Latz D, Thonke A, Jüling-Pohlit L, Pohlit W
Department of Radiotherapy, University of Heidelberg.
Strahlenther Onkol. 1993 Jul;169(7):405-11.
The present study deals with the changes induced by two fractionation schedules (5 x 9 Gy and 10 x 4.5 Gy; 30 MeV-electrons) of ionizing radiations and 2-deoxy-D-glucose (2-DG) application on EATC tumor bearing swiss albino mice. The monitoring of tumor response was carried out by means of caliper measurement on the macroscopic level and by histopathological examination of tumor preparations stained with hematoxiline and eosine on the microscopic level. The tumor material was assessed at suitable intervals after treatment by killing the animals. The tumor response was analysed in the histological preparations and the thickness of the tumor band was determined quantitatively by an ocular micrometric technique. Tumor damage was most extensive in the combined treated animals (5 x 9 Gy + 2-DG). Only in this group local tumor control was achievable. The histological analysis of tumor preparations revealed additional data about treatment-induced changes in the tumor compared to the measurement of the tumor volume with mechanical calipers. We also found that the treatment outcome could be predicted from the histopathological analysis. It is concluded that studies involving histopathological examinations may give some insight into the way cancer is controlled by radiotherapy and may be of value in prognosis and selection of treatment in patients.
本研究探讨了两种分割照射方案(5×9 Gy和10×4.5 Gy;30 MeV电子)的电离辐射以及应用2-脱氧-D-葡萄糖(2-DG)对荷EATC肿瘤的瑞士白化小鼠所诱导的变化。通过在宏观水平上用卡尺测量以及在微观水平上对用苏木精和伊红染色的肿瘤标本进行组织病理学检查来监测肿瘤反应。在治疗后通过处死动物在适当的时间间隔评估肿瘤材料。在组织学标本中分析肿瘤反应,并通过目镜测微技术定量测定肿瘤带的厚度。联合治疗的动物(5×9 Gy + 2-DG)的肿瘤损伤最为广泛。只有在该组中才能实现局部肿瘤控制。与用机械卡尺测量肿瘤体积相比,对肿瘤标本的组织学分析揭示了有关治疗引起的肿瘤变化的更多数据。我们还发现,治疗结果可以从组织病理学分析中预测。得出的结论是,涉及组织病理学检查的研究可能会对放射治疗控制癌症的方式提供一些见解,并且可能在患者的预后和治疗选择中具有价值。