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[热疗在癌症治疗中的应用]

[Hyperthermia in the treatment of cancer].

作者信息

Matsuda T

出版信息

Gan No Rinsho. 1986 Aug;32(10):1095-9.

PMID:3783939
Abstract

The expectation that hyperthermia would be effective in the treatment of cancer is attributable to a theoretical viewpoint based upon biological studies. Cancer cells, which characteristically are hypoxic with poor nutrition and low pH, are sensitive to temperatures over 42.5 degrees C. This is the theoretical basis which assures the effectiveness of hyperthermia when used in combination with radiation therapy. Previous clinical studies have shown that a combination hyperthermia and radiation therapy is an effective treatment for superficial tumors, thus expanding the range of cancer therapy. When used for deeply seated cancer, this combination enhances the efficiency of therapy. It is, however, necessary to improve the heating techniques and methods of thermometry. Fundamental studies are now being actively pursued in respect of combined hyperthermia and chemotherapy. However, inadequacy of clinical material hinders evaluation. The combination of whole-body hyperthermia with anti-cancer agents presents so far, unsolved problems, such as determination of applicable anatomical regions and prevention of complications.

摘要

人们期望热疗能有效治疗癌症,这归因于基于生物学研究的理论观点。癌细胞的特征是缺氧、营养差且pH值低,对42.5摄氏度以上的温度敏感。这就是热疗与放射治疗联合使用时确保其有效性的理论基础。先前的临床研究表明,热疗与放射治疗联合是治疗浅表肿瘤的有效方法,从而扩大了癌症治疗的范围。当用于深部癌症时,这种联合可提高治疗效率。然而,有必要改进加热技术和测温方法。目前正在积极开展热疗与化疗联合的基础研究。然而,临床资料不足阻碍了评估。全身热疗与抗癌药物的联合目前存在一些尚未解决的问题,如适用解剖区域的确定和并发症的预防。

相似文献

1
[Hyperthermia in the treatment of cancer].[热疗在癌症治疗中的应用]
Gan No Rinsho. 1986 Aug;32(10):1095-9.
2
[Clinical evaluation of combination hyperthermia and radiation therapy for superficial tumors].[浅表肿瘤热疗与放射治疗联合应用的临床评估]
Gan To Kagaku Ryoho. 1986 Apr;13(4 Pt 2):1353-9.
3
Localized hyperthermia and radiation in cancer therapy.癌症治疗中的局部热疗与放疗。
Int J Radiat Biol Relat Stud Phys Chem Med. 1985 Apr;47(4):347-59.
4
Role of whole-body hyperthermia in the treatment of neoplastic disease: its current status and future prospects.全身热疗在肿瘤疾病治疗中的作用:现状与未来前景
Cancer Res. 1984 Oct;44(10 Suppl):4878s-4883s.
5
[Current status of hyperthermia for deep-seated tumors].[深部肿瘤热疗的现状]
Gan To Kagaku Ryoho. 1989 Mar;16(3 Pt 1):289-96.
6
Trials of combined radiation and hyperthermia with various heating modalities in cancer therapy.癌症治疗中联合放疗与热疗以及各种加热方式的试验。
Radiat Med. 1984 Oct-Dec;2(4):260-4.
7
Principles and concept 1993 of the Systemic Cancer Multistep Therapy (sCMT). Extreme whole-body hyperthermia using the infrared-A technique IRATHERM 2000--selective thermosensitisation by hyperglycemia--circulatory back-up by adapted hyperoxemia.全身癌症多步骤治疗(sCMT)的1993年原则与概念。采用红外A技术(IRATHERM 2000)进行极端全身热疗——通过高血糖实现选择性热敏化——通过适应性高氧血症进行循环支持。
Strahlenther Onkol. 1994 Oct;170(10):581-9.
8
[Hyperthermia in the treatment of cancers].[热疗在癌症治疗中的应用]
J Chir (Paris). 1992 Apr;129(4):227-31.
9
Past clinical studies and future directions.既往临床研究与未来方向。
Cancer Res. 1984 Oct;44(10 Suppl):4902s-4904s.
10
Clinical use of thermal enhancement and therapeutic gain for hyperthermia combined with radiation or drugs.热增强及治疗增益在热疗联合放疗或药物治疗中的临床应用。
Cancer Res. 1984 Oct;44(10 Suppl):4836s-4841s.

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