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Advances in Veterinary Oncology, An Issue of Veterinary Clinics of North America: Small Animal Practice, E-Book

Advances in Veterinary Oncology, An Issue of Veterinary Clinics of North America: Small Animal Practice, E-Book

Annette N. Smith

(2014)

Additional Information

Book Details

Abstract

This issue focuses on new advances in oncology in treating dogs and cats. Topics include: Use of metronomic chemotherapy in veterinary cancer patients, Evidence-based integrative medicine in clinical veterinary oncology, The role of surgery in multimodality cancer therapy for small animals, Cancer screening tests for small animals,  Antibiotic use in veterinary oncology patients, Tyrosine kinase inhibitors in veterinary oncology practice, Stereotactic radiosurgery/Advances in veterinary radiation therapy, Tumor vaccines in veterinary oncology practice, Chemotherapy safety in clinical veterinary oncology, Role of neutering in cancer development, and more!

Table of Contents

Section Title Page Action Price
Front Cover Cover
Advances in Veterinary Oncology\r i
Copyright\r ii
Contributors iii
Contents v
Veterinary Clinics Of North America: Small Animal Practice\r ix
Preface\r xi
Errata\r xiii
Metronomic Chemotherapy in Veterinary Patients with Cancer 817
Key points 817
Introduction 817
Targets of MC 818
Tumor Angiogenesis 818
Tumor Immunology 820
Other Potential Targets 821
Clinical trials investigating MC 821
Summary of Human Clinical Trials 821
Veterinary Clinical Trials 822
MC in clinical practice: challenges and future directions 822
Biomarkers for MC 822
Side Effects 824
Development of Drug Resistance 825
Practical Guidelines for Veterinary Patients with Cancer 825
Summary 825
References 825
Evidence-based Integrative Medicine in Clinical Veterinary Oncology 831
Key points 831
Herbs/botanics evaluated in dogs or in vitro canine cells 833
Herbs/botanics evaluated in vivo or in vitro in other species 834
Bioactive polysaccharides: fungi 836
Acupuncture 838
Dietary supplements evaluated in dogs or in vitro canine cells and relevant studies in other species or in vitro 838
Calcitriol 839
Retinoids 839
Antioxidants 839
Omega-3 Fatty Acids 840
Probiotics 841
Phytic Acid, Phytate, Myo-Inositol Hexaphosphate 842
Using IM in veterinary clinical oncology 843
Adverse reactions: drug-herb interactions 843
References 844
Role of Surgery in Multimodal Cancer Therapy for Small Animals 855
Key points 855
Preoperative evaluation 856
Surgical treatment 856
Surgical oncology principles 857
Role of the histopathologist 858
Chemotherapy and surgery 859
Combining radiotherapy with surgery 860
Response of normal tissue to radiation 861
Surgery of tissue to be irradiated 863
Operating in irradiated tissue 865
Summary 867
References 867
Cancer Screening Tests for Small Animals 871
Key points 871
Introduction 871
Tests for lymphoma 872
Veterinary Diagnostics Institute TKcanine 872
VDI TKFeline 874
Sensitest/Petscreen/Tri-Screen/Canine Lymphoma Blood Test 875
Polymerase Chain Reaction for Antigen Receptor Rearrangements 877
Tests for canine hemangiosarcoma 878
VDI TKcanine 878
Tests for canine transitional cell carcinoma 878
Veterinary Version of the Bladder Tumor Antigen Test 878
General cancer tests 878
OncoPet RECAF 878
P-glycoprotein Mutation 879
References 880
Antimicrobial Use in the Veterinary Cancer Patient 883
Key points 883
Antimicrobial use in the cancer patient 883
Antimicrobial use in the neutropenic patient 883
Risk factors 884
Febrile neutropenia management 884
Special considerations when initiating antimicrobial therapy in febrile, neutropenic patients 885
Prophylactic antimicrobial use 886
Prophylactic antimicrobial use after chemotherapy administration: “prevention antimicrobials” 886
Antimicrobial use in afebrile, neutropenic patients 887
Antimicrobial use in radiation therapy patients 888
Doxycycline and veterinary oncology patients 889
References 890
Small Molecule Inhibitors in Veterinary Oncology Practice 893
Key points 893
Introduction 893
Regulation of normal cell biology 894
Dysregulation of Proteins in Cancer Cells 895
Small Molecule Kinase Inhibitors: The Human Experience 896
