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脾切除术对3LL肿瘤术后肺转移进展的影响。

Effect of splenectomy on the progression of postoperative pulmonary metastases of the 3LL tumor.

作者信息

Ron Y, Gorelik E, Feldman M, Segal S

出版信息

Eur J Cancer Clin Oncol. 1982 Apr;18(4):391-7. doi: 10.1016/0277-5379(82)90011-6.

Abstract

Surgical excision of the local intrafootpad tumor of the 3LL lung carcinoma is followed by accelerated growth of its lung metastases. When, however, splenectomy was performed concomitantly with tumor excision, the acceleration of lung metastases was prevented. In cases where excision of the local tumor took place when it reached large sizes, concomitant splenectomy did not prevent the accelerated growth of the lung metastases. If, however, at these stages of tumor growth splenectomy was performed 3 days prior to the excision of the tumor, it did prevent the accelerated growth of metastases. Intrafootpad reinoculation of tumor cells following tumor excision and splenectomy caused further reduction in metastatic growth. The results suggest that existence of two possible distinct mechanisms which control metastatic growth: the local tumor might exert non-immunologically, an inhibitory effect on its lung metastases, and the spleen, possibly via suppressor lymphocytes, may suppress an immune effector activity against the tumor metastases, an activity which is manifested following splenectomy.

摘要

对3LL肺癌足底局部肿瘤进行手术切除后,其肺转移灶会加速生长。然而,若在肿瘤切除的同时进行脾切除术,则可防止肺转移灶加速生长。在局部肿瘤长得很大时进行切除的病例中,同时进行脾切除术并不能防止肺转移灶加速生长。但是,如果在肿瘤生长的这些阶段,在切除肿瘤前3天进行脾切除术,则可防止转移灶加速生长。肿瘤切除和脾切除后,将肿瘤细胞再次接种到足底会导致转移灶生长进一步减少。结果表明,存在两种可能不同的控制转移灶生长的机制:局部肿瘤可能通过非免疫方式对其肺转移灶产生抑制作用,而脾脏可能通过抑制性淋巴细胞抑制针对肿瘤转移灶的免疫效应活性,这种活性在脾切除后会表现出来。

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