Dm. Vail et al., FELINE LYMPHOMA (145 CASES) - PROLIFERATION INDEXES, CLUSTER OF DIFFERENTIATION 3 IMMUNOREACTIVITY, AND THEIR ASSOCIATION WITH PROGNOSIS IN90 CATS, Journal of veterinary internal medicine, 12(5), 1998, pp. 349-354
Paraffin-embedded, formalin-fixed tissue samples from 145 cats with ly
mphoma were analyzed for cluster of differentiation 3 (CD3, a surface
antigen) immunoreactivity, argyrophilic nucleolar organizer region (Ag
NOR) frequency, and proliferating cell nuclear antigen labeling index
(PCNA-LI). This information along with signalment, anatomic site, and
feline leukemia virus (FeLV) antigen status was used to determine the
potential of these indicators to predict response to therapy, remissio
n, and survival times, and to characterize cats with lymphoma in the e
ra of general availability of FeLV testing and vaccination. Alimentary
lymphoma, primarily occurring in older, FeLV-negative cats, was the m
ost common site of involvement. Although the majority of tumors from F
eLV-positive cats were CD3-immunoreactive, only one half of CD3-immuno
reactive tumors occurred in FeLV-positive cats. Median remission durat
ion and survival limes were 126 days and 143 days, respectively, for a
il cats. Measures of tumor cell proliferation (AgNOR frequency and PCN
A-LI) and CD3-immunoreactivity were not predictive of outcome. When al
l prognostic factors were accounted for by multivariate analysis, resp
onse to therapy, FeLV status, and clinical substage were predictive of
outcome. FeLV-negative cats that achieved a complete response followi
ng induction therapy were likely to have durable (ie, >6-month) respon
ses, particularly when doxorubicin was included in the chemotherapy pr
otocol. However, FeLV-positive cats had significantly shorter remissio
n and survival times with available chemotherapeutic protocols.