• 1. Siegel S, Cronin KL. Palliative radiotherapy. Vet Clin North Am Small Anim Pract 1997; 27: 149155.

  • 2. Thrall DE, LaRue SM. Palliative radiation therapy. Semin Vet Med Surg (Small Anim) 1995; 10: 205208.

  • 3. Corry J, Peters LJ, Costa ID, et al. The ‘QUAD SHOT’—a phase II study of palliative radiotherapy for incurable head and neck cancer. Radiother Oncol 2005; 77: 137142.

    • Crossref
    • Search Google Scholar
    • Export Citation
  • 4. Ghoshal S, Chakraborty S, Moudgil N, et al. Quad shot: a short but effective schedule for palliative radiation for head and neck carcinoma. Indian J Palliat Care 2009; 15: 137140.

    • Crossref
    • Search Google Scholar
    • Export Citation
  • 5. McDonald C, Looper J, Greene S. Response rate and duration associated with a 4Gy 5 fraction palliative radiation protocol. Vet Radiol Ultrasound 2012; 53: 358364.

    • Search Google Scholar
    • Export Citation
  • 6. McEntee MC. Veterinary radiation therapy: review and current state of the art. J Am Anim Hosp Assoc 2006; 42: 94109.

  • 7. Ramirez O III, Dodge RK, Page RL, et al. Palliative radiotherapy of appendicular osteosarcoma in 95 dogs. Vet Radiol Ultrasound 1999; 40: 517522.

    • Crossref
    • Search Google Scholar
    • Export Citation
  • 8. Liptak JM, Dernell WS, Ehrhart N, et al. Canine appendicular osteosarcoma: diagnosis and palliative treatment. Compend Contin Educ Vet 2004; 26: 172183.

    • Search Google Scholar
    • Export Citation
  • 9. Mayer MN, Grier CK. Palliative radiation therapy for canine osteosarcoma. Can Vet J 2006; 47: 707709.

  • 10. Mueller F, Poirier V, Melzer K, et al. Palliative radiotherapy with electrons of appendicular osteosarcoma in 54 dogs. In Vivo 2005; 19: 713716.

    • Search Google Scholar
    • Export Citation
  • 11. Bateman KE, Catton PA, Pennock PW, et al. 0–7–21 radiation therapy for the palliation of advanced cancer in dogs. J Vet Intern Med 1994; 8: 394399.

    • Crossref
    • Search Google Scholar
    • Export Citation
  • 12. McEntee MC, Page RL, Novotney CA, et al. Palliative radiotherapy for canine appendicular osteosarcoma. Vet Radiol Ultrasound 1993; 34: 367370.

    • Crossref
    • Search Google Scholar
    • Export Citation
  • 13. Green EM, Adams WM, Forrest LJ. Four fraction palliative radiotherapy for osteosarcoma in 24 dogs. J Am Anim Hosp Assoc 2002; 38: 445451.

  • 14. Coomer A, Farese J, Milner R, et al. Radiation therapy for canine appendicular osteosarcoma. Vet Comp Oncol 2009; 7: 1527.

  • 15. Gieger T, Rassnick K, Siegel S, et al. Palliation of clinical signs in 48 dogs with nasal carcinomas treated with coarse-fraction radiation therapy. J Am Anim Hosp Assoc 2008; 44: 116123.

    • Crossref
    • Search Google Scholar
    • Export Citation
  • 16. Buchholz J, Hagen R, Leo C, et al. 3D conformal radiation therapy for palliative treatment of canine nasal tumors. Vet Radiol Ultrasound 2009; 50: 679683.

    • Crossref
    • Search Google Scholar
    • Export Citation
  • 17. Mellanby RJ, Stevenson RK, Herrtage ME, et al. Long-term outcome of 56 dogs with nasal tumours treated with four doses of radiation at intervals of seven days. Vet Rec 2002; 151: 253257.

    • Crossref
    • Search Google Scholar
    • Export Citation
  • 18. Morris JS, Dunn KJ, Dobson JM, et al. Effects of radiotherapy alone and surgery and radiotherapy on survival of dogs with nasal tumours. J Small Anim Pract 1994; 35: 567573.

    • Crossref
    • Search Google Scholar
    • Export Citation
  • 19. Tan-Coleman B, Lyons J, Lewis C, et al. Prospective evaluation of a 5 × 4 Gy prescription for palliation of canine nasal tumors. Vet Radiol Ultrasound 2013; 54: 8992.

    • Crossref
    • Search Google Scholar
    • Export Citation
  • 20. Plavec T, Kessler M, Kandel B, et al. Palliative radiotherapy as treatment for non-resectable soft tissue sarcomas in the dog—a report of 15 cases. Vet Comp Oncol 2006; 4: 98103.

