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Figure 1

Electrodes used to treat patients. In (A) a render of the six-needle electrode used. It consists of two rows of needles separated 4 mm from each other. In (B) a picture of the Single Needle Electrode for nasal duct treatment.
Electrodes used to treat patients. In (A) a render of the six-needle electrode used. It consists of two rows of needles separated 4 mm from each other. In (B) a picture of the Single Needle Electrode for nasal duct treatment.

Figure 2

Treatment plan algorithm.CR = complete response; ECT = electrochemotherapy; PD = progressive disease; PR = partial response; SD = stable disease
Treatment plan algorithm.CR = complete response; ECT = electrochemotherapy; PD = progressive disease; PR = partial response; SD = stable disease

Figure 3

The bars show the sum of partial and complete response percentages obtained on each stage. For stage I: complete responses (CR) 72.7% (8) partial responses (PR) 27.3% (3) stable diseases (SD) 0% progressive diseases (PD) 0%, stage II: CR 21.1%(4) PR 68.4% (13) SD 0% PD 10.5% (2), stage III: CR 7.7% (2) PR 50% (13) SD 26.9% (7) PD 15.4% (4) and stage IV: CR 0% PR 36.4% (4) SD 36.4% (4) PD 27.3% (3).
The bars show the sum of partial and complete response percentages obtained on each stage. For stage I: complete responses (CR) 72.7% (8) partial responses (PR) 27.3% (3) stable diseases (SD) 0% progressive diseases (PD) 0%, stage II: CR 21.1%(4) PR 68.4% (13) SD 0% PD 10.5% (2), stage III: CR 7.7% (2) PR 50% (13) SD 26.9% (7) PD 15.4% (4) and stage IV: CR 0% PR 36.4% (4) SD 36.4% (4) PD 27.3% (3).

Figure 4

(A) Time to progression curve (Cox proportional-hazards regression, n = 67, p < 0.0001). (B) Overall survival time (Cox proportional-hazards regression, n = 67, p < 0.0001). (C) Survival time by stage (Kaplan-Meier curves of survival, n = 67, p < 0.0001). (D) Disease-free survival time (Kaplan-Meier, n = 14).
(A) Time to progression curve (Cox proportional-hazards regression, n = 67, p < 0.0001). (B) Overall survival time (Cox proportional-hazards regression, n = 67, p < 0.0001). (C) Survival time by stage (Kaplan-Meier curves of survival, n = 67, p < 0.0001). (D) Disease-free survival time (Kaplan-Meier, n = 14).

Figure 5

(A) Stage II patient with melanoma in the soft palate, before the treatment. (B) Final response obtained 30 days after third round of ECT. Completely absent tumoral tissue and a fistula can be seen. Quality of life of the patient improved in spite of the fistula, which was asymptomatic.
(A) Stage II patient with melanoma in the soft palate, before the treatment. (B) Final response obtained 30 days after third round of ECT. Completely absent tumoral tissue and a fistula can be seen. Quality of life of the patient improved in spite of the fistula, which was asymptomatic.

Univariate (Fisher exact test) and multivariate (Logistic regression analysis) test for analyzing the association between OR and different factors

CharacteristicsNumber of patients with ORUnivariate Fisher exact testMultivariate OR 95% CI Logistic Regression Analysisp
Sex (M/F)37/30p = 0.602
Location (Rostral/Caudal)36/31p = 0.062
Bone Involvement (Yes/No)43/24p = 0.026automatically excluded
Metastasis present, excluding lymph nodes (Yes/No)10/57p = 0.150
Early-stage (stages I+II/stages III+IV)30/37p = 0.000160.08(0.02-0.36)0.0013

WHO criteria for staging canine oral melanoma

StageTumor diameterLymph node involvementMetastasis
I< 2 cmNoNo
II2 - 4 cmNoNo
III> or = 4 cmNoNo
AnyYesNo
IVAnyYes or NoYes

Univariable (Kaplan-Meier) and multivariable (Cox proportional-hazards) analysis of patient-related factors for time to progression and overall survival time. Hazard Ratio and 95% Confidence interval is reported

N. of patientsOverall Survival [Univariable]P[Multivariable]PTTP [Univariable]P[Multivariable]P
Sex
Male351.58 (0.95–2.63)0.06341.67 (0.99–2.75)0.0433
Female30
Location
Rostral340.71 (0.43–1.16)0.15960.77 (0.47–1.26)0.2921
Caudal31
Metastasis
No (or lynph node only)550.29 (0.09–0.88)0.00010.34 (0.12–0.96)0.0009
Yes10
Bone Involvement
Yes422.45 (1.50–4.00)0.0004
No23(0.24–0.88)0.01840.42 (0.26–0.68)0.0005(0.28–0.98)0.043
Histology
Epithelioid vs. Fusocellular 16 / 160.59 (0.31–1.14)0.17680.60 (0.32–1.14)0.0534
Epithelioid vs Mixed.16 / 170.54 (0.28–1.05)0.49 (0.25–0.96)
Epithelioid vs. Anaplastic16 / 90.46 (0.19–1.11)0.35 (0.14–0.93)
Fusocellular vs. Mixed16 / 170.92 (0.44–1.93)0.82 (0.39–1.72)
Fusocellular vs. Anaplastic16 / 90.77 (0.30–1.99)0.59 (0.22–1.64)
Mixed vs. Anaplastic17 / 90.84 (0.33–2.18)0.73 (0.26–2.04)
Stage
I vs. II10 / 181.86 (1.03–3.34)<0.0001Stage I: (0.13–0.74)0.00830.53 (0.30–0.96)0.0001Stage I: (0.07 –0.47)0.0005
I vs. III10 / 263.28 (1.76–6.09)0.28 (0.15–0.53)Stage II: (0.24–0.82)0.0094
I vs. IV10 / 119.05 (2.58–31.75)0.19 (0.07–0.51)
II vs. III18 / 260.57 (0.30–1.06)0.52 (0.27–0.99)
II vs. IV18 / 110.21 (0.06–0.72)Stage IV:(2.04–9.29)0.00010.35 (0.13–0.96)
III vs IV26 / 110.36 (0.10–1.29)0.67 (0.24–1.90)

Patients’ demographics

Characteristics of 67 patientsMean (range) (%)
Age (years)11.7 (6–16)
Sex ratio (M:F)37:30
Body weight (kg)22.6 (3.5–58)
Breeds
    Crossbreed24 (35.8%)
    Labrador retriever9 (13.4%)
    Cocker spaniel7 (10.4%)
    Golden retriever6 (8.9%)
    Beagle4 (5.9%)
    Poodle4 (5.9%)
    Rottweiler3 (4.4%)
    Doberman2 (2.9%)
    Shar-Pei2 (2.9%)
    Dogo1 (1.4%)
    English Mastiff1 (1.4%)
    Chow-Chow1 (1.4%)
    Basset Hound1 (1.4%)
    Pekingese1 (1.4%)
    Dalmatian1 (1.4%)
Location (Rostral : Caudal)36 : 31
Stage
    I11 (16.5%)
    II19 (28.3%)
    III26 (38.8%)
    IV11 (16.4%)
Histologic subtype
    Epithelioid17 (25.4%)
    Mixed17 (25.4%)
    Spindle cell17 (25.4%)
    Anaplastic9 (13.4%)
    Others7 (10.4%)
eISSN:
1581-3207
Language:
English
Publication timeframe:
4 times per year
Journal Subjects:
Medicine, Clinical Medicine, Internal Medicine, Haematology, Oncology, Radiology