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胃癌患者腹腔游离癌细胞的生存能力

Viability of intraperitoneal free cancer cells in patients with gastric cancer.

作者信息

Tanida O, Kaneshima S, Iitsuka Y, Kuda H, Kiyasu Y, Koga S

出版信息

Acta Cytol. 1982 Sep-Oct;26(5):681-7.

PMID:6959458
Abstract

The viability and morphologic changes of intraperitoneal free cancer cells in advanced gastric cancer patients were examined by Giemsa and enzymologic staining and by tritiated thymidine uptake. Although many free cancer cells in the pouch of Douglas showed moderate degeneration, viable, morphologically intact cells were noted, leading to the possibility of their implantation and proliferation in the peritoneum. Serosal cancer cells showed a high degree of viability. In patients undergoing gastric cancer surgery, the viability of free cancer cells was markedly decreased by a single intraoperative administration of 10 mg of mitomycin C (MMC) to the pouch of Douglas, suggesting that this may represent an effective means of preventing peritoneal dissemination.

摘要

通过吉姆萨染色、酶学染色以及氚标记胸腺嘧啶核苷摄取试验,对晚期胃癌患者腹腔游离癌细胞的活力及形态学变化进行了检测。尽管Douglas陷凹处的许多游离癌细胞呈现中度变性,但仍发现了形态完整的存活细胞,这提示它们有可能在腹膜种植并增殖。浆膜癌细胞显示出高度的活力。在接受胃癌手术的患者中,术中向Douglas陷凹单次注射10毫克丝裂霉素C(MMC)可使游离癌细胞的活力显著降低,这表明这可能是预防腹膜播散的一种有效方法。

相似文献

1
Viability of intraperitoneal free cancer cells in patients with gastric cancer.胃癌患者腹腔游离癌细胞的生存能力
Acta Cytol. 1982 Sep-Oct;26(5):681-7.
2
Relationship between area of serosal invasion and intraperitoneal free cancer cells in patients with gastric cancer.胃癌患者浆膜侵犯面积与腹腔游离癌细胞之间的关系。
Anticancer Res. 1994 Sep-Oct;14(5B):2131-4.
3
Intraperitoneal free cancer cells and their viability in gastric cancer.胃癌中的腹腔游离癌细胞及其活力
Cancer. 1979 Oct;44(4):1476-80. doi: 10.1002/1097-0142(197910)44:4<1476::aid-cncr2820440442>3.0.co;2-r.
4
[The prevention of peritoneal dissemination of gastric cancer with intraperitoneal activated carbon particles absorbing mitomycin C].
Gan To Kagaku Ryoho. 1994 Sep;21(13):2320-2.
5
[Pharmacokinetic analysis in intraperitoneal hyperthermic perfusion using mitomycin C in far-advanced gastric cancer].
Gan To Kagaku Ryoho. 1989 Jul;16(7):2411-5.
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Peritoneal cytology in the surgical evaluation of gastric carcinoma.胃癌手术评估中的腹腔细胞学检查
Br J Cancer. 1999 Feb;79(3-4):520-4. doi: 10.1038/sj.bjc.6690081.
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[Prevention of peritoneal dissemination after colorectal surgery--significance of MMC administration in abdominal cavity].[结直肠手术后腹膜播散的预防——腹腔内给予丝裂霉素的意义]
Gan To Kagaku Ryoho. 1991 Aug;18(11):1808-11.
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[Clinical significance of washing cytology in patients with advanced gastric cancer].[冲洗细胞学检查在进展期胃癌患者中的临床意义]
Gan To Kagaku Ryoho. 2005 Oct;32(11):1643-5.
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[Four long-surviving cases of gastric cancer with peritoneal dissemination treated by intraperitoneal administration of mitomycin C adsorbed on activated carbon particles].
Gan To Kagaku Ryoho. 1993 Aug;20(11):1700-2.
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Molecular characterization and significance for prognosis of free gastric cancer cells in the peritoneal cavity.腹腔游离胃癌细胞的分子特征及其对预后的意义
Hepatogastroenterology. 2009 May-Jun;56(91-92):891-8.

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When is curative gastrectomy justified for gastric cancer with positive peritoneal lavage cytology but negative macroscopic peritoneal implant?对于胃癌患者,若腹腔灌洗细胞学检查呈阳性但肉眼可见的腹腔种植转移为阴性,何时进行根治性胃切除术是合理的?
World J Surg. 2005 Sep;29(9):1131-4. doi: 10.1007/s00268-005-7703-6.
2
Prospective randomized trial of early postoperative intraperitoneal chemotherapy as an adjuvant to resectable gastric cancer.早期术后腹腔内化疗作为可切除胃癌辅助治疗的前瞻性随机试验。
Ann Surg. 1998 Sep;228(3):347-54. doi: 10.1097/00000658-199809000-00007.
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Spilled cells, spilled clips, spilled stones. New problems or old challenges.
Surg Endosc. 1995 Mar;9(3):269-71. doi: 10.1007/BF00187766.
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Prognostic significance of intraperitoneal free cancer cells in gastric cancer patients.胃癌患者腹腔游离癌细胞的预后意义
J Cancer Res Clin Oncol. 1984;108(2):236-8. doi: 10.1007/BF00402474.