1. Electroporation Enhances Bleomycin Efficacy in Cats with Periocular Carcinoma and Advanced Squamous Cell Carcinoma of the Head.
- Author
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Spugnini EP, Pizzuto M, Filipponi M, Romani L, Vincenzi B, Menicagli F, Lanza A, De Girolamo R, Lomonaco R, Fanciulli M, Spriano G, and Baldi A
- Subjects
- Animals, Antibiotics, Antineoplastic therapeutic use, Bleomycin therapeutic use, Carcinoma, Squamous Cell drug therapy, Cats, Electrochemotherapy methods, Eyelid Neoplasms drug therapy, Female, Head and Neck Neoplasms drug therapy, Male, Skin Neoplasms drug therapy, Treatment Outcome, Antibiotics, Antineoplastic administration & dosage, Bleomycin administration & dosage, Carcinoma, Squamous Cell veterinary, Cat Diseases drug therapy, Electrochemotherapy veterinary, Eyelid Neoplasms veterinary, Head and Neck Neoplasms veterinary, Skin Neoplasms veterinary
- Abstract
Background: Advanced carcinoma of the head represents a substantial health problem in cats for local control and overall survival., Objectives: Evaluate the capability of electrochemotherapy (ECT) to improve bleomycin efficacy in cats with periocular carcinoma and advanced carcinoma of the head., Animals: Twenty-one cats with periocular carcinoma (17 squamous cell carcinoma [SCC] and 4 anaplastic carcinoma) and 26 cats with advanced SCC of the head., Methods: Nonrandomized prospective controlled study. Periocular carcinoma cohorts: 12 cats were treated with bleomycin (15 mg/m(2) i.v.) coupled with ECT under anesthesia; 9 cats were treated with bleomycin alone. Advanced head SCC cohorts: 14 cats were treated with bleomycin (15 mg/m(2) i.v.) coupled with ECT administered under sedation; 12 control cats were treated with bleomycin alone. ECT treatments (2-8) were performed every other week until complete remission (CR) or tumor progression occurred., Results: Toxicities were minimal and mostly treated symptomatically. Overall response rate in the ECT treated animals was 89% (21 Complete Response [CR] and 2 Partial Response [PR]) whereas controls had response rate of 33% (4 CR and 3 PR). Median time to progression in ECT group was 30.5 months, whereas in controls it was 3.9 months (P < .0001). Median time to progression for ECT cohorts was 24.2 months for periocular cohort and 20.6 in advanced head SCC cohort, respectively., Conclusions: Electrochemotherapy is well tolerated for advanced SCC of the head in cats; its use may be considered among loco-regional strategies for cancer therapy in sensitive body regions such as periocular region., (Copyright © 2015 The Authors. Journal of Veterinary Internal Medicine published by Wiley Periodicals, Inc. on behalf of the American College of Veterinary Internal Medicine.)
- Published
- 2015
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