Prognostic impact of neoadjuvant aglepristone treatment in clinicopathological parameters of progesterone receptor-positive canine mammary carcinomas

Vet Comp Oncol. 2017 Jun;15(2):391-399. doi: 10.1111/vco.12175. Epub 2016 Jan 19.

Abstract

Neoadjuvant treatment of canine mammary carcinomas with the progesterone receptor (PR) antagonist aglepristone has a PR expression-related inhibiting effect on proliferation index (PI). The aim of this study was to evaluate the effect of the treatment in the disease-free period (DFP) and overall survival (OS) of canine mammary carcinomas. Fifty female dogs with mammary carcinomas were treated with aglepristone (n = 34) or oil vehicle (n = 16) before surgery (day 15). PR expression and PI were analysed by immunohistochemistry in samples taken at days 1 and 15. Epidemiological and clinicopathological data were assessed. DFP and OS data were retrieved every 4-6 months for at least 24 months after surgery. Aglepristone treatment increased DFP of animals bearing PR+ tumours with size smaller than 3 cm, complex and mixed tumours, with histologic grades I and II, and with PI ≤ 10%. Although further studies are necessary, current evidence points to treatment with aglepristone as useful for the management of canine mammary tumours.

Keywords: comparative oncology; oncology; pathology; small animal; tumour biology.

MeSH terms

  • Animals
  • Antineoplastic Agents, Hormonal / therapeutic use*
  • Combined Modality Therapy / veterinary
  • Dog Diseases / drug therapy*
  • Dog Diseases / pathology
  • Dog Diseases / therapy
  • Dogs
  • Estrenes / therapeutic use*
  • Female
  • Mammary Neoplasms, Animal / diagnosis
  • Mammary Neoplasms, Animal / drug therapy*
  • Mammary Neoplasms, Animal / pathology
  • Mammary Neoplasms, Animal / therapy
  • Neoadjuvant Therapy
  • Prognosis
  • Receptors, Progesterone / metabolism*

Substances

  • Antineoplastic Agents, Hormonal
  • Estrenes
  • Receptors, Progesterone
  • aglepristone