最後更新:2026年10月1日
原發於前縱膈(胸腺或縱膈淋巴結)的淋巴瘤。貓較犬常見。多為 T 細胞型。年輕 FeLV 陽性貓好發。可造成胸腔積液與呼吸困難。
貓常見。年輕 FeLV 陽性貓好發。Siamese 品種傾向。
犬偶見。多為 T 細胞型。
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建議:化療前後積極利尿(cisplatin)或維持量
監測頻率:化療後 7-10d (nadir)
[1]Feline lymphoma associated with feline leukemia virus (FeLV) and feline immunodeficiency virus (FIV) infections in Brazil- Systematic review.
[2]Use of a depot steroid formulation with CHOP-based protocol in the treatment of mediastinal lymphoma in cats.
[3]Feline Lymphoma in Focus: Examining the Patterns and Types in Croatia's Pathological Records.
[4]Effectiveness and Adverse Events of Cyclophosphamide, Vincristine, and Prednisolone Chemotherapy in Feline Mediastinal Lymphoma Naturally Infected with Feline Leukemia Virus.
[5]Retrospective study of retroviruses by immunoenzymatic test on cats in Grande Vitória (ES, Brazil) and associated neoplasms.
穩定但需注意惡化徵兆,建議安排近期門診 (stable but monitor for deterioration, schedule near-term visit)
犬中位存活 6-12 個月(化療)。FeLV 陰性貓化療反應良好(中位存活 9-12 個月)。FeLV 陽性貓預後較差。高鈣血症為負面預後因子。
胸腺淋巴瘤 診斷流程
胸部X光確認前縱膈腫塊和胸腔積液
超音波引導FNA或胸水細胞學
FeLV/FIV檢測、血液生化、骨髓穿刺
穩定患者後開始CHOP或改良方案化療
來源:專家審閱