    • Crossref
    • Search Google Scholar
    • Export Citation
  • 21. Lawrence J, Forrest L, Adams W, et al. Four-fraction radiation therapy for macroscopic soft tissue sarcomas in 16 dogs. J Am Anim Hosp Assoc 2008; 44: 100108.

    • Crossref
    • Search Google Scholar
    • Export Citation
  • 22. Blackwood L, Dobson JM. Radiotherapy of oral malignant melanomas in dogs. J Am Vet Med Assoc 1996; 209: 98102.

  • 23. Proulx DR, Ruslander DM, Dodge RK, et al. A retrospective analysis of 140 dogs with oral melanoma treated with external beam radiation. Vet Radiol Ultrasound 2003; 44: 352359.

    • Crossref
    • Search Google Scholar
    • Export Citation
  • 24. Bateman KE, Catton PA, Pennock PW, et al. 0–7–21 radiation therapy for the treatment of canine oral melanoma. J Vet Intern Med 1994; 8: 267272.

    • Crossref
    • Search Google Scholar
    • Export Citation
  • 25. Dobson J, Cohen S, Gould S. Treatment of canine mast cell tumours with prednisolone and radiotherapy. Vet Comp Oncol 2004; 2: 132141.

    • Crossref
    • Search Google Scholar
    • Export Citation
  • 26. Ladue T, Klein MK. Toxicity criteria of the veterinary radiation therapy oncology group. Vet Radiol Ultrasound 2001; 42: 475476.

    • Crossref
    • Search Google Scholar
    • Export Citation
  • 27. Gillette EL, LaRue SM, Gillette SM. Normal tissue tolerance and management of radiation injury. Semin Vet Med Surg (Small Anim) 1995; 10: 209213.

    • Search Google Scholar
    • Export Citation
  • 28. Mas A, Blackwood L, Cripps P, et al. Canine tonsillar squamous cell carcinoma—a multi-centre retrospective review of 44 clinical cases. J Small Anim Pract 2011; 52: 359364.

    • Crossref
    • Search Google Scholar
    • Export Citation
  • 29. Murphy S, Hayes A, Adams V, et al. Role of carboplatin in multi-modality treatment of canine tonsillar squamous cell carcinoma—a case series of five dogs. J Small Anim Pract 2006; 47: 216220.

    • Crossref
    • Search Google Scholar
    • Export Citation
  • 30. Evans SM, Shofer F. Canine oral nontonsillar squamous cell carcinoma. Vet Radiol Ultrasound 1988; 29: 133137.

  • 31. LaDue-Miller T, Price GS, Page RL, et al. Radiotherapy of canine non-tonsillar squamous cell carcinoma. Vet Radiol Ultrasound 1996; 37: 7477.

    • Crossref
    • Search Google Scholar
    • Export Citation
  • 32. Poirier VJ, Forrest LJ, Adams WM, et al. Piroxicam, mitoxantrone, and coarse fraction radiotherapy for the treatment of transitional cell carcinoma of the bladder in 10 dogs: a pilot study. J Am Anim Hosp Assoc 2004; 40: 131136.

    • Crossref
    • Search Google Scholar
    • Export Citation
  • 33. Dickerson ME, Page RL, LaDue TA, et al. Retrospective analysis of axial skeleton osteosarcoma in 22 large-breed dogs. J Vet Intern Med 2001; 15: 120124.

    • Crossref
    • Search Google Scholar
    • Export Citation
  • 34. Carlsten KS, London CA, Haney S, et al. Multicenter prospective trial of hypofractionated radiation treatment, toceranib, and prednisone for measurable canine mast cell tumors. J Vet Intern Med 2012; 26: 135141.

    • Crossref
    • Search Google Scholar
    • Export Citation
  • 35. Patnaik AK, Ehler WJ, MacEwen EG. Canine cutaneous mast cell tumor: morphologic grading and survival time in 83 dogs. Vet Pathol 1984; 21: 469474.

    • Crossref
    • Search Google Scholar
    • Export Citation
  • 36. Turrel JM, Kitchell BE, Miller LM, et al. Prognostic factors for radiation treatment of mast cell tumor in 85 dogs. J Am Vet Med Assoc 1988; 193: 936940.

    • Search Google Scholar
    • Export Citation
  • 37. Thamm DH, Mauldin EA, Vail DM. Prednisone and vinblastine chemotherapy for canine mast cell tumor—41 cases (1992–1997). J Vet Intern Med 1999; 13: 491497.

    • Search Google Scholar
    • Export Citation
  • 38. O'Connell K, Thomson M. Evaluation of prognostic indicators in dogs with multiple, simultaneously occurring cutaneous mast cell tumours: 63 cases. Vet Comp Oncol 2013; 11: 5162.

    • Crossref
    • Search Google Scholar
    • Export Citation
  • 39. Withrow SJ. Cancer of the GI tract. In: Withrow SJ, Vail DM, eds. Withrow & MacEwen's small animal clinical oncology. 4th ed. St Louis: Saunders Elsevier, 2007; 457464.

