1. ADENOCARCINOMA PANCREÁTICO ACINAR SÓLIDO EM FELINO JOVEM, TRATADO COM QUIMIOTERAPIAS CONVENCIONAL E METRONÔMICA: RELATO DE CASO.
- Author
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ROZOLEN, J. M., CARVALHO, D. G., SANTOS, T. B., and TEIXEIRA, T. F.
- Subjects
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COMPUTED tomography , *PANCREATECTOMY , *PERITONEAL cancer , *ADJUVANT chemotherapy , *CARBOPLATIN , *CARCINOMA , *PORTAL vein - Abstract
Pancreatic cancer is diagnosed infrequently in cats, with pancreatitis and adenomas as differential diagnoses. A 3-year-old cat, mixed breed, was treated with hyporexia, prostration and epigastric pain. The abdominal ultrasound showed a solid formation and irregular contours in the right hypogastric region, vascularity on Doppler, without separation plane with duodenum and abdominal effusion. Computed tomography was performed, which confirmed the presence of a 9-cm tumor area caudal to the caudate process of the hepatic lobe, in close contact with the splenic and portal veins. The patient underwent partial pancreatectomy for morphological diagnosis and relief. The extracted material was fixed in formaldehyde and the initial morphological diagnosis was solid standard undifferentiated carcinoma. Subsequently, immunohistochemistry was performed to define histogenesis, being positive for markers AE1AE3; CDX2, CK8 ̸18, CK20 and Ki67 for prognosis, which favored solid acinar pancreatic carcinoma, with 80% of cells in cell division. Treatment was started with adjuvant chemotherapy, alternating doxorubicin and carboplatin every 28 days. After 4 months of treatment, the patient gained weight, remained active, with normorexia, but there was tumor recurrence with peritoneal carcinomatosis. It was associated with metronomic chemotherapy with daily prednisone and cyclophosphamide every other day. The low number of diagnoses and scarcity of information in the literature limit treatment options and therapeutic possibilities. Acinar pancreatic adenocarcinoma is a rare occurrence among cats, with a high chance of metastasis and survival from days to a few months after diagnosis. The established treatment was well tolerated by the patient and seems to be an option in the control of this type of disease. [ABSTRACT FROM AUTHOR]
- Published
- 2023
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