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1310  Section 11  Oncologic Disease

              especially for surgical planning. Evaluation of possible     carcinoma in veterinary patients are lacking. Toceranib
  VetBooks.ir  tumor extension into the vena cava is important if sur-  phosphate, a multikinase receptor inhibitor similar to
                                                              sunitinib, is approved for mast cell neoplasia in veteri-
            gery is considered.
             The reported median survival time for dogs with
                                                              metastatic renal carcinoma.
            renal cell carcinoma treated with nephrectomy is eight   nary patients and may be considered for the treatment of
            months. Standardized chemotherapy as an adjunct or in   Chemotherapy treatment for renal lymphoma is simi-
            the metastatic setting for renal carcinoma has not been   lar to protocols used to treat lymphoma in other organs.
            well defined. In humans, sunitinib, a multikinase recep-  Approximately 60% of cats achieve complete remission.
            tor inhibitor, has shown antitumor activity against meta-  Negative prognostic factors included involvement of
            static renal cell carcinoma. At this time, controlled   other organ system (CNS), FeLV infection, and severity
            studies using tyrosine kinase inhibitors against renal   of renal failure.


              Further Reading


            Knapp DW. Tumors of the urinary system. In: Withrow S,   Pressler BM. Cancer and the kidney In: Scansen B,
              Vail D, Page R, eds. Withrow and MacEwen’s Small   Bonagura J, eds. Kirk and Bonagura’s Current
              Animal Clinical Oncology, 5th edn. St Louis, MO:   Veterinary Therapy XVI. St Louis, MO: Elsevier, 2009,
              Elsevier, 2013, pp. 572–81.                       pp. 925–30.
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