    • Search Google Scholar
    • Export Citation
  • 40. McEntee MC, Page RL, Theon A, et al. Malignant tumor formation in dogs previously irradiated for acanthomatous epulis. Vet Radiol Ultrasound 2004; 45: 357361.

    • Crossref
    • Search Google Scholar
    • Export Citation

Advertisement

Palliative radiation therapy for solid tumors in dogs: 103 cases (2007–2011)

Melissa A. TollettDepartment of Clinical Studies-Philadelphia, School of Veterinary Medicine, University of Pennsylvania, Philadelphia, PA 19104.

Search for other papers by Melissa A. Tollett in
Current site
Google Scholar
PubMed
Close
 DVM
,
Lili DudaDepartment of Clinical Studies-Philadelphia, School of Veterinary Medicine, University of Pennsylvania, Philadelphia, PA 19104.

Search for other papers by Lili Duda in
Current site
Google Scholar
PubMed
Close
 VMD
,
Dorothy C. BrownDepartment of Clinical Studies-Philadelphia, School of Veterinary Medicine, University of Pennsylvania, Philadelphia, PA 19104.

Search for other papers by Dorothy C. Brown in
Current site
Google Scholar
PubMed
Close
 DVM
, and
Erika L. KrickDepartment of Clinical Studies-Philadelphia, School of Veterinary Medicine, University of Pennsylvania, Philadelphia, PA 19104.

Search for other papers by Erika L. Krick in
Current site
Google Scholar
PubMed
Close
 VMD
View More View Less

Abstract

OBJECTIVE To evaluate the clinical response, adverse effects, and outcomes associated with palliative radiation therapy (PRT) in dogs with various solid tumor types at various body locations.

DESIGN Retrospective case series.

ANIMALS 103 dogs with solid tumors.

PROCEDURES Medical records for dogs with solid tumors treated with PRT between July 2007 and January 2011 at a veterinary teaching hospital were reviewed. Data collected included signalment, tumor type and location, initial staging results, PRT protocol, other tumor-specific treatments, patient and tumor response, outcome, and acute and chronic adverse effects. Median progression-free survival time, median survival time (MST), and other descriptive statistics were calculated.

RESULTS Types of tumors treated included carcinoma, sarcoma, melanoma, primary bone tumor, mast cell tumor, and ameloblastoma. For all dogs, the overall tumor and clinical response rates to PRT were 75% and 77%, respectively, and the MST was 134 days, but those responses varied substantially among tumor types. Dogs that developed a positive clinical response or maintained stable disease after PRT had a significantly longer MST than did dogs with progressive disease. Tumor location was not significantly associated with median progression-free survival time or MST. Most dogs tolerated the PRT well. Acute and chronic adverse effects were observed in 57 and 8 dogs, respectively, but were generally self-limiting.

CONCLUSIONS AND CLINICAL RELEVANCE Results indicated that dogs with various types of solid tumors that received PRT had objective beneficial responses and an improvement in quality of life that was positively associated with survival time.

Abstract

OBJECTIVE To evaluate the clinical response, adverse effects, and outcomes associated with palliative radiation therapy (PRT) in dogs with various solid tumor types at various body locations.

DESIGN Retrospective case series.

ANIMALS 103 dogs with solid tumors.

PROCEDURES Medical records for dogs with solid tumors treated with PRT between July 2007 and January 2011 at a veterinary teaching hospital were reviewed. Data collected included signalment, tumor type and location, initial staging results, PRT protocol, other tumor-specific treatments, patient and tumor response, outcome, and acute and chronic adverse effects. Median progression-free survival time, median survival time (MST), and other descriptive statistics were calculated.

RESULTS Types of tumors treated included carcinoma, sarcoma, melanoma, primary bone tumor, mast cell tumor, and ameloblastoma. For all dogs, the overall tumor and clinical response rates to PRT were 75% and 77%, respectively, and the MST was 134 days, but those responses varied substantially among tumor types. Dogs that developed a positive clinical response or maintained stable disease after PRT had a significantly longer MST than did dogs with progressive disease. Tumor location was not significantly associated with median progression-free survival time or MST. Most dogs tolerated the PRT well. Acute and chronic adverse effects were observed in 57 and 8 dogs, respectively, but were generally self-limiting.

CONCLUSIONS AND CLINICAL RELEVANCE Results indicated that dogs with various types of solid tumors that received PRT had objective beneficial responses and an improvement in quality of life that was positively associated with survival time.

Contributor Notes

Dr. Tollett's present address is Palm Beach Veterinary Specialists, 3884 Forest Hill Blvd, West Palm Beach, FL 33406.

Presented in abstract form at the 32nd Annual American College of Veterinary Internal Medicine Forum, Nashville, Tenn, June 2014.

Address correspondence to Dr. Tollett (drtollett@palmbeachvetspecialists.com).