Mack P, Cheng L Y
Department of Surgery, Singapore General Hospital, Republic of Singapore.
HPB Surg. 1998;11(2):75-86. doi: 10.1155/1998/45925.
The usefulness of metabolic heat measurements in quantifying the response of a solid tumour to anticancer treatment was evaluated. The heat production characteristic of malignant tissues, as measured from human stomach, breast and liver cancer samples, was observed to be inconsistent, and its value could be higher or lower than that of its normal tissue of origin. The various thermal activity responses of an experimental rat hepatoma to hepatic artery ligation, cryotherapy, intra-arterial (i.a.) Adriamycin (2.4 mg/kg), i.a. Norcantharidin (0.5 mg/kg) were next studied. The tumour/liver (T/L) ratio of untreated tumour-bearing rats was 0.83 but this fell to a minimum at 24 h in both the hepatic artery ligation and the cryosurgery groups. In these two groups marked fluctuations in the heat production of normal liver occurred with poor recovery of the T/L ratio even at 2-3 weeks. In the Adriamycin group, the T/L ratio dropped to a minimum at 5 days, and in the Norcantharidin group, at 3 days. Minimal disturbances in the thermal activity of liver tissue occurred in these two chemotherapy groups and the T/L ratio recovered by 3 weeks. Norcantharidin appeared as efficacious as Adriamycin in the treatment of hepatoma when evaluated in terms of thermal activity.
评估了代谢热测量在量化实体瘤对抗癌治疗反应方面的实用性。通过对人胃癌、乳腺癌和肝癌样本的测量发现,恶性组织的产热特征并不一致,其值可能高于或低于其起源的正常组织。接下来研究了实验性大鼠肝癌对肝动脉结扎、冷冻疗法、动脉内(i.a.)阿霉素(2.4mg/kg)、动脉内去甲斑蝥素(0.5mg/kg)的各种热活性反应。未治疗的荷瘤大鼠的肿瘤/肝脏(T/L)比值为0.83,但在肝动脉结扎组和冷冻治疗组中,该比值在24小时时降至最低。在这两组中,正常肝脏的产热出现明显波动,即使在2 - 3周时T/L比值也恢复不佳。在阿霉素组中,T/L比值在5天时降至最低,而去甲斑蝥素组在3天时降至最低。这两个化疗组肝脏组织的热活性干扰最小,T/L比值在3周时恢复。从热活性方面评估,去甲斑蝥素在治疗肝癌方面似乎与阿霉素一样有效。