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1.
Shi B  Fu Z  Lei XH 《中华肿瘤杂志》1997,19(6):423-426
目的 研究^153Sm-乙二胺四亚甲基膦酸(^153Sm-EDTMP)对荷瘤大鼠骨侵袭、骨溶解的抑制作用。方法 运用X线骨骼照片和胫骨病理切片,观察Walker256癌大鼠模型的肿瘤骨侵袭和骨溶解情况。结果 荷瘤大鼠静脉注射^153Sm-EDTMP74,148MBg/kg后,遭受Walker256癌侵袭及发生骨溶解的胫骨数减少近一半,37MBg/kg组对癌的骨侵袭和骨溶解仍有抑制作用。但各组大鼠的  相似文献   

2.
本文报道应用骨膦和/或153Sm-EDTMP内照射治疗骨转移癌74例。骨膦组21例,153Sm-EDTMP组26例,对骨痛止痛有效率分别为85.7%和80.8%,对骨病变有效率分别为9.5%和19.2%。而联合应用骨膦和153Sm-EDTMP治疗31例,止痛有效率和骨病变有效率分别为93.5%和45.2%,后者与前2组相比有显著差异(P<0.05)。三组毒副反应均少见。由此提示,骨膦+153Sm-EDTMP疗效显著,安全可靠,可能是当今治疗多发性骨转移癌的优选疗法。  相似文献   

3.
^153Sm—EDTMP治疗多发性骨转移癌   总被引:5,自引:0,他引:5  
用153Sm-EDTMP(ethylenediaminetetramethylenePhosphonicacid)治疗多发性骨转移癌60例,其原发灶均经病理及细胞学证实。静脉一次给予量为14.8~29.6MBq/kg体重,多数病人(50/60)按18.5MBq/kg体重计算治疗剂量,一般病人治疗1~4次,两次治疗间隔为4~8周。止痛有效率为81.7%(49/60),给药前2周内99mTc-MDP与给药后153Sm-EDTMP全身骨显像进行观察比较。随访1~12个月,认为153Sm-EDTMP治疗多发性骨转移癌疗效好、副反应小,使用安全  相似文献   

4.
^153Sm—EDTMP对癌症骨痛治疗和提高生活质量的价值   总被引:14,自引:0,他引:14  
应用^153Sm-EDTMP,治疗各种骨继发性肿瘤40例。静脉一次给予量为29.6MBq/kg(0.8mCi/kg),其中7例接受重复治疗。随访时间为30天~10个月。给药前2周内^99mTc-MDP与给药后^153Sm-EDTMP全身骨显象观察比较。该药副作用轻微,止痛效果显著。本组显效9例,有效24例,总有效率为82.5%,骨痛得到控制,生活质量明显提高。  相似文献   

5.
帕米膦酸二钠(APD)与^153钐-乙二胺四甲基膦酸(153Sm-EDTMP)皆为治疗骨继发性恶性肿瘤的较新药物,为比较两者的治疗效果,将42例骨继发性患者随机分为APD组和^153Sm-EDTMP组每组各21例,结果显示:APD和^153Sm-EDTMP组对患者骨痛缓解率分别为76.19%,90.48%(P〉0.05),APD与^153Sm-EDTMP对骨转移灶控制率分别为47.62%,23.8  相似文献   

6.
目的 分析影响^153Sm-EDTMP对肿瘤转移性骨痛治疗效果的相关因素,方法 对我院近两年使用^153Sm-EDTMP行内照射治疗的59例肿瘤转移性骨病人进行回顾性分析,按年龄,病灶数量,不同肿瘤分组,单次剂量给予^153Sm-EDTMP18.5-37MBq/kg静脉注射,第2天行全身骨显像现查放射分布情况,建立随访。结果 总有效率为93.6%,在年龄组中,以老年组效果最好,止痛有效率为96.9  相似文献   

7.
帕米膦酸二钠(APD)与153钐-乙二胺四甲基膦酸(153Sm-EDTMP)皆为治疗骨继发性恶性肿瘤的较新药物。为比较两者的治疗效果,将42例骨继发性患者随机分为APD组和153Sm-EDTMP组,每组各21例,结果显示,APD和153Sm-EDTMP组对患者骨痛缓解率分别为76.19%,90.48%(P>0.05)。APD与153Sm-EDTMP对骨转移灶控制率分别为47.62%、23.81%(P<0.05)。说明APD对转移病灶控制的效果更佳。两种药物毒副作用不大,患者均可耐受。  相似文献   

8.
^153Sm—乙二胺四亚甲基磷酸盐治疗骨肿瘤转移性疼痛   总被引:3,自引:0,他引:3  
本文介绍了一种新的肿瘤转移性疼痛治疗方法-^153Sm-乙二胺四亚甲基磷酸盐(^153Sm-EDTMP)放射药物治疗法。^153Sm-EDTMP血液清除快,病变区骨摄取高,对正常组织及造血系统的毒副作用小。经临床近千例验证,^153Sm-EDTMP对肿瘤转移性骨痛的缓解率为76%~96%,治疗后转移灶完全消失占10%。^153Sm-EDTMP治疗是临床常规治疗无效后缓解及治疗转移性骨痛的首选方法。  相似文献   

