
               cats are much lower than those achieved in dogs.
               However, this varies and is determined by the anatomic     Conclusion
               location at presentation, grade of tumor, and viral status
               of the cat.                                        Cats and dogs with lymphoma can respond favorably to
                 High‐grade tumors progress rapidly but are more   chemotherapy +/‐ radiation therapy. The treatments are
               likely to respond to multiagent chemotherapy for a   generally well tolerated with most animals  achieving a
               finite period of time, whereas low‐grade tumors pro­  clinical benefit for variable periods of time. Prognosis is
               gress slowly and can be easily managed as chronic   dependent on location, extent of disease, histologic
               diseases.                                          grade, and phenotype. Cancer treatment in pets can be a
                 Cats with mediastinal lymphoma respond well to   rewarding experience. Most pet owners appreciate the
               chemotherapy initially, but the duration of response is   dedication of the veterinarian and the additional quality
               usually short‐lived (2–3 months).                  time they gain with their pets.



                 Further Reading

               Simon D, Eberle N, Laacke‐Singer L, Nolte I. Combination   immunoreactivity and their association with prognosis
                 chemotherapy in feline lymphoma: treatment, outcome,   in 90 cats. J Vet Intern Med 1998; 12: 349–54.
                 tolerability and duration in 23 cats. J Vet Intern Med   Vail DM, Pinkerton ME, Young KM. Hematopoietic
                 2008; 22: 394–400.                                 tumors. In: Withrow S, Vail DM, Page RL, eds. Small
               Thamm DH, Vail DM, Post GS, et al. Alternating       Animal Clinical Oncology, 5th edn. St Louis, MO:
                 rabacfosadine/doxorubicin: efficacy and tolerability in   Elsevier Saunders, 2013, pp.608–50.
                 naïve canine multicentric lymphoma. J Vet Intern Med   Vezzali E, Parodi AL, Marcato PS, Bettini G.
                 2017; 231(3): 872–8.                               Histopathological classification of 171 cases of canine
               Vail DM, Moore AS, Ogilvie GK, Volk LM. Feline       and feline non‐Hodgkin lymphoma according to the
                 lymphoma (145 cases): proliferation indices, CD3   WHO. Vet Comp Oncol 2010; 8: 38–49.
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