Yamada Y, Hiraiwa S, Muramatsu T, Honda N, Fukatsu H, Segawa A, Hishikawa-Itoh Y
Department of Urology, Aichi Medical University.
Nihon Gan Chiryo Gakkai Shi. 1990 Jul 20;25(7):1397-403.
Efficacy of radiation therapy was studied using human renal cell carcinoma strain (AM-RC-3) implantable in nude mice. Cobalt 60 gamma-ray was used dosage of 5 Gy, 10 Gy, 15 Gy and 20 Gy in single, localized exposures of subcutaneously implanted tumors of the lower right femoral region. Therapeutic efficacy was determined using the Battelle Columbus Standard and evaluation of histological changes based on National Cancer Research Institute (Shimosato's classifications). Conclusion based on the obtained data are as follows: I) The T RW/C RW ratio on the tumor growth curve was 42% or less for all dosage groups except the 5 Gy group; dosages other than 5 Gy are believed effective. The 15 and 20 Gy dosage were particularly effective and the respective groups had RW of 0.96 and 0.95. II) Although Grade IIa and IIb changes were observed in the 15 and 20 Gy dosage groups, respectively, two weeks after irradiation, four weeks after irradiation all groups exhibited microscopic tissue formations that could be considered regrowth of tumor cells. Determination of histopathological effectiveness two weeks after irradiation is thought most suitable. III) Radiation therapy is appropriate as an adjuvant treatment in cases of renal cell carcinoma and should be used in combination with other therapies.
利用可植入裸鼠的人肾细胞癌菌株(AM-RC-3)研究了放射治疗的疗效。使用钴60γ射线,对右下股区域皮下植入肿瘤进行单次局部照射,剂量分别为5 Gy、10 Gy、15 Gy和20 Gy。采用巴特尔哥伦布标准并根据国立癌症研究所(下里分类法)对组织学变化进行评估来确定治疗效果。基于所获数据得出的结论如下:I)除5 Gy组外,所有剂量组肿瘤生长曲线上的T RW/C RW比值均为42%或更低;除5 Gy外的其他剂量被认为有效。15 Gy和20 Gy剂量尤其有效,相应组的RW分别为0.96和0.95。II)虽然在照射后两周,15 Gy和20 Gy剂量组分别观察到IIa级和IIb级变化,但照射后四周,所有组均出现可被视为肿瘤细胞再生的微观组织形成。照射后两周确定组织病理学疗效被认为最为合适。III)放射治疗作为肾细胞癌病例的辅助治疗是合适的,应与其他疗法联合使用。