Preprint Case Report Version 1 This version is not peer-reviewed

Intensive Multimodal Chemotherapy in a Dog Suffering from Grade III/Stage IV Solid Mammary Carcinoma

Version 1 : Received: 6 August 2024 / Approved: 7 August 2024 / Online: 7 August 2024 (07:02:41 CEST)

How to cite: Beaudu-Lange, C. H.; Lange, E. J. M. Intensive Multimodal Chemotherapy in a Dog Suffering from Grade III/Stage IV Solid Mammary Carcinoma. Preprints 2024, 2024080487. https://doi.org/10.20944/preprints202408.0487.v1 Beaudu-Lange, C. H.; Lange, E. J. M. Intensive Multimodal Chemotherapy in a Dog Suffering from Grade III/Stage IV Solid Mammary Carcinoma. Preprints 2024, 2024080487. https://doi.org/10.20944/preprints202408.0487.v1

Abstract

Very few studies, often with very small cohortes, tended to prove chemotherapy efficiency against canine agressive mammary carcinomas, either on the metastasis or on the median survival of dogs after surgery and chemo, and this was not confirmed by other studies. As a result, we lack standardized efficient protocols that exist in human cases according to their grade and stage. In this case report of a relapsing grade III solid mammary carcinoma evolving into prominent lymphatic intravascular invasion with mutifocal nodal extension (stage 4), we applied an intensive treatment combining high dose surgery and intensive adjuvant chemotherapy. This adjuvant chemo combined a carboplatin maximal-tolerated-dose chemotherapy, with doses adjusted as necessary and a metronomic chemotherapy with firocoxib, toceranib and chloraminophen, progressively added together and carefully monitored. Adapting the doses allowed to avoid adverse events and to obtain 237 days of survival with good quality of life. To our knowledge, it is the first description of such a combination of treatment. That result should be confirmed by a prospective large-scale study.

Keywords

solid canine mammary carcinoma; grade III; lymphatic intravascular invasion; stage IV; carboplatin chemotherapy; metronomic chemotherapy; toceranib; firocoxib; chloraminophene; QoL

Subject

Medicine and Pharmacology, Oncology and Oncogenics

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