Suda Y, Izuno O
Gan To Kagaku Ryoho. 1982 Jul;9(6):1074-80.
As a fundamental investigation to prevent from the postoperative recurrence of gastric cancer, the concentrations of adriamycin(ADM) in the gastric tumor, gastric wall and regional nodes were measured after an arterial infusion of 5 or 10 mg of ADM. The drug was infused through either left or right gastric artery or the right gastroepiploic artery at the beginning of operation. The ADM concentration in gastric tumor and gastric wall were moderately elevated after the infusion, especially in the tissue at the area of arterial supply used for the infusion. No significant correlation was found among ADM concentration in the tumor, its histological classification and its amount of interstitial connective tissue. However, the marked elevation of ADM level was confirmed in the perigastric nodes along the drug-infused artery. The moderate elevation was also observed in the 2nd or 3rd group of the regional lymph nodes. As for the drug concentration in the adjacent organs, ADM was detected in slight high level in the liver, less in the spleen and pancreas. From the results obtained, a possibility of prevention from the recurrence of gastric cancer was discussed.
作为预防胃癌术后复发的一项基础研究,在动脉注射5或10毫克阿霉素(ADM)后,测量了胃癌组织、胃壁及区域淋巴结中阿霉素的浓度。手术开始时,通过胃左动脉或胃右动脉或胃网膜右动脉注射该药物。注射后,胃癌组织和胃壁中的阿霉素浓度适度升高,尤其是在用于注射的动脉供血区域的组织中。未发现肿瘤中阿霉素浓度与其组织学分类及间质结缔组织量之间存在显著相关性。然而,在沿注药动脉的胃周淋巴结中证实阿霉素水平显著升高。在第二组或第三组区域淋巴结中也观察到适度升高。至于邻近器官中的药物浓度,在肝脏中检测到阿霉素水平略高,在脾脏和胰腺中较少。根据所得结果,探讨了预防胃癌复发的可能性。