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经皮瘤内注射无水乙醇治疗实验性腺癌

Treatment of experimental adenocarcinomas by percutaneous intratumoral injection of absolute ethanol.

作者信息

Burgener F A, Steinmetz S D

出版信息

Invest Radiol. 1987 Jun;22(6):472-8. doi: 10.1097/00004424-198706000-00005.

Abstract

Percutaneous injection of absolute ethanol into adenocarcinomas implanted in the hind leg of rats was evaluated as a potential cancer treatment. Intramuscular alcohol injections up to 10 mL/kg produced a local dose-dependent coagulation necrosis followed by granulation tissue formation and subsequent fibrosis but no apparent systemic side effects. Compared with controls, intratumoral alcohol injections induced partial to complete tumor necrosis, reduced the tumor growth rate, and caused complete tumor eradication in 25% of the cases. The therapeutic effects of the investigated dosages of 0.5 and 1.5 mL ethanol per tumor were similar, but the local side effects (fistulizations and/or neurologic damage) were increased with the larger dose. This preliminary investigation suggests that the percutaneous intratumoral injection of alcohol deserves further exploration for the treatment of cancers.

摘要

对经皮向植入大鼠后腿的腺癌注射无水乙醇作为一种潜在的癌症治疗方法进行了评估。肌肉注射高达10 mL/kg的酒精会产生局部剂量依赖性凝固性坏死,随后形成肉芽组织并继发纤维化,但无明显的全身副作用。与对照组相比,瘤内注射酒精可诱导部分至完全肿瘤坏死,降低肿瘤生长速率,并在25%的病例中实现肿瘤完全根除。每个肿瘤注射0.5 mL和1.5 mL乙醇的研究剂量的治疗效果相似,但较大剂量会增加局部副作用(形成瘘管和/或神经损伤)。这项初步研究表明,经皮瘤内注射酒精在癌症治疗方面值得进一步探索。

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