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[丝裂霉素多柔比星混合乳剂(SMANCS)及其他溶解于碘油中的抗肿瘤药物经动脉给药用于各种恶性实体瘤]

[Arterial administration of SMANCS and other antitumor agents dissolved in lipiodol for various malignant solid tumors].

作者信息

Konno T, Iwai K, Maki S, Tashiro S, Miyauchi Y, Maeda H, Yokoyama I

出版信息

Nihon Geka Gakkai Zasshi. 1984 Sep;85(9):1151-6.

PMID:6095018
Abstract

Selective deposition of lipiodol in primary and metastatic liver cancer, lung cancer, gallbladder cancer, pancreatic cancer and renal cancer was elucidated by plain X-ray film and CT. Selective delivery of anticancer agent, SMANCS was also proved by measurement of its biological activities of removed specimen. Because of these selective delivery of anticancer agent and embolization of neovasculature in the tumor, highly effective chemotherapy of unresectable cancer was established. Drug was given via celiac, the hepatic, bronchial or renal artery mostly 1-5 mg in 1-5 ml of lipiodol once every 3-8 weeks. Antitumor effects of this therapy for hepatocellular carcinoma was confirmed based on decrease in AFP levels (92% of the cases), reduction in tumor size (90% of the cases) and histology. In 76 percent of the patients with the other malignant solid tumors reduction in tumor size was recognized. Decrease in CEA level occurred in 88 percent of the cases with metastatic liver cancer and lung cancer. Major side effect was transient fever in about 50% of cases. Mitomycin C and aclarubicin dissolved in lipiodol showed remarkable antitumor effects for experimental liver cancer.

摘要

通过普通X线片和CT阐明了碘油在原发性和转移性肝癌、肺癌、胆囊癌、胰腺癌及肾癌中的选择性沉积。通过对切除标本的生物活性测定,也证实了抗癌药丝裂霉素多柔比星脂质体(SMANCS)的选择性递送。由于这种抗癌药的选择性递送以及肿瘤新生血管的栓塞,建立了对不可切除癌症的高效化疗方法。药物大多通过腹腔动脉、肝动脉、支气管动脉或肾动脉给药,将1 - 5毫克药物溶于1 - 5毫升碘油中,每3 - 8周给药一次。基于甲胎蛋白(AFP)水平降低(92%的病例)、肿瘤大小缩小(90%的病例)及组织学检查,证实了该疗法对肝细胞癌的抗肿瘤作用。在76%的其他恶性实体瘤患者中,观察到肿瘤大小缩小。在88%的转移性肝癌和肺癌病例中,癌胚抗原(CEA)水平下降。主要副作用是约50%的病例出现短暂发热。溶于碘油的丝裂霉素C和阿柔比星对实验性肝癌显示出显著的抗肿瘤作用。

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