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通过病灶周围注射干扰素治疗宫颈上皮内瘤变。

Cervical intraepithelial neoplasia treated by perilesional injection of interferon.

作者信息

Choo Y C, Seto W H, Hsu C, Merigan T C, Tan Y H, Ma H K, Ng M H

出版信息

Br J Obstet Gynaecol. 1986 Apr;93(4):372-9.

PMID:3964615
Abstract

Twelve patients with cervical intraepithelial neoplasia (CIN) were studied by colposcopy and cervical smears to elucidate the local response to interferon alpha and beta given by perilesional injections and to assess long-term disease remission. In all patients, local inflammatory response was seen and persisted throughout the treatment period. Selective toxic effect was evident by exfoliation of increasing proportion of degenerate to viable dyskaryotic cells, while the normal epithelial cells appeared unaffected, and by the progressive regression of the lesion. Interferon alpha induced complete remission in six of seven (85.7%) patients but three had recurrence 12 to 24 months later, while interferon beta induced complete remission in only two of five (40%) patients.

摘要

通过阴道镜检查和宫颈涂片对12例宫颈上皮内瘤变(CIN)患者进行研究,以阐明病灶周围注射α干扰素和β干扰素后的局部反应,并评估疾病的长期缓解情况。所有患者均出现局部炎症反应,且在整个治疗期间持续存在。通过退变的异常核型细胞与活的异常核型细胞比例增加以及正常上皮细胞未受影响,同时病变逐渐消退,可明显看出选择性毒性作用。α干扰素使7例患者中的6例(85.7%)完全缓解,但3例在12至24个月后复发,而β干扰素仅使5例患者中的2例(40%)完全缓解。

相似文献

1
Cervical intraepithelial neoplasia treated by perilesional injection of interferon.通过病灶周围注射干扰素治疗宫颈上皮内瘤变。
Br J Obstet Gynaecol. 1986 Apr;93(4):372-9.
2
Exfoliative cytology in the evaluation of interferon treatment of cervical intraepithelial neoplasia.用于评估干扰素治疗宫颈上皮内瘤变的脱落细胞学检查
Acta Cytol. 1984 Mar-Apr;28(2):111-7.
3
Effect of perilesional injection of alpha-interferon on cervical intraepithelial neoplasia and associated human papillomavirus infection.病灶周围注射α-干扰素对宫颈上皮内瘤变及相关人乳头瘤病毒感染的影响
J R Soc Med. 1990 Aug;83(8):490-2. doi: 10.1177/014107689008300804.
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Interferon gamma treatment for cervical intraepithelial neoplasia.干扰素γ治疗宫颈上皮内瘤变
Gynecol Oncol. 1990 Apr;37(1):96-102. doi: 10.1016/0090-8258(90)90316-d.
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Combination of cytology and colposcopy in diagnosis of cervical intraepithelial neoplasia.细胞学与阴道镜检查相结合在宫颈上皮内瘤变诊断中的应用
Cancer Detect Prev. 1981;4(1-4):461-4.
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Clinical significance of a cytologic diagnosis of atypical glandular cells of undetermined significance.意义不明确的非典型腺细胞的细胞学诊断的临床意义。
J Reprod Med. 1999 Nov;44(11):922-8.
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Chemotherapy with paclitaxel, ifosfamide, and cisplatin for the treatment of squamous cell cervical cancer: the experience of Monza.采用紫杉醇、异环磷酰胺和顺铂进行化疗治疗宫颈鳞状细胞癌:蒙扎的经验
Semin Oncol. 2000 Feb;27(1 Suppl 1):23-7.
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Human fibroblast interferon in cervical and vulvar intraepithelial neoplasia associated with papilloma virus infection.人成纤维细胞干扰素与乳头瘤病毒感染相关的宫颈和外阴上皮内瘤变
Int J Tissue React. 1984;6(6):523-7.
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Intravaginal application of leukocyte interferon gel in the treatment of cervical intraepithelial neoplasia (CIN).阴道内应用白细胞干扰素凝胶治疗宫颈上皮内瘤变(CIN)。
Arch Gynecol. 1985;237(1):51-4. doi: 10.1007/BF02133952.
10
No effect of intralesional injection of interferon on moderate cervical intraepithelial neoplasia.病灶内注射干扰素对中度宫颈上皮内瘤变无影响。
Br J Obstet Gynaecol. 1990 Jul;97(7):626-30. doi: 10.1111/j.1471-0528.1990.tb02552.x.

引用本文的文献

1
Helper T lymphocyte response in the peripheral blood of patients with intraepithelial neoplasia submitted to immunotherapy with pegylated interferon-α.接受聚乙二醇化干扰素-α免疫治疗的上皮内瘤变患者外周血中辅助性T淋巴细胞反应。
Int J Mol Sci. 2015 Mar 10;16(3):5497-509. doi: 10.3390/ijms16035497.
2
Interferon-alpha in malignant and viral diseases. A review.α干扰素在恶性疾病和病毒性疾病中的应用。综述
Drugs. 1993 Feb;45(2):177-211. doi: 10.2165/00003495-199345020-00003.
3
Efficacy trial of topically administered interferon gamma-1 beta gel in comparison to laser treatment in cervical intraepithelial neoplasia.
局部应用干扰素γ-1β凝胶与激光治疗宫颈上皮内瘤变的疗效试验
Arch Gynecol Obstet. 1995;256(2):75-83. doi: 10.1007/BF00634712.
4
The role of interferons in the treatment of malignant neoplasms.干扰素在恶性肿瘤治疗中的作用。
Yale J Biol Med. 1989 May-Jun;62(3):271-90.