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氮烯咪胺隔离肢体灌注:一项实验与临床研究。

Isolated extremity perfusion with DTIC. An experimental and clinical study.

作者信息

Aigner K, Hild P, Breithaupt H, Hundeiker M, Schwemmle K, Henneking K, Illig L, Merker G, Paul E, Brodkorb J, Jungbluth A

出版信息

Anticancer Res. 1983 Mar-Apr;3(2):87-93.

PMID:6682645
Abstract

Dacarbazine (DTIC) was used for isolated perfusion of extremities in dogs and man. In the animal experiment perfusions with DTIC at dosages up to 100 mg per kg of extremity weight were well tolerated. The concentration of DTIC in the perfusate ranged from 70 to 400 micrograms/ml without evidence for formation of metabolites. Electron microscopy, performed 14 days later, revealed a decrease of glycogen in striated muscle cells. Vascular damage was not observed. Five patients with advanced malignant melanoma or soft tissue sarcoma of the extremities were treated by isolation perfusion with 75 to 133 mg DTIC per kg of extremity at 40 degrees C for 60 minutes. A tumor regression of at least 30% was observed.

摘要

达卡巴嗪(DTIC)曾用于犬和人体四肢的隔离灌注。在动物实验中,以高达每千克肢体重量100毫克的剂量用DTIC进行灌注,耐受性良好。灌注液中DTIC的浓度范围为70至400微克/毫升,未发现有代谢产物形成的迹象。14天后进行的电子显微镜检查显示,横纹肌细胞中的糖原减少。未观察到血管损伤。5例晚期四肢恶性黑色素瘤或软组织肉瘤患者接受了40℃下每千克肢体75至133毫克DTIC的隔离灌注治疗60分钟。观察到肿瘤至少消退30%。

相似文献

1
Isolated extremity perfusion with DTIC. An experimental and clinical study.氮烯咪胺隔离肢体灌注:一项实验与临床研究。
Anticancer Res. 1983 Mar-Apr;3(2):87-93.
2
Pharmacokinetics of dacarbazine in the regional perfusion of extremities with melanoma.达卡巴嗪在四肢黑色素瘤区域灌注中的药代动力学。
J Surg Oncol. 1996 Nov;63(3):148-58. doi: 10.1002/(SICI)1096-9098(199611)63:3<148::AID-JSO4>3.0.CO;2-D.
3
[New modifications in isolated extremity perfusion ].
Z Hautkr. 1982 Jul 15;57(14):1044-54.
4
[DTIC in the therapy of solid tumours (author's transl)].二乙三胺五乙酸在实体瘤治疗中的应用(作者译)
Wien Klin Wochenschr. 1978 Dec 22;90(24):864-7.
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Isolated limb perfusion for stage I melanoma of the extremity: a comparison of melphalan and dacarbazine (DTIC).肢体隔离灌注治疗肢体I期黑色素瘤:美法仑与达卡巴嗪(DTIC)的比较。
South Med J. 1989 Aug;82(8):985-7, 989. doi: 10.1097/00007611-198908000-00014.
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DTIC therapy in metastatic malignant melanoma: a simplified dose schedule.达卡巴嗪治疗转移性恶性黑色素瘤:一种简化的剂量方案。
Cancer Treat Rep. 1980 Oct-Nov;64(10-11):1123-6.
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Regional perfusion with cis-platinum and dacarbazine.顺铂和达卡巴嗪区域灌注
Recent Results Cancer Res. 1983;86:239-45. doi: 10.1007/978-3-642-82025-0_40.
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[Photosensitization with DTIC therapy in metastatic malignant melanoma].
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Phase II study of second-line therapy with DTIC, BCNU, cisplatin and tamoxifen (Dartmouth regimen) chemotherapy in patients with malignant melanoma previously treated with dacarbazine.达卡巴嗪治疗过的恶性黑色素瘤患者采用达卡巴嗪、卡莫司汀、顺铂和他莫昔芬(达特茅斯方案)进行二线化疗的II期研究。
Br J Cancer. 2000 Jun;82(11):1759-63. doi: 10.1054/bjoc.2000.1141.
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Regional isolated perfusion of high risk melanoma of the extremities with imidazole carboxamide.用咪唑甲酰胺对肢体高危黑色素瘤进行区域隔离灌注。
Surg Gynecol Obstet. 1984 Mar;158(3):238-42.

引用本文的文献

1
[Stroma-free hemoglobin solution and perfusion of isolated extremities].
Langenbecks Arch Chir. 1984;362(2):119-30. doi: 10.1007/BF01254186.
2
Simultaneous determination of dacarbazine, its photolytic degradation product, 2-azahypoxanthine, and the metabolite 5-aminoimidazole-4-carboxamide in plasma and urine by high-pressure liquid chromatography.采用高压液相色谱法同时测定血浆和尿液中的达卡巴嗪、其光解降解产物2-氮杂次黄嘌呤以及代谢物5-氨基咪唑-4-甲酰胺。
Antimicrob Agents Chemother. 1985 Jun;27(6):977-9. doi: 10.1128/AAC.27.6.977.