Tagliaferri F, Lucandri G, Stipa F, Stipa S
V Clinica chirurgica, Università La Sapienza, Roma.
Recenti Prog Med. 1991 Jun;82(6):352-8.
This study concerns the clinical applications in Oncology of Biologic Response Modifiers; the authors focus the results reached in neoplasms, such as renal cell carcinoma or melanoma, whose sensitivity to this treatment has been proved. Prospective studies, published in 1990 have been reviewed, considering only those in which route and rate of response (complete and partial) were clearly specified. At present clinical efficacy concerning this topic is controversial and it probably depends on different reasons: immunogenicity of cancer, variable route of administration, lack of predictors. It should be stressed that more in depth studies about cancer immunology are required; a wide spread of immunotherapy will be feasible only by improving therapeutic strategies and limiting adverse effects of this treatment.
本研究关注生物反应调节剂在肿瘤学中的临床应用;作者重点阐述了在肾细胞癌或黑色素瘤等肿瘤中取得的成果,这些肿瘤对该治疗的敏感性已得到证实。对1990年发表的前瞻性研究进行了综述,仅考虑那些明确规定了反应途径和反应率(完全缓解和部分缓解)的研究。目前,关于这一主题的临床疗效存在争议,这可能取决于不同的原因:癌症的免疫原性、给药途径的差异、缺乏预测指标。应该强调的是,需要对癌症免疫学进行更深入的研究;只有通过改进治疗策略并限制这种治疗的不良反应,免疫疗法的广泛应用才可行。