Vesicant chemotherapeutic drugs (e.g. doxorubicin, vincristine, and vinblastine) are often used to treat multicentric lymphoma. A nine-year-old beagle was diagnosed with stage III multicentric lymphoma. The dog was affected by an extravasation after being administered about 1.6 mg of doxorubicin (about one-tenth of the planned dose) using an indwelling needle placed in the right cephalic vein. Immediately after the extravasation was notated, 4 incisions, approximately 5 mm in length each, were made with an 18G needle in order to provide an outlet for leaked doxorubicin. About 5 ml of saline solution was then injected locally to purge the residual fluid. There was swelling after the incisions, but it was temporary. On day 57 of the post extravasation, the entire limb suddenly bulged, followed by an ulcer penetrating the muscle tissue on day 63. However, the ulcer healed by day 126, and there was no sign of skin complications until day 622 of the post-extravasation (i.e., the death of the dog). This case study also validated the modified Villalobos technique (i.e., multi-slit like incisions). Due to the delayed appearance of an ulcer and the overall shorter healing time as seen in this case, it may be suggested that multiple incisions along with the conventional treatment is a very effective treatment procedure for doxorubicin extravasations in dogs.
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