Goldberg N, Salomon J C
Dev Biol Stand. 1977;38:373-8.
The frequent use of intra-lesional injection of bacterial immunostimulants is hampered by apparent rarity of susceptible tumours, absence of therapeutic effect on large tumours, lack of variety of experimental models, eventual traumatism which is feared in case of intra-lesional, and injection in visceral cancers. (1) Methylcholanthrene induced primitive tumours in mice are more frequently susceptible when the carcinogen induction dosage is low (0.01 mg). (2) Using transplantable rat tumours, one susceptible and one resistant to intra-tumoral BCG or Corynebacterium parvum therapy, we have shown that both are resistant to systemic administration of immunostimulants. For the susceptible tumour, subcutaneous peritumoral multiple injections have the same efficacy as intra-tumoral injection in curing small tumours and ipsilateral distant tumours, when the rats receive a double graft of the same tumour. Superficial multifocal intratumoral injections can cure more voluminous susceptible tumours. The association of peritumoral and intra-tumoral injections rendered susceptible the usually resistant tumours.
易感肿瘤明显罕见、对大肿瘤缺乏治疗效果、实验模型种类有限、病灶内注射可能导致的创伤以及内脏癌注射的问题。(1)当致癌剂诱导剂量较低(0.01毫克)时,甲基胆蒽诱导的小鼠原发性肿瘤更易产生易感性。(2)使用可移植的大鼠肿瘤,其中一种对肿瘤内注射卡介苗或短小棒状杆菌治疗敏感,另一种则耐药,我们发现两者对免疫刺激剂的全身给药均耐药。对于敏感肿瘤,当大鼠接受同一肿瘤的双重移植时,皮下肿瘤周围多次注射在治愈小肿瘤和同侧远处肿瘤方面与肿瘤内注射具有相同的疗效。浅表多灶性肿瘤内注射可以治愈体积更大的敏感肿瘤。肿瘤周围注射和肿瘤内注射联合使用可使通常耐药的肿瘤变得敏感。