Cole W H
J Surg Oncol. 1981;17(3):201-9. doi: 10.1002/jso.2930170302.
After a study of the 176 cases (Everson and Cole) of spontaneous regression of cancer and recent progress in immunology, the author is convinced stimulation of the immune process is the most important factor in S.R. of cancer. Stimulating factors are numerous including bacterial products, enzymes, infections, hormones, trauma, etc. Of the 176 cases reported by Everson and Cole, 71 (40%) were associated with some type of operative trauma. Since the effective anticancer agent interferon is an important protective agent (especially antiviral) in the human body, this product could readily play an important role. Immunoglobulins appear to be possible factors. The blocking and unblocking agents of the Hellströms and associates support this supposition. Elimination of carcinogens appears important, considering the remarkable disappearance of cancer of the bladder in 12 of 13 patients having diversion of the urine from the bladder to the colon by transplantation of the ureters from the bladder to the colon. Innumerable antigens unknown to us at the present time could act as stimulants to our immune system, and thus cause regression of cancer. Hormonal factors must obviously be considered, but the author is doubtful that they exert an important role.
在对176例癌症自发消退病例(埃弗森和科尔)以及免疫学最新进展进行研究之后,作者确信免疫过程的刺激是癌症自发消退中最重要的因素。刺激因素众多,包括细菌产物、酶、感染、激素、创伤等。在埃弗森和科尔报告的176例病例中,71例(40%)与某种类型的手术创伤有关。由于有效的抗癌药物干扰素是人体重要的保护剂(尤其是抗病毒),该产物很可能发挥重要作用。免疫球蛋白似乎是可能的因素。赫尔斯托姆等人的封闭和解除封闭因子支持这一推测。考虑到13例通过将输尿管从膀胱移植到结肠而使尿液从膀胱转流至结肠的患者中有12例膀胱肿瘤显著消失,消除致癌物显得很重要。目前我们尚不了解的无数抗原可能作为我们免疫系统的刺激物,从而导致癌症消退。激素因素显然必须加以考虑,但作者怀疑它们是否发挥重要作用。