Fujimura K
Nihon Sanka Fujinka Gakkai Zasshi. 1982 Jan;34(1):21-9.
The combination effect of chemotherapy and cryosurgery on solid tumor have been evaluated using Ehrlich tumor implanted in hind-limbs of ddN mice. Following regimens were performed. 1) Mitomycin C (MMC) lmg/kg i.p. as a chemotherapeutic agent. 2) cryosurgery -60 degree C for 1.5 minutes. 3) various combination of MMC and cryosurgery. Each average life-span was A) without therapy: 23.8 +/- 4.3 days, B) MMC: 28.0 +/- 4.0 days, C) cryosurgery: 29.5 +/- 6.1 days. Combination therapy which cryosurgery was first performed and then MMC was administered was most effective among various combinations. And the life-span was significantly extended to 38.7 +/- 5.2 days compared with that of each single therapy. When PSK, a immunopotentiator, was added to this regimen, the life-span was extended to 45.0 +/- 9.3 days. The immunological aspects of these regimens were examined by radioisotopic foot-pad assay. Transient increase of cellular immunity was observed in cryosurgery group. The effect of cryosurgery on uptake of anti-tumor agent into tumor tissue were also studied using 3H-labelled 5FU and 14C-labelled 5FU. It was revealed that the uptake rate was significantly increased in tumor margin, but not in tumor center. When the uptake in tumor margin was examined at serial time after cryosurgery, peak of increased uptake was observed at 6 and 12 hours after cryosurgery. Satisfactory response was obtained in clinical application of cryochemotherapy based on these experimental findings.U
利用接种于ddN小鼠后肢的艾氏腹水瘤,评估了化疗与冷冻手术联合治疗实体瘤的效果。实施了以下方案:1)腹腔注射丝裂霉素C(MMC)1mg/kg作为化疗药物;2)在-60℃下进行1.5分钟的冷冻手术;3)MMC与冷冻手术的各种联合。每种方案的平均生存期分别为:A)未治疗:23.8±4.3天;B)MMC治疗:28.0±4.0天;C)冷冻手术治疗:29.5±6.1天。在各种联合治疗中,先进行冷冻手术然后给予MMC的联合治疗效果最佳。与单一治疗相比,生存期显著延长至38.7±5.2天。当将免疫增强剂PSK添加到该方案中时,生存期延长至45.0±9.3天。通过放射性同位素足垫试验检查了这些方案的免疫学方面。在冷冻手术组中观察到细胞免疫的短暂增强。还使用3H标记的5FU和14C标记的5FU研究了冷冻手术对肿瘤组织摄取抗肿瘤药物的影响。结果显示,肿瘤边缘的摄取率显著增加,但肿瘤中心未增加。当在冷冻手术后的连续时间检查肿瘤边缘的摄取情况时,在冷冻手术后6小时和12小时观察到摄取增加的峰值。基于这些实验结果,冷冻化疗在临床应用中获得了满意的疗效。