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[乳腺上皮瘤的产热。III. 利用液体闪烁摄影术研究乳腺组织的热导率及肿瘤血管形成的影响]

[Thermogenesis of mammary epitheliomas. III. Study, by means of fluvography, of the termal conductivity of mammary tissue and of the influence of tumor vascularization].

作者信息

Gautherie M, Qenneville Y, Gros C H

出版信息

Biomedicine. 1975 May;22(3):237-45.

PMID:1174632
Abstract

The effective thermal conductivity of different "in vivo" and excised breast tissues and the specific heat power of a series of 24 breast carcinomas have been measured "in situ" by means of intratissular thermometric and fluvographic needle probes, and using a mathematical model operated with a computer. The thermal conductivity which depends directly on the capillary blood flow is higher within irrigated tissues than in the excised ones and demonstrates significant changes according to the adipose, fibrous or glandular structure of the breast; furthermore, it is much higher within cancerous tissues, more especially in the surroundings of the tumour. The heat power changes largely from one cancer to another and may reach values higher than those measured on the most thermogenic normal tissues. At hand of comparison with thermography, radiography and arteriography, these results are discussed from the three following points of view: a) the vascularisation of cancers and the shell model of tumour growth; b) the distribution of arterial, venous and tumour temperatures and the origin of the cancerous heat; c) the heat transfer from cancer to skin and the formation of the malignant cutaneous thermal pattern pictured by thermography.

摘要

利用组织内温度测量和流体造影针式探头,并借助计算机操作的数学模型,在“原位”测量了不同的“体内”和切除的乳腺组织的有效热导率以及一系列24例乳腺癌的比热功率。直接取决于毛细血管血流的热导率在灌注组织中高于切除组织,并且根据乳腺的脂肪、纤维或腺体结构显示出显著变化;此外,在癌组织内,尤其是在肿瘤周围,热导率要高得多。不同癌症之间的热功率变化很大,可能达到高于在产热最多的正常组织上测得的值。通过与热成像、放射成像和动脉造影进行比较,从以下三个角度讨论了这些结果:a)癌症的血管形成和肿瘤生长的壳模型;b)动脉、静脉和肿瘤温度的分布以及癌热的来源;c)从癌症到皮肤的热传递以及热成像所描绘的恶性皮肤热模式的形成。

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