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肿瘤的大小和位置影响膀胱灌注治疗的效果。

Size and location of tumors influencing the effect of bladder instillation therapy.

作者信息

Watanabe H, Nakao M, Nakagawa S, Takada H

机构信息

Department of Urology, Kyoto Prefectural University of Medicine, Japan.

出版信息

Cancer Chemother Pharmacol. 1987;20 Suppl:S49-51. doi: 10.1007/BF00262485.

DOI:10.1007/BF00262485
PMID:3117398
Abstract

The clinical results obtained in 81 cases of bladder tumor are used as a basis for discussion of factors influencing the effect of bladder instillation therapy. The following conclusions are derived: 1) If bladder instillation therapy aims only at complete remission (CR), tumors over 1 cm in diameter should be excluded, because this is the theoretical size limit beyond which instillation therapy cannot lead to CR. 2) At least 40 ml of drugs may be needed for instillation therapy for tumors located in area B, the limited part posterior to the trigonum.

摘要

以81例膀胱肿瘤的临床结果为依据,讨论影响膀胱灌注治疗效果的因素。得出以下结论:1)如果膀胱灌注治疗仅旨在实现完全缓解(CR),直径超过1cm的肿瘤应排除在外,因为这是理论上的大小界限,超过此界限灌注治疗无法导致完全缓解。2)对于位于B区(三角区后方有限部分)的肿瘤,灌注治疗可能至少需要40ml药物。

相似文献

1
Size and location of tumors influencing the effect of bladder instillation therapy.肿瘤的大小和位置影响膀胱灌注治疗的效果。
Cancer Chemother Pharmacol. 1987;20 Suppl:S49-51. doi: 10.1007/BF00262485.
2
[Clinical study of intravesical instillation therapy of superficial bladder tumor--combination therapy of mitomycin C, adriamycin, peplomycin and cytosine arabinoside].浅表性膀胱肿瘤膀胱内灌注疗法的临床研究——丝裂霉素C、阿霉素、培洛霉素及阿糖胞苷联合疗法
Hinyokika Kiyo. 1990 Mar;36(3):257-63.
3
[Anti-tumor effect of intravesical instillation of mitomycin C combined with cytosine arabinoside].
Hinyokika Kiyo. 1984 Sep;30(9):1145-51.
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Sequential instillation therapy with mitomycin C and adriamycin for superficial bladder tumors.丝裂霉素C和阿霉素序贯灌注疗法治疗浅表性膀胱肿瘤
Cancer Chemother Pharmacol. 1987;20 Suppl:S52-5. doi: 10.1007/BF00262486.
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[Prophylactic intravesical instillation therapy with adriamycin (ADM) and mitomycin C (MMC) in patients with superficial bladder cancer].表浅性膀胱癌患者的阿霉素(ADM)和丝裂霉素C(MMC)膀胱内预防性灌注治疗
Nihon Hinyokika Gakkai Zasshi. 1986 Sep;77(9):1493-500. doi: 10.5980/jpnjurol1928.77.9_1493.
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Postoperative prophylactic intravesical instillation of cytosine arabinoside and mitomycin C in superficial bladder tumor. A follow-up study.浅表性膀胱肿瘤术后胞嘧啶阿拉伯糖苷和丝裂霉素C的膀胱内预防性灌注。一项随访研究。
Urology. 1982 Nov;20(5):510-4. doi: 10.1016/0090-4295(82)90125-x.
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[Intravesical chemotherapy for superficial bladder tumors].[浅表性膀胱肿瘤的膀胱内化疗]
Gan To Kagaku Ryoho. 1984 Aug;11(8):1557-62.
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Is there an optimal treatment scheme for adjuvant intravesical therapy? Preliminary analysis of an EORTC protocol comparing early and delayed instillation with and without maintenance of either adriamycin or mitomycin-C in patients with superficial transitional carcinoma of the bladder.
Prog Clin Biol Res. 1988;269:525-37.
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[Effect of intravesical instillation of the antitumor chemotherapeutic agents mitomycin C and cytosine arabinoside on rat bladder carcinogenesis initiated by N-butyl-N-(4-hydroxybutyl) nitrosamine].[膀胱内灌注抗肿瘤化疗药物丝裂霉素C和阿糖胞苷对N-丁基-N-(4-羟丁基)亚硝胺引发的大鼠膀胱癌发生的影响]
Gan To Kagaku Ryoho. 1987 Jan;14(1):71-6.
10
[Experimental and clinical studies on intravesical instillation therapy for bladder cancer].
Hinyokika Kiyo. 1983 Nov;29(11):1427-32.

引用本文的文献

1
Use of pharmacologic data and computer simulations to design an efficacy trial of intravesical mitomycin C therapy for superficial bladder cancer.利用药理学数据和计算机模拟设计一项关于膀胱内注射丝裂霉素C治疗浅表性膀胱癌的疗效试验。
Cancer Chemother Pharmacol. 1993;32(4):255-62. doi: 10.1007/BF00686169.

本文引用的文献

1
Cytosine arabinoside bladder instillation therapy for bladder tumors.阿糖胞苷膀胱灌注治疗膀胱肿瘤
Tohoku J Exp Med. 1982 Jan;136(1):23-8. doi: 10.1620/tjem.136.23.
2
Absorption of anticancer drugs through bladder epithelium.
Urology. 1986 Feb;27(2):148-57. doi: 10.1016/0090-4295(86)90372-9.
3
Mitomycin C bladder instillation therapy for bladder tumors.
J Urol. 1975 Aug;114(2):217-9. doi: 10.1016/s0022-5347(17)66989-1.
4
Adriamycin instillation therapy for bladder tumors.
阿霉素膀胱肿瘤灌注疗法。
Tohoku J Exp Med. 1979 Apr;127(4):339-43. doi: 10.1620/tjem.127.339.