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[转移性肝癌病例中给予优福定后组织中优福定的分布及组织学变化]

[Tissue UFT distribution and histological changes following UFT administration in metastatic liver cancer cases].

作者信息

Yoshikawa K, Iwasaki T, Amemiya A, Emoto T, Fujii M, Han N, Itou A, Tsujimura T

机构信息

Dept. of Surgery, Osaka Rosai Hospital.

出版信息

Gan To Kagaku Ryoho. 1990 Jul;17(7):1333-7.

PMID:2114828
Abstract

For the purpose of assessing the anti-tumor effect of UFT in metastatic liver cancer, blood futraful (FT), 5-fluorouracil (5-FU) and uracil levels and their distribution in tissue (cancer lesion, etc.) following oral UFT administration were examined in 10 surgically treated cases of metastatic liver cancer secondary to cancer of the large intestine and 4 cases of metastatic liver cancer secondary to stomach cancer. Liver tissue 5-FU distribution following UFT treatment was excellent. 5-FU concentration in liver cancer lesion was 0.164 +/- 0.128 micrograms/g, which was markedly higher than the minimal effective tissue concentration for 5-FU (0.050 micrograms/g). 5-FU level in normal tissue of the organ with primary cancer was significantly lower than that in the tumor-affected tissue of the same organ, while no difference in 5-FU level was noted between cancer-affected and normal tissues of the liver. Tissue 5-FU level in both primary and metastatic cancer lesions was significantly higher than the simultaneously determined blood 5-FU level. Histological findings of cancer-affected liver did not differ between different UFT dose levels, but degeneration of cancer cells was severe in some cases given high doses of UFT.

摘要

为评估优福定(UFT)对转移性肝癌的抗肿瘤作用,对10例经手术治疗的大肠癌症继发转移性肝癌患者及4例胃癌继发转移性肝癌患者,检测了口服UFT后血中去氧氟尿苷(FT)、5-氟尿嘧啶(5-FU)和尿嘧啶水平及其在组织(癌灶等)中的分布。UFT治疗后肝组织中5-FU分布良好。肝癌灶中5-FU浓度为0.164±0.128微克/克,明显高于5-FU的最小有效组织浓度(0.050微克/克)。原发癌器官正常组织中的5-FU水平显著低于同一器官肿瘤累及组织中的5-FU水平,而肝癌累及组织与正常组织中的5-FU水平无差异。原发癌灶和转移癌灶中的组织5-FU水平均显著高于同时测定的血中5-FU水平。不同UFT剂量水平下肝癌累及组织的组织学表现无差异,但高剂量UFT治疗的部分病例癌细胞变性严重。

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