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病灶内注射卡介苗治疗转移性恶性黑色素瘤。

Intralesional BCG in the treatment of metastatic malignant melanoma.

作者信息

Mastrangelo M J, Sulit H L, Prehn L M, Bornstein R S, Yarbro J W, Prehn R T

出版信息

Cancer. 1976 Feb;37(2):684-92. doi: 10.1002/1097-0142(197602)37:2<684::aid-cncr2820370212>3.0.co;2-y.

DOI:10.1002/1097-0142(197602)37:2<684::aid-cncr2820370212>3.0.co;2-y
PMID:766947
Abstract

The therapeutic efficacy of intralesional BCG (Bacillus Calmette-Guerin; one immunizing dose every 2 weeks for a minimum of five treatments) was studied in 19 melanoma patients. Of 15 patients evaluable for response, five experienced significant objective improvement (two complete and three partial remissions). Objective improvement was limited to those patients with dermal metastatic disease. In vitro cytotoxicity in the presence of patient's serum bore, on average, a relationship to the clinical disease. In certain individual cases, serum blocking and/or lymphocyte stimulation may have had prognostic significance.

摘要

对19例黑色素瘤患者研究了病灶内注射卡介苗(Bacillus Calmette-Guerin;每2周注射一次免疫剂量,至少注射5次)的治疗效果。在15例可评估反应的患者中,5例有明显的客观改善(2例完全缓解,3例部分缓解)。客观改善仅限于有皮肤转移疾病的患者。在患者血清存在的情况下,体外细胞毒性平均与临床疾病有关。在某些个别病例中,血清阻断和/或淋巴细胞刺激可能具有预后意义。

相似文献

1
Intralesional BCG in the treatment of metastatic malignant melanoma.病灶内注射卡介苗治疗转移性恶性黑色素瘤。
Cancer. 1976 Feb;37(2):684-92. doi: 10.1002/1097-0142(197602)37:2<684::aid-cncr2820370212>3.0.co;2-y.
2
Immunotherapy of melanoma with intralesional BCG.采用瘤内注射卡介苗对黑色素瘤进行免疫治疗。
Natl Cancer Inst Monogr. 1973 Dec;39:213-20.
3
Intralesional treatment of recurrent metastatic cutaneous malignant melanoma: a randomized prospective study of intralesional Bacillus Calmette-Guerin versus intralesional dinitrochlorobenzene.复发性转移性皮肤恶性黑色素瘤的病灶内治疗:卡介苗与二硝基氯苯病灶内注射的随机前瞻性研究
Cancer. 1978 Jun;41(6):2456-63. doi: 10.1002/1097-0142(197806)41:6<2456::aid-cncr2820410654>3.0.co;2-b.
4
The use of oral BCG in the treatment or metastatic malignant melanoma.口服卡介苗在治疗转移性恶性黑色素瘤中的应用。
Med Pediatr Oncol. 1976;2(2):173-81. doi: 10.1002/mpo.2950020207.
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Clinical and histologic correlation of melanoma regression after intralesional BCG therapy: a case report.病灶内注射卡介苗治疗后黑色素瘤消退的临床与组织学相关性:病例报告
J Natl Cancer Inst. 1974 Jan;52(1):19-24. doi: 10.1093/jnci/52.1.19.
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Autoantibodies May Predict Immune-Related Toxicity: Results from a Phase I Study of Intralesional followed by Ipilimumab in Patients with Advanced Metastatic Melanoma.自身抗体可能预测免疫相关毒性:在晚期转移性黑色素瘤患者中进行瘤内注射然后给予伊匹单抗的 I 期研究结果。
Front Immunol. 2018 Mar 2;9:411. doi: 10.3389/fimmu.2018.00411. eCollection 2018.
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The immunologic and histopathologic changes of BCG-mediated tumor regression in patients with malignant melanoma.恶性黑色素瘤患者中卡介苗介导的肿瘤消退的免疫和组织病理学变化。
Cancer. 1975 Mar;35(3):756-77. doi: 10.1002/1097-0142(197503)35:3<756::aid-cncr2820350331>3.0.co;2-z.
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Fatal disseminated bacillus Calmette-Guerin infection and arrested growth of cutaneous malignant melanoma following intralesional immunotherapy.病灶内免疫治疗后发生致命性播散性卡介苗感染及皮肤恶性黑色素瘤生长停滞
Am J Dermatopathol. 1986 Aug;8(4):331-5. doi: 10.1097/00000372-198608000-00010.
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Immunology and cutaneous malignant melanoma.免疫学与皮肤恶性黑色素瘤
Int J Dermatol. 1976 Jan-Feb;15(1):1-18. doi: 10.1111/j.1365-4362.1976.tb05089.x.
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Mumps virus and BCG vaccine in metastatic melanoma.转移性黑色素瘤中的腮腺炎病毒与卡介苗疫苗
Arch Surg. 1973 Apr;106(4):503-6. doi: 10.1001/archsurg.1973.01350160117019.

引用本文的文献

1
Malignant melanoma: evolving practice management in an era of increasingly effective systemic therapies.恶性黑色素瘤:在全身治疗日益有效的时代中不断发展的实践管理
Curr Probl Surg. 2022 Jan;59(1):101030. doi: 10.1016/j.cpsurg.2021.101030. Epub 2021 Jul 7.
2
Intralesional Immunotherapy for Metastatic Melanoma: The Oldest and Newest Treatment in Oncology.转移性黑色素瘤的瘤内免疫疗法:肿瘤学中最古老也是最新的治疗方法。
Crit Rev Oncog. 2016;21(1-2):65-73. doi: 10.1615/CritRevOncog.2016017124.
3
Intralesional injection of rose bengal induces a systemic tumor-specific immune response in murine models of melanoma and breast cancer.
瘤内注射玫瑰红孟加拉诱导黑素瘤和乳腺癌小鼠模型的全身性肿瘤特异性免疫反应。
PLoS One. 2013 Jul 17;8(7):e68561. doi: 10.1371/journal.pone.0068561. Print 2013.
4
Trial watch: FDA-approved Toll-like receptor agonists for cancer therapy.研究观察:美国食品和药物管理局批准的用于癌症治疗的 Toll 样受体激动剂。
Oncoimmunology. 2012 Sep 1;1(6):894-907. doi: 10.4161/onci.20931.
5
Immune response and non-specific immunotherapy in melanoma.黑色素瘤中的免疫反应与非特异性免疫疗法
Ann R Coll Surg Engl. 1978 Mar;60(2):117-20.
6
Serum associated leucocyte locomotion inhibition and leucocyte motility in malignant melanoma: effect of BCG treatment.恶性黑色素瘤中血清相关白细胞游走抑制及白细胞运动:卡介苗治疗的影响
Clin Exp Immunol. 1979 Oct;38(1):92-8.
7
The role of immunotherapy in the management of patients with malignant melanoma.免疫疗法在恶性黑色素瘤患者管理中的作用。
World J Surg. 1979 Jul 30;3(3):309-20. doi: 10.1007/BF01556582.
8
Immunotherapy and chemoimmunotherapy of malignant disease with BCG and nonviable mycobacterial fractions.卡介苗及非活性分枝杆菌组分对恶性疾病的免疫治疗和化学免疫治疗
World J Surg. 1977 Sep;1(5):555-83. doi: 10.1007/BF01556181.