Char D H, Huhta K, Waldman F
Department of Ophthalmology, Francis I. Proctor Foundation, University of California, San Francisco 94143.
Am J Ophthalmol. 1989 Jan 15;107(1):65-72. doi: 10.1016/0002-9394(89)90817-9.
We histologically studied uveal melanomas treated with surgery only (enucleation or ciliochoroidectomy), low-dose (20 Gy) preenucleation radiation followed by enucleation, or enucleated melanomas after high-dose (50 to 80 Gy) charged-particle beam therapy. There was significantly less bromodeoxyuridine uptake in irradiated vs nonradiated melanomas (P less than .0001). Similarly, tissue culture growth of irradiated tumors was significantly less (P less than .007). These data demonstrate destruction of reproductive integrity of helium ion-irradiated melanomas. The incorporation of bromodeoxyuridine and fine needle aspiration biopsy techniques may be useful in the delineation of successfully irradiated tumors from tumors with apparent growth secondary to radiation vasculopathy.
我们对仅接受手术治疗(眼球摘除术或睫状体脉络膜切除术)、低剂量(20 Gy)眼球摘除术前放疗后再行眼球摘除术或高剂量(50至80 Gy)带电粒子束治疗后摘除的葡萄膜黑色素瘤进行了组织学研究。与未接受放疗的黑色素瘤相比,接受放疗的黑色素瘤中溴脱氧尿苷摄取明显减少(P小于0.0001)。同样,接受放疗的肿瘤的组织培养生长明显较慢(P小于0.007)。这些数据表明氦离子照射的黑色素瘤的生殖完整性遭到破坏。溴脱氧尿苷的掺入和细针穿刺活检技术可能有助于区分成功接受照射的肿瘤与因放射性血管病变而出现明显生长的肿瘤。