Matsumoto M, Nakayama M, Kitagami K, Fukui H, Tsujii T, Okamoto Y, Nakano H
Third Department of Internal Medicine, Nara Medical University, Kashihara, Japan.
Gan To Kagaku Ryoho. 1992 Jan;19(1):83-8.
Dibutyryl cyclic AMP was administered to 7 cases with hepatocellular carcinoma and its tumor thrombosis in portal vein, combined with intraarterial infusion of Mitomycin C or Adriamycin with implanted reservoir. Among these cases, tumor regressed in 5 cases, and therapeutic effect on tumor thrombosis was observed in 4 cases. The median survival time after initial treatment was about 5 months in 5 cases of Vp3, and more than 18 months in 2 cases of Vp2. Reduction of liver dysfunction by cholinesterase and hepaplastin test was found in most cases, and no severe side effects were observed. It is suggested that dibutyryl cyclic AMP has an antitumor effect on hepatocellular carcinoma, especially on its tumor thrombosis in portal vein, and also may assist in recovery from liver dysfunction.
将二丁酰环磷腺苷应用于7例肝细胞癌伴门静脉癌栓患者,联合丝裂霉素C或阿霉素经动脉灌注及植入式储液器。其中,5例肿瘤缩小,4例观察到对癌栓有治疗效果。5例Vp3患者初始治疗后的中位生存时间约为5个月,2例Vp2患者超过18个月。多数病例胆碱酯酶和肝促凝血酶原激酶试验显示肝功能障碍减轻,未观察到严重副作用。提示二丁酰环磷腺苷对肝细胞癌,尤其是门静脉癌栓有抗肿瘤作用,也可能有助于肝功能障碍的恢复。