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人白细胞干扰素在子宫颈癌患者中的应用。

Application of human leucocyte interferon in patients with carcinoma of the uterine cervix.

作者信息

Ikić D, Krusić J, Kirhmajer V, Knezević M, Maricić Z, Rode B, Jusić D, Soos E

出版信息

Lancet. 1981 May 9;1(8228):1027-30. doi: 10.1016/s0140-6736(81)92190-5.

Abstract

15 patients with invasive squamous-cell carcinoma of the uterine cervix were treated with crude human leucocyte interferon (HLI) for 3 weeks before surgical removal of the tumour. 9 patients were given HLI topically and intramuscularly and 6 topically only. In 3 patients the surgical material was free from tumour cells, in 3 it showed a lower grade of carcinoma, and in 9 the findings remained unchanged. In only 1 patient the tumour metastasised to the lymph nodes. Typically a tumour regressed to about a third of its original size. There was a sharp distinction between the tumour mass and the healthy tissue manifested in the formation of a fibrous wall. On the basis of the scores--i.e., stromal response, relation between tumour-cell and macrophage activity and reactivity, and reactivity of the original lymph nodes--the overall appraisal of the response caused by HLI therapy was as follows: in 6 patients excellent, in 5 very good, in 1 moderate, in 2 poor, and in 1 no response. It is suggested that HLI is suitable for administration both before and after surgery in patients with cervical cancer of grade I or II. If stroma cannot be induced to respond within 21 days of treatment, HLI application should be discontinued.

摘要

15例浸润性子宫颈鳞状细胞癌患者在手术切除肿瘤前接受了3周的粗制人白细胞干扰素(HLI)治疗。9例患者接受了HLI局部和肌肉注射,6例仅接受局部治疗。3例患者的手术材料中没有肿瘤细胞,3例显示癌分级较低,9例患者的检查结果没有变化。只有1例患者肿瘤转移至淋巴结。典型的情况是肿瘤缩小至原来大小的约三分之一。肿瘤块与健康组织之间有明显区别,表现为形成纤维壁。根据评分,即基质反应、肿瘤细胞与巨噬细胞活性及反应性之间的关系以及原发病灶淋巴结的反应性,对HLI治疗引起的反应的总体评估如下:6例患者为优,5例为良,1例为中等,2例为差,1例无反应。建议HLI适用于I级或II级宫颈癌患者手术前后的给药。如果在治疗21天内不能诱导基质产生反应,应停止应用HLI。

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