Keogh B, Chu T M, Williams P, Moore R H, Murphy G P
J Surg Oncol. 1976;8(6):449-59. doi: 10.1002/jso.2930080602.
Clinical chemotherapy in the treatment of neuroblastoma is undergoing further evaluation. Chemotherapeutic agents, cyclophosphamide, vincristine, and hexamethylmelamine, were investigated in a murine neuroblastoma model that, in part, histologically and morphologically resembles the human tumor. The tumor was inoculated subcutaneously (SC), intramuscularly (IM), intraperitoneally (IP), intrarenally (IR). Growth of tumor was observed at all sites, as well as the appearance of metastases. Maximal survival of 32 +/- 1 days was seen (SC) and the minimum was 15 +/- 1 days (IR) (p less than 0.05). Corresponding survival rate for IM was 26 +/- 1 days and IP 21 +/- 1 days. For this reason SC was selected for drug testing. Cyclophosphamide 100 mg/kg/week showed the most favorable results, as determined by autopsy status with fewer tumors and a greater tumor weight decrease over time. This agent also showed a significantly longer survival in comparison to all other drugs (p less than 0.0001). The results with vincristine and hexamethylmelamine in the dose ranges employed differed little from the placebo, except for the finding of a slight decrease in body weight at autopsy.
神经母细胞瘤治疗中的临床化疗正在接受进一步评估。在一种小鼠神经母细胞瘤模型中研究了化疗药物环磷酰胺、长春新碱和六甲蜜胺,该模型在组织学和形态学上部分类似于人类肿瘤。肿瘤通过皮下(SC)、肌肉内(IM)、腹腔内(IP)、肾内(IR)接种。在所有部位均观察到肿瘤生长以及转移灶的出现。观察到的最大生存期为32±1天(SC),最短为15±1天(IR)(p<0.05)。IM的相应生存期为26±1天,IP为21±1天。因此选择SC进行药物测试。根据尸检情况判断,每周100mg/kg的环磷酰胺显示出最有利的结果,肿瘤数量减少,肿瘤重量随时间明显减轻。与所有其他药物相比,该药物还显示出显著更长的生存期(p<0.0001)。在所使用的剂量范围内,长春新碱和六甲蜜胺的结果与安慰剂相比差异不大,只是在尸检时发现体重略有下降。