AIM: To evaluate the preventive effects of phosph-orus-32 glass microspheres (P32-GMS) in the recurrence of massive hepatocellular carcinomas (HCCs) after tumor resection. METHODS: Twenty-nine patients with massive HC...AIM: To evaluate the preventive effects of phosph-orus-32 glass microspheres (P32-GMS) in the recurrence of massive hepatocellular carcinomas (HCCs) after tumor resection. METHODS: Twenty-nine patients with massive HCCs received local P32-GMS implantation after liver tumors were removed,while the other 38 patients with massive HCCs were not treated with P32-GMS after hepatectomies. The radioactivity of the blood,urine and liver were examined. The complications,HCC recurrence and overall survival rates in the patients were analyzed. RESULTS: P32-GMS implanted in the liver did not cause systemic absorption of P32. There were no significant differences of postoperative complications between the patients with and without P32-GMS treatment. The short-term (six months and 1 year) and long-term (2,3 and over 3 years) recurrence rates in patients who received P32-GMS radiotherapy were signifi cantly decreased,and the overall survival rates in this group were signifi cantly improved. CONCLUSION: P32-GMS implantation in the liver can significantly decrease the postoperative recurrence and improve the overall survival in HCCs patients after hepatectomy. This therapy may provide an innovative method in prevention of HCC recurrence after operation.展开更多
AIM: To study the effects of phosphorus-32 glass microspheres(^32P-GMS) on human hepatocellular carcinoma in nude mice. METHODS: Human liver cancer cell line was implanted into the dorsal subcutaneous tissue of 40 BAL...AIM: To study the effects of phosphorus-32 glass microspheres(^32P-GMS) on human hepatocellular carcinoma in nude mice. METHODS: Human liver cancer cell line was implanted into the dorsal subcutaneous tissue of 40 BALB/c nude mice. Then the 40 tumor-bearing BALB/c nude mice were allocated into treatment group (n=32) and control group (n=8). In the former group different doses of ^32P-GMS were injected into the tumor mass, while in the latter nonradioactive ^31P-GMS was injected into the tumor mass. The experimental animals were sacrificed on the 14th day. The ultrastructural changes of tumor in both treatment group and control group were studied with transmission electron microscopy (TEM) and stereology. RESULTS: In treatment group, a lot of tumor cells were killed and the death rate of tumor cells was much higher (35-70%). UItrastructurally, severe nuclear damage was observed in the death cells. The characteristics of appoptosis such as margination of heterochromatin was also found in some tumor cells. Besides, well differentiated tumor cells, degenerative tumor cells and some lymphocytes were seen. The skin and musde adjacent to the tumor were normal. In control group, the tumor consisted of poorly differentiated tumor cells, in which there were only a few of dead cells (5%). Stereologicl analysis of ultrastructral morphology showed that Vv of nuclei (53.31±3.46) and Vv of nucleoli (20.40±1.84) in the control group were larger than those (30.21±3.52 and 10.96±2.52) in the treatment group respectively (P<0.01), and Vv of RER (3.21±0.54) and Vv of mitochondria (4.53±0.89) in the control group were smaller than those (8.67±1.25 and 7.12±0.95) in the treatment group respectively (P<0.01, 0.05). Sv of the membrane of microvilli and canaliculi (27.12 um^2/100 um^3±11.84 um^2/100 um^3) in the control group was smaller than that (78.81 um^2/100 um^3±19.69 um^2/100 um^3) in the treatment group (P<0.01). But Vv of lipid particles (3.71±1.97) and Vv of vacuoles (5.72±1.58)were much larger than those (0.30±0.16 and 0.35±0.15) in the treatment group respectively (P<0.05, P<0.01). CONCLUSION: The experimental results indicate that local administration of ^32P-GMS can produce obvious effect on liver cancer cells and the anticancer effect of ^32P-GMS is directly proportional to the dose administrated. UItrastructural stereology can also show the effect of ^32P-GMS on the normalization of tumor cells, which is beneficial to the prognosis and treatment of patients. Moreover, local administrtion of ^32P-GMS is also safe.展开更多
Objective To study anticancer effect and ultrastructural influence of phosphorus 32 glass microspheres( 32 P GMS) injected in the hepatocellular carcinoma in nude mice. MethodsThe ultrastructural changes of ...Objective To study anticancer effect and ultrastructural influence of phosphorus 32 glass microspheres( 32 P GMS) injected in the hepatocellular carcinoma in nude mice. MethodsThe ultrastructural changes of tumor in both the treatment group and control group were examined by transmission electron microscope. ResultsIn the treatment group,a large number of tumor cells were killed and the death rate of tumor cells was much higher(35%-70%). Ultrastructurally, severe nuclear damage was observed in the dead cells. The early characteristics of necrosis such as margination of heterochromatin were also found in some tumor cells. Besides,well differentiated tumor cells, degenerative tumor cells and some lymphocytes were seen. The skin and muscle close to the tumor were normal. In the control group,the tumor consisted of poor differentiated tumor cells,in which there were only a few appototic cells(5%). ConclusionThe results suggest that the local administration of 32 P GMS produces obviously the anticancer effect.展开更多
文摘AIM: To evaluate the preventive effects of phosph-orus-32 glass microspheres (P32-GMS) in the recurrence of massive hepatocellular carcinomas (HCCs) after tumor resection. METHODS: Twenty-nine patients with massive HCCs received local P32-GMS implantation after liver tumors were removed,while the other 38 patients with massive HCCs were not treated with P32-GMS after hepatectomies. The radioactivity of the blood,urine and liver were examined. The complications,HCC recurrence and overall survival rates in the patients were analyzed. RESULTS: P32-GMS implanted in the liver did not cause systemic absorption of P32. There were no significant differences of postoperative complications between the patients with and without P32-GMS treatment. The short-term (six months and 1 year) and long-term (2,3 and over 3 years) recurrence rates in patients who received P32-GMS radiotherapy were signifi cantly decreased,and the overall survival rates in this group were signifi cantly improved. CONCLUSION: P32-GMS implantation in the liver can significantly decrease the postoperative recurrence and improve the overall survival in HCCs patients after hepatectomy. This therapy may provide an innovative method in prevention of HCC recurrence after operation.
