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用于基底细胞癌和鳞状细胞癌的干扰素疗法。

Interferon therapy for basal cell carcinoma and squamous cell carcinoma.

作者信息

Ikić D, Padovan I, Pipić N, Knezević M, Djaković N, Rode B, Kosutić I, Belicza M, Cajkovac V

机构信息

Department of Medicine, Yugoslav Academy of Sciences and Arts, Zagreb.

出版信息

Int J Clin Pharmacol Ther Toxicol. 1991 Sep;29(9):342-6.

PMID:1937994
Abstract

Totally 161 basal cell and squamous cell carcinoma (BCC, SCC) patients were treated with human natural leucocytic interferon (HNLI) and recombinant IFN alpha 2c. After HNLI treatment, 61 out of 86 BCC patients and 29 out of 45 SCC patients were cured according to histopathologic and clinical findings. In 13 BCC and 13 SCC patients, the cancer lesion was reduced 25%-90%. After recombinant IFN alpha 2c treatment, 14 of 20 BCC patients and 4 of 10 SCC patients were cured according to histopathologic and clinical findings. In 6 BCC patients and 5 SCC patients the cancer lesion was reduced 25% to 90%. Both types of interferons are effective in the treatment of BCC and SCC patients. Local application of interferon stimulates immune reaction at the site of the tumor. There is a marked difference between the spontaneous macrophage activity and that induced by interferon. The interferon activated macrophages are significantly larger, the number of lysosomes and the density of macrophages is increased. In difficult locations intralesional therapy can be considered to avoid disfigurement of the patients with or without surgery.

摘要

共有161例基底细胞癌和鳞状细胞癌(BCC、SCC)患者接受了人天然白细胞干扰素(HNLI)和重组干扰素α2c治疗。HNLI治疗后,根据组织病理学和临床检查结果,86例BCC患者中有61例治愈,45例SCC患者中有29例治愈。13例BCC患者和13例SCC患者的癌灶缩小了25%至90%。重组干扰素α2c治疗后,根据组织病理学和临床检查结果,20例BCC患者中有14例治愈,10例SCC患者中有4例治愈。6例BCC患者和5例SCC患者的癌灶缩小了25%至90%。两种干扰素对BCC和SCC患者的治疗均有效。干扰素的局部应用可刺激肿瘤部位的免疫反应。自发巨噬细胞活性与干扰素诱导的巨噬细胞活性之间存在显著差异。干扰素激活的巨噬细胞明显更大,溶酶体数量和巨噬细胞密度增加。在一些难以处理的部位,可考虑采用瘤内治疗,以避免患者无论是否接受手术都出现毁容情况。

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