Walter J, Maurer-Schultze B
Institut für Medizinische Strahlenkunde der Universität Würzburg.
Strahlenther Onkol. 1987 Oct;163(10):687-94.
The effect of irradiation with 30 Gy 60Co gamma-rays on the adenocarcinoma EO 771 has been studied by simultaneously evaluating the effect on tumor growth, on tumor cell proliferation and on the histological structure of the tumor. Inspite of a drastic decrease of tumor cell density by a factor of 2 within one day after irradiation there is practically no tumor regression but only a growth delay lasting about five to six days. The lack of decrease in tumor volume is due to hemorrhages and interstitial oedemas. Regrowth of the tumor starting after about five days concomitantly with the removal of necrotic tissue is followed by a second wave of growth delay. Following the release of the G2 block of the cells tumor cell proliferation is reduced to about half the normal proliferative activity for further three days. Tumor cell proliferation reaches its maximum about eight days after irradiation and then decreases again although higher proliferative activity should be expected comparing the size of the tumor with that in untreated animals. The proliferative activity is much higher in the tumor periphery than in the center suggesting that radiation damage is more rapidly compensated in the tumor periphery. These studies confirm that tumor volume changes are not representative for radiation effects but that there are many processes as damage to the vascular system or the tumor bed effect that influence the effect of irradiation on the tumor.
通过同时评估对肿瘤生长、肿瘤细胞增殖和肿瘤组织结构的影响,研究了30 Gy 60Coγ射线照射对腺癌EO 771的作用。尽管照射后一天内肿瘤细胞密度急剧下降了2倍,但实际上没有肿瘤消退,只有持续约五到六天的生长延迟。肿瘤体积没有减小是由于出血和间质水肿。大约五天后,随着坏死组织的清除,肿瘤开始重新生长,随后是第二轮生长延迟。细胞的G2期阻滞解除后,肿瘤细胞增殖在接下来的三天内降至正常增殖活性的一半左右。肿瘤细胞增殖在照射后约八天达到最大值,然后再次下降,尽管与未治疗动物的肿瘤大小相比,应预期有更高的增殖活性。肿瘤周边的增殖活性远高于中心,这表明肿瘤周边的辐射损伤能更快得到补偿。这些研究证实,肿瘤体积变化并不代表辐射效应,而是有许多过程,如对血管系统的损伤或肿瘤床效应,会影响照射对肿瘤的作用。