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[VX2卵巢肿瘤腹腔注射顺铂后的血流模式及肿瘤血管变化]

[Blood flow pattern and tumor vascular change following intraperitoneal administration of CDDP in VX2 ovarian tumor].

作者信息

Hasegawa E

机构信息

1st Department of Obstetrics and Gynecology, Toho University School of Medicine, Tokyo.

出版信息

Nihon Sanka Fujinka Gakkai Zasshi. 1993 May;45(5):451-6.

PMID:8496635
Abstract

Following intraperitoneal(IP) administration of cis-diamminedichloroplatinum(CDDP), a dynamic study was conducted on rabbits in Angiotensin II(ATII) induced hypertension to investigate hemodynamic changes in VX2 ovarian tumors. VX2 tumors for transplantation were prepared in Japanese white female rabbits. 15mg/kg of CDDP in 30ml/kg 0.9% NaCl solution was IP administration to the rabbits. The tissue platinum(Pt) concentration was measured and tumor vascular model prepared. The rabbits also received IP combined with 1.2g/kg intravenous administration of sodium thiosulfate(STS), and a hemodynamic study was run on rabbits with ATII induced hypertension two weeks after administration. IP administration resulted in tissue Pt levels as high as 18.50 +/- 8.05 micrograms/g in the VX2 ovarian tumors, with a tiny non-enhanced area appearing in the rim enhancement, consistent with necrotic changes. The tumor time-density curve following IP was characterized by a markedly delayed washout, with many hypovascular portions noted in the vascular model and a clear decrease in tumor vessels measuring 30 microns or less. in contrast, the peak value increased in the time-density curve and there was washout in the excretory phase following ATII induced hypertension. In view of the results, we suggest that a microcirculatory disorder resulting from IP administration could be improved under ATII induced hypertension.

摘要

在腹腔内(IP)注射顺二氨二氯铂(CDDP)后,对血管紧张素II(ATII)诱导的高血压兔进行了一项动态研究,以调查VX2卵巢肿瘤的血流动力学变化。在日本白色雌性兔中制备用于移植的VX2肿瘤。将15mg/kg的CDDP溶于30ml/kg的0.9%氯化钠溶液中腹腔注射给兔子。测量组织铂(Pt)浓度并制备肿瘤血管模型。兔子还接受腹腔注射联合1.2g/kg静脉注射硫代硫酸钠(STS),并在给药两周后对ATII诱导的高血压兔进行血流动力学研究。腹腔注射导致VX2卵巢肿瘤组织Pt水平高达18.50±8.05微克/克,边缘强化中出现微小的无强化区域,与坏死变化一致。腹腔注射后的肿瘤时间-密度曲线的特征是洗脱明显延迟,血管模型中可见许多低血供部分,且直径30微米及以下的肿瘤血管明显减少。相比之下,在ATII诱导的高血压后的排泄期,时间-密度曲线的峰值增加且有洗脱。鉴于这些结果,我们认为腹腔注射引起的微循环障碍在ATII诱导的高血压下可能得到改善。

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