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病例报告:异体猫脐带来源间充质干细胞移植治疗猫口腔鳞状细胞癌

英文原题:Case report: Allogeneic feline umbilical cord-derived mesenchymal stem cell transplantation for feline oral squamous cell carcinoma.

查看英文原题

Case report: Allogeneic feline umbilical cord-derived mesenchymal stem cell transplantation for feline oral squamous cell carcinoma.

PubMed 2024/07/23(内容时间) Front Vet Sci Q1 · IF 3.1(JCR 2025)

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中文摘要

一只5岁已绝育雌性韩国短毛猫被诊断为口腔鳞状细胞癌(SCC),就诊时表现为严重的口腔脓性分泌物、厌食和嗜睡。由于病变广泛,手术切除和放射治疗均不可行。

因此,在接受toceranib节拍化疗之前,患猫接受了猫脐带来源间充质干细胞(fUC-MSCs)静脉注射(1×10^6个细胞/10 mL生理盐水)以减轻炎症。干细胞治疗后未观察到急性副作用(如发热、呼吸频率增加、腹泻和呕吐)。在6天内,面部肿瘤区域的脓性分泌物、出血、肿胀、恶臭和结痂脱落显著减少。

然而,患猫表现出自主进食困难,体重持续下降。从第7天开始,SCC区域的脓性分泌物、出血和臭味再次加重。给予toceranib、低剂量NSAIDs(美洛昔康,隔日一次)、抗生素(头孢唑林)和加巴喷丁;然而,这些药物未能有效减少SCC区域的脓液、出血、恶臭和结痂脱落。疼痛、虚弱和体重减轻的症状持续进展,约1个月后经主人同意选择安乐死。本病例报告表明,异体fUC-MSCs对脓性分泌物、出血、臭味和结痂脱落有轻微的短期效果,可能可作为猫口腔SCC的辅助治疗。

展开英文摘要原文

A 5-year-old neutered female Korean domestic shorthair cat diagnosed with oral squamous cell carcinoma (SCC) presented to the hospital with severe oral purulent discharge, anorexia, and lethargy. Owing to extensive lesions, surgical excision and radiation therapy were not feasible.

Instead, prior to metronomic therapy with toceranib, the patient received an intravenous injection of feline umbilical cord-derived mesenchymal stem cells (fUC-MSCs) (1 10 6 cells/10 mL of saline) to reduce inflammation. No acute side effects (such as fever, increased respiratory rate, diarrhea, and vomiting) were observed following stem cell therapy. For 6 days, purulent discharge, bleeding, swelling, a bad odor, and crust exfoliation in the tumor area on the face were dramatically reduced.

However, the patient exhibited difficulty in voluntarily receiving foods, and weight loss persisted. Starting from the 7th day, purulent discharge, bleeding, and odor at the SCC area worsened again. Toceranib, low-dose NSAIDs (meloxicam, every other day), antibiotics (cefazoline), and gabapentin were administered; however, they were not effective in reducing the pus, bleeding, foul odor, and crust exfoliation at the SCC area.

Symptoms of pain, weakness, and weight loss progressed, leading to the choice of euthanasia with the owner's consent approximately 1 month later. This case report reveals that allogeneic fUC-MSCs have a slight short-term effect on purulent discharge, bleeding, odor, and crust exfoliation and may be additional therapy for feline oral SCC.

论文信息

作者
Park MK、Song KH
单位
Department of Veterinary Internal Medicine, College of Veterinary Medicine, Chungnam National University, Daejeon, Republic of Korea.South Korea
文献类型
病例报告
期刊
Frontiers in veterinary science2024
原文标识
PubMed 39109342 · DOI 10.3389/fvets.2024.1443110