Specialty Services Guide | Page 9

TKCANINE CANCER PANEL Patient Values Chronologically TK U/L CRP CRP mg/L TK 64 45 16 30 25 4 3 4 3 2 1 1-Apr-13 ABN CRP 1-Mar-13 1-Feb-13 1-Jan-13 1-Dec-12 2 1-Nov-12 1-Oct-12 1-Sep-12 1-Aug-12 1-Jul-12 1 1-Jun-12 1-May-12 1 1-Apr-12 1-Mar-12 1-Jan-12 2 1-Feb-12 2 1 Hpt Hpt mg/dL TK 33 400 16 10 ABN TK 4 6 6 5 6 200 182 78 61 46 33 37 ABN 1-Mar-13 1-Feb-13 1-Jan-13 1-Dec-12 1-Nov-12 1-Oct-12 1-Sep-12 1-Aug-12 1-Jul-12 1-Jun-12 1-May-12 1-Apr-12 1-Mar-12 Hpt 1-Feb-12 Treatment: 25 week MadisonWisconsin protocol Monitoring: Upon initiation, both TK & CRP dropped within normal range, indicating a positive response to treatment. Periodic rechecks confirmed status of complete remission during treatment course. Following induction therapy, test monitoring took place every 3 months in unison with recheck exams. The chart records slight variatons in TK level, but no steady trend in an upward direction, which often occurs just prior to the patient coming out of remission. Feline Case Study History: 13 year old DSH diagnosed with multicentric lymphoma 64 27 History: 11 year old boxer diagnosed with multicentric lymphoma TK FELINE CANCER PANEL Patient Values Chronologically TK U/L 15 1-May-13 ABN TK Canine Case Study Treatment: 25 week MadisonWisconsin protocol Monitoring: Upon initiation, Hpt (systemic inflammation) dropped notably, indicating a positive response to treatment. Short-term rise in TK (cell proliferation) associated with mass destruction of tumor cells is seen followed by quick decline in TK. Periodic rechecks confirmed status of complete remission during treatment course. Post-treatment, the chart records slight variatons in TK level, but no steady trend in an upward direction, which often occurs just prior to the patient coming out of remission. 9