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在恶性肝肿瘤中,将溶解于淋巴管造影剂的5-氟-2-脱氧尿苷-C8进行动脉内输注。初步报告。

Intraarterial infusion of 5-fluoro-2-deoxyuridine-C8 dissolved in a lymphographic agent in malignant liver tumors. A preliminary report.

作者信息

Yamashita Y, Takahashi M, Bussaka H, Fukushima S, Kawaguchi T, Nakano M

机构信息

Department of Radiology, Kumamoto University School of Medicine, Japan.

出版信息

Cancer. 1989 Dec 15;64(12):2437-44. doi: 10.1002/1097-0142(19891215)64:12<2437::aid-cncr2820641207>3.0.co;2-h.

DOI:10.1002/1097-0142(19891215)64:12<2437::aid-cncr2820641207>3.0.co;2-h
PMID:2555039
Abstract

The drug 5-fluoro-2-deoxyuridine-C8 (FUdR-C8), one of the lipophilic prodrugs of FUdR, was dissolved in an oily lymphographic agent (Lipiodol Ultra Fluid, Andre Gelbe Laboratory, Paris, France; Ethiodol, Savage Laboratories, Melville, NY) and used for the intraarterial treatment of malignant liver tumors. From August 1985 to June 1988, 33 patients with hepatocellular carcinoma and 13 patients with metastatic liver tumors were treated with this agent at the Kumamoto University Hospital and its affiliated hospitals. The response rate (complete remission [CR] and partial remission [PR]) was 27.6% for hepatocellular carcinomas and 46.1% for metastatic liver tumors. The cumulative 1-year survival rate was 55.1% for hepatocellular carcinomas and 70.0% for metastatic liver tumors. More than a 50% decrease in the tumor marker level was observed in ten of 21 patients with hepatocellular carcinoma and in two of eight patients with metastatic liver tumors. The side effects, which were transient and controlled with conservative treatment, included fever, abdominal pain, nausea, vomiting, and acute gastritis.

摘要

药物5-氟-2-脱氧尿苷-C8(FUdR-C8)是FUdR的亲脂性前体药物之一,溶于油性淋巴造影剂(超液态碘油,法国巴黎安德烈·盖尔贝实验室;乙碘油,美国纽约梅尔维尔萨维奇实验室),用于恶性肝肿瘤的动脉内治疗。1985年8月至1988年6月,熊本大学医院及其附属医院用该药物治疗了33例肝细胞癌患者和13例转移性肝肿瘤患者。肝细胞癌的缓解率(完全缓解[CR]和部分缓解[PR])为27.6%,转移性肝肿瘤为46.1%。肝细胞癌的1年累积生存率为55.1%,转移性肝肿瘤为70.0%。21例肝细胞癌患者中有10例、8例转移性肝肿瘤患者中有2例的肿瘤标志物水平下降超过50%。副作用为一过性,通过保守治疗可控制,包括发热、腹痛、恶心、呕吐和急性胃炎。

相似文献

1
Intraarterial infusion of 5-fluoro-2-deoxyuridine-C8 dissolved in a lymphographic agent in malignant liver tumors. A preliminary report.在恶性肝肿瘤中,将溶解于淋巴管造影剂的5-氟-2-脱氧尿苷-C8进行动脉内输注。初步报告。
Cancer. 1989 Dec 15;64(12):2437-44. doi: 10.1002/1097-0142(19891215)64:12<2437::aid-cncr2820641207>3.0.co;2-h.
2
[Selective anticancer effects of intra-arterial infusion of 3',5'-dioctanoyl-5-fluoro-2'-deoxyuridine (TT82) in hepatocellular carcinoma].
Gan To Kagaku Ryoho. 1989 Aug;16(8 Pt 2):3057-61.
3
Selective anticancer effects of 3',5'-dioctanoyl-5-fluoro-2'-deoxyuridine, a lipophilic prodrug of 5-fluoro-2'-deoxyuridine, dissolved in an oily lymphographic agent on hepatic cancer of rabbits bearing VX-2 tumor.
Cancer Res. 1987 Apr 1;47(7):1930-4.
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Evaluation of oil-soluble FUdR ester for transcatheter arterial treatment of hepatomas.
Ann Oncol. 1992 May;3(5):367-70. doi: 10.1093/oxfordjournals.annonc.a058208.
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[Arterial infusion chemotherapy with SMAN CS-Lipiodol for hepatocellular carcinoma evaluation of infusion method].[丝裂霉素CS-碘油动脉灌注化疗治疗肝细胞癌:灌注方法的评估]
Gan To Kagaku Ryoho. 1997 Nov;24(14):2117-22.
6
Treatment of primary and metastatic liver cancer using an implantable chemoinfusion pump.使用植入式化疗灌注泵治疗原发性和转移性肝癌。
Isr J Med Sci. 1988 Sep-Oct;24(9-10):562-7.
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[Arterial infusion chemotherapy with SMANCS-Lipiodol for multiple hepatocellular carcinoma].丝裂霉素超液化碘油动脉灌注化疗治疗多发性肝细胞癌
Gan To Kagaku Ryoho. 1998 Feb;25 Suppl 1:24-9.
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[Intra-arterial infusion chemotherapy of cisplatin (CDDP)-lipiodol suspension using implantable injection port for unresectable liver cancer patients].
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Evaluation of a new lipophilic prodrug 3', 5'-dioctanoyl-5-bromodeoxyuridine (BrdU-C8) suspended in Lipiodol as a radiosensitizer for the treatment of AH136B tumor.
Anticancer Res. 1993 May-Jun;13(3):655-60.
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[Assessment of therapeutic effects of cisplatin-phosphatidyl-choline-lipiodol (CPL) suspension for hepatocellular carcinoma].
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In vitro antitumor activity, intracellular accumulation, and DNA adduct formation of cis-[((1R,2R)-1,2-cyclohexanediamine-N,N')bis(myristato)] platinum (II) suspended in lipiodol.悬浮于碘油中的顺式-[((1R,2R)-1,2-环己二胺-N,N')双(肉豆蔻酸酯)]铂(II)的体外抗肿瘤活性、细胞内蓄积及DNA加合物形成
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