基金Supported by the Science and Technology commission of JiangsuProvince,No.B J93007 and Natural Science Foundation of JiangsuProvince,No.BK2001003
文摘AIM: To study the effects of phosphorus-32 glass microspheres(^32P-GMS) on human hepatocellular carcinoma in nude mice. METHODS: Human liver cancer cell line was implanted into the dorsal subcutaneous tissue of 40 BALB/c nude mice. Then the 40 tumor-bearing BALB/c nude mice were allocated into treatment group (n=32) and control group (n=8). In the former group different doses of ^32P-GMS were injected into the tumor mass, while in the latter nonradioactive ^31P-GMS was injected into the tumor mass. The experimental animals were sacrificed on the 14th day. The ultrastructural changes of tumor in both treatment group and control group were studied with transmission electron microscopy (TEM) and stereology. RESULTS: In treatment group, a lot of tumor cells were killed and the death rate of tumor cells was much higher (35-70%). UItrastructurally, severe nuclear damage was observed in the death cells. The characteristics of appoptosis such as margination of heterochromatin was also found in some tumor cells. Besides, well differentiated tumor cells, degenerative tumor cells and some lymphocytes were seen. The skin and musde adjacent to the tumor were normal. In control group, the tumor consisted of poorly differentiated tumor cells, in which there were only a few of dead cells (5%). Stereologicl analysis of ultrastructral morphology showed that Vv of nuclei (53.31±3.46) and Vv of nucleoli (20.40±1.84) in the control group were larger than those (30.21±3.52 and 10.96±2.52) in the treatment group respectively (P<0.01), and Vv of RER (3.21±0.54) and Vv of mitochondria (4.53±0.89) in the control group were smaller than those (8.67±1.25 and 7.12±0.95) in the treatment group respectively (P<0.01, 0.05). Sv of the membrane of microvilli and canaliculi (27.12 um^2/100 um^3±11.84 um^2/100 um^3) in the control group was smaller than that (78.81 um^2/100 um^3±19.69 um^2/100 um^3) in the treatment group (P<0.01). But Vv of lipid particles (3.71±1.97) and Vv of vacuoles (5.72±1.58)were much larger than those (0.30±0.16 and 0.35±0.15) in the treatment group respectively (P<0.05, P<0.01). CONCLUSION: The experimental results indicate that local administration of ^32P-GMS can produce obvious effect on liver cancer cells and the anticancer effect of ^32P-GMS is directly proportional to the dose administrated. UItrastructural stereology can also show the effect of ^32P-GMS on the normalization of tumor cells, which is beneficial to the prognosis and treatment of patients. Moreover, local administrtion of ^32P-GMS is also safe.
文摘Objective To study anticancer effect and ultrastructural influence of phosphorus 32 glass microspheres( 32 P GMS) injected in the hepatocellular carcinoma in nude mice. MethodsThe ultrastructural changes of tumor in both the treatment group and control group were examined by transmission electron microscope. ResultsIn the treatment group,a large number of tumor cells were killed and the death rate of tumor cells was much higher(35%-70%). Ultrastructurally, severe nuclear damage was observed in the dead cells. The early characteristics of necrosis such as margination of heterochromatin were also found in some tumor cells. Besides,well differentiated tumor cells, degenerative tumor cells and some lymphocytes were seen. The skin and muscle close to the tumor were normal. In the control group,the tumor consisted of poor differentiated tumor cells,in which there were only a few appototic cells(5%). ConclusionThe results suggest that the local administration of 32 P GMS produces obviously the anticancer effect.
