The diagnostic utility of lymph node cytology samples in dogs and cats.

OBJECTIVES: The aim of this study was to determine common reasons for lymph node fine needle aspirates, cytological diagnoses reported and the frequency and reasons for non-diagnostic samples from dogs and cats. METHODS: Retrospective study of computerised records of fine needle aspirate samples submitted to NationWide Laboratories (UK) between April 2009 and May 2011 to identify lymph node samples. Reason for sampling, sample quality, diagnosis achieved and reason for non-diagnostic samples were assessed. RESULTS: A total of 1473 records were available for review. Of 1274 canine samples, 928 (72 · 8%) were diagnostic and 346 (27 · 2%) were non-diagnostic. Of 199 feline samples, 171 (85 · 9%) samples were diagnostic and 28 (14 · 1%) were non-diagnostic. The most common reasons for sample submission in both species were investigation of lymphadenopathy (alone or in combination with other clinical signs) or tumour staging. In dogs, the most common diagnosis was lymphoma (351, 27 · 5%), and in cats, reactive hyperplasia (63, 31 · 6%). Absence of cells, cell disruption and low yield were the most common causes of non-diagnostic samples. Submission of the history did not affect the probability of reaching a cytological diagnosis. CLINICAL SIGNIFICANCE: Lymph node cytology is a useful diagnostic procedure but educating veterinarians to improve sampling and smearing may increase diagnostic yield.

Epirubicin as part of a multi-agent chemotherapy protocol for canine lymphoma.

The aim of the study was to report the outcome of treatment of 97 dogs with lymphoma that received a multi-agent chemotherapy protocol containing epirubicin as the primary anthracycline. Seventy-five dogs received a 25-week protocol with no maintenance phase whilst 22 dogs received a maintenance phase. Complete response rate was 96% and time to first relapse (TTR) and overall survival (OS) time for all dogs were 216 and 342 days, respectively. Dogs with T-cell lymphoma and those classified as WHO substage b had significantly poorer OS times and TTR. The protocol was well tolerated with toxicity similar to doxorubicin-containing protocols. Epirubicin as part of a multi-agent protocol is safe and effective in the treatment of canine multicentric lymphoma. There is a high initial response rate and an overall median survival time that is similar to other published doxorubicin-containing protocols.

Toxicity associated with epirubicin treatments in a large case series of dogs.

Epirubicin is a stereoisomer of doxorubicin that is widely used in human oncology. The purpose of this study was to evaluate the toxicity associated with epirubicin administration in dogs. Three hundred and fifteen treatments were administered to 139 dogs. Patients received between one and seven doses. One hundred and sixteen treatments were associated with toxicity in 81 patients (50 episodes of lethargy, 49 of diarrhoea, 42 of vomiting, 40 of anorexia, 2 hypersensitivity reactions and 2 suspected extravasations). Thirty-six (11%) adverse events resulted in hospitalization in 33 (24%) patients, of which 15 were neutropenic and 9 pyrexic. Mean duration of hospitalization was 3.4 days and 33 patients recovered uneventfully. Owners of 11 patients declined further treatment after toxicity occurred. After 25 treatments associated with toxicity, dose reductions reduced toxicity. The use of prophylactic anti-emetics, gastroprotectants and antibiotics did not reduce the frequency of gastrointestinal toxicity.