Small molecule inhibitors in veterinary medicine 898
Toceranib (Palladia) 898
Toceranib in the Clinic 898
Phase 1 clinical trial 898
Results of the field study 898
Biological activity off label 898
Combination therapy with piroxicam 899
Combination therapy with vinblastine 899
Combination therapy with radiation 899
Role in metronomic therapy 899
Toceranib Dosing 900
Masitinib (Kinavet) and Imatinib 900
Management of Adverse Events Associated with Toceranib and Masitinib 901
Additional Small Molecule Inhibitors Under Investigation 902
Resistance to Small Molecule Inhibitors 903
Summary 904
References 904
Advances in Veterinary Radiation Therapy 909
Key points 909
Introduction 909
Radiation oncology in veterinary medicine: past to present 910
Biological principles and technical advances 911
The Introduction of Megavoltage Radiation Therapy 912
Manual Point-Dose Calculations 912
3D-CRT 913
IMRT 913
Advanced Imaging for Better Tumor Localization During Planning 914
Image-Guided Radiation Therapy 915
DART 916
SRT 917
Future directions 919
References 921
Immunotherapy in Veterinary Oncology 925
Key points 925
Tumor immunology 926
Cellular Components 926
Immune Surveillance 926
Immune Evasion by Tumors 927
Nonspecific tumor immunotherapy 927
Biologic Response Modifiers 927
Recombinant Cytokines, Growth Factors, and Hormones 928
Cancer vaccines 928
References 932
Chemotherapy Safety in Clinical Veterinary Oncology 941
Key points 941
History of chemotherapy safety 941
Relevance to veterinary medicine 942
Protection motivation theory and lack of compliance 943
State legislation mandating compliance 944
Defining exposure and health risk: a method to the madness 944
Evidence of health risk: biological effect monitoring and reproductive concerns 945
Routes of exposure and persons at risk: environmental and biological monitoring 948
Hazard control and recommended health actions 950
Levels 1 and 2: Eliminate or Substitute the Hazard 950
Level 3: Engineering Controls 951
Level 4: Administrative Controls 952
Level 5: Personal Protective Equipment 955
Safe handling and administration of oral anticancer agents 956
Summary 958
Supplementary data 959
References 959
The Role of Neutering in Cancer Development 965
Key points 965
Introduction 965
Mammary tumors 966
Reproductive organ tumors and tumors treated by neutering 967
Osteosarcoma 967
Hemangiosarcoma 968
Lymphoma 968
Transitional cell carcinoma 968
Mast cell tumors 969
The influence of sterilization on lifespan 969
Critiques of the data presented 970
The practitioner’s dilemma 970
References 971
The Role of Clinical Trials in Veterinary Oncology 977
Key points 977
Introduction 977
Phases of drug development 978
Phase I (Dose-finding) Clinical Trials 979
Defining Adverse Events and Dose-limiting Toxicities 979
Client Considerations for a Phase I Study 980
Phase II (Activity/Efficacy) Clinical Trials 980
Client Considerations for a Phase II Study 981
Phase III (Comparative) Clinical Trials 981
Client Considerations for a Phase III Study 981
Phase 0 Clinical Trials 982
Phase IV (After-market) Clinical Trials 982
Role of clinical trials for clients and their pets 982
Benefits of Clinical Trial Participation 982
Barriers to Clinical Trial Enrollment 983
Ethics/Patient Protection 983
Owner Informed Consent 983
Appropriate Trial Design/Good Clinical Practice Guidelines 984
Institutional Animal Care and Use Committee/Clinical Trials Review Board 985
Data Safety Monitoring Board 985
Resources 985
Summary 986
References 986
Pain Management in Veterinary Patients with Cancer 989
Key points 989
Introduction 989
Pain generation, categorization, and recognition 990
Pain Pathophysiology 990
Pain Categorization 990
Pain Recognition 991
Pharmacologic treatment strategies 992
General Guidelines 992
Specific Drug Classes and Mechanisms of Action 994
NSAIDs 994
Opioids 994
N-methyl d-aspartate antagonists 994
Combination analgesics 994
Anticonvulsant drugs 995
Tricyclic antidepressants 995
Bone cancer pain 995
Unique Aspects 995
Strategies to Alleviate Malignant Bone Pain 996
Palliative radiation therapy 996
Stereotactic radiosurgery 996
Radiopharmaceuticals 996
Aminobisphosphonates 997
Supportive care 997
Summary 998
References 998
Index 1003