9.
^153Sm—EDTMP对鼻咽癌骨转移患者免疫状态影响的初探   总被引:2,自引:1,他引:1  
樊卫  曾宗渊 《癌症》1998,17(2):146-147
153Sm-EDTMP对鼻咽癌骨转移患者免疫状态影响的初探樊卫曾宗渊关键词鼻咽肿瘤骨转移瘤153Sm-EDTMP核素治疗T细胞亚群中图号R739.63R738.1钐-153乙二胺四甲撑膦酸(153Sm-EDTMP)治疗鼻咽癌(NPC)骨转移已成为一种...  相似文献   

10.
应用153Sm─EDTMP(ethylenediaminetetramethylentphosphonicacid),治疗各种骨继发性肿瘤  40例。静脉一次给予量为29.6MBq/kg(0.8mCi/kg),其中7例接受重复治疗。随访时间为30天~10个月。给药前2周内99mTc─MDP与给药后153Sm─EDTMP全身骨显象观察比较。该药副作用轻微,止痛效果显著。本组显效9例,有效24例,总有效率为82.5%,骨痛得到控制,生活质量明显提高。  相似文献   

11.
Line A Walker carcinoma differs from line B in that it does not elicit hypercalcemia and hypercalciuria when implanted in rats at various sites (s.c, i.m., intraaortically). However, Walker 256/A, unlike line B, may invade the tibia when implanted i.m. in the adjacent gastrocnemius muscle. This invasion was evaluated by measuring the increased weight of the bone and decreased calcium concentration per unit weight of the tibia, by reduced opacity to X-ray, and by the presence of tumor cells in the compact bone cortex. Ethane-1-hydroxy-1,1-bis(phosphonate), a diphosphonate derivative, at a dose of 10 to 30 mg/kg/day s.c., prevented cancer cell invasion of the tibia as judged by the above criteria. This inhibition was obtained with no apparent effect on the growth of Walker 256/A carcinoma.  相似文献   

12.

BACKGROUND:

Samarium‐153 ethylenediaminetetramethylene phosphonic acid (153Sm‐EDTMP) has been used to treat patients with high‐risk osteosarcoma. The purpose of the current study was to determine the maximally tolerated dose of 153Sm‐EDTMP that permits hematopoietic recovery within 6 weeks.

METHODS:

Patients with recurrent or refractory osteosarcoma with bone metastases were enrolled in this study. Subjects were treated with increasing doses of 153Sm‐EDTMP, beginning with 1.0 millicuries (mCi)/kg and followed initially with 40% increment dose level escalations, using a continual reassessment method for dose escalation and de‐escalation with a target dose–limiting toxicity (DLT) rate of 30%. Complete blood counts were monitored weekly, and the primary DLT was defined as failure to achieve an absolute neutrophil count >750/mm3 and a platelet count >75,000/mm3 within 6 weeks of treatment. In addition to assessing toxicity, dosimetry measurements were made to estimate the radiation dose delivered to target lesions.

RESULTS:

The maximally tolerated dose of 153Sm‐EDTMP was 44.8 megabecquerel (MBq)/kg (1.21 mCi/kg). DLTs were confined to hematologic toxicities, particularly delayed platelet recovery in 2 patients treated at a dose of 51.8 MBq/kg (1.4 mCi/kg). Grade 2 and 3 pulmonary toxicity (graded according to the National Cancer Institute Common Toxicity Criteria [version 3.0]) as reported in 2 patients (at administered activities of 44.8 MBq/kg and 51.8 MBq/kg) was attributable to progressive pulmonary disease. No other significant nonhematologic toxicities were observed.

CONCLUSIONS:

Patients with osteosarcoma who have previously been heavily treated with chemotherapy can be safely administered 153Sm‐EDTMP with rapid hematologic recovery. The data from the current study support the development of a future trial to assess the efficacy of combining targeted radiotherapy with cytotoxic chemotherapy as a treatment option for patients with high‐risk osteosarcoma. Cancer 2009. © 2009 American Cancer Society.  相似文献   

13.
Line A of Walker 256 carcinoma implanted in the muscle adjacent to the tibia of young (6 weeks) and adult (9 months) male rats invaded the bone. Osteolysis and reactive growth were greater in the bone of young animals than in adults. Ethane-1-hydroxy-1, 1-bisphosphonate prevented bone lysis and tumor invasion of the cortex both in young and adult animals. This model may be useful for studies of age-related differences in tumor infiltration into the bone and for investigating drug effects on this process.  相似文献   

14.
张碧媛  吴雪松  彭宗玉 《肿瘤》2000,20(5):358-359
目的 探讨帕米膦酸二钠(博宁)联合^153Sm-EDTMP对恶性肿瘤多发骨转移的临床疗效。方法 32例恶性肿瘤多发骨转移患者随机分为2组,每组16例,分别接受^153Sm-EDTMP单独或与帕米膦酸二钠联合治疗。结果 联合组疼痛总缓解率(CR+PR)为93.8%,单用组为62.5%,骨病灶控制总有效率(CR+PR)联合组56.3%,单用组为18.8%,联合组疗效优于单用组(P〈0.05),两组均无  相似文献   

15.
16.
153Sm-EDTMP治疗多发性骨转移癌的疗效分析   总被引:5,自引:0,他引:5  
目的:评价^153Sm-EDTMP对多发性骨转移癌的止痛效果及消作用。方法:首次静脉给药剂量为37MBq/kg。重复治疗剂量,结合患者病情、病灶数、血象等的情增减。3次为一个疗程,给药间隔平均6周。结果:156例骨转移患者,骨痛完全缓痛52例(33.3%),部分缓解81例(51.9%),无效23例(21.2%)。止痛有效率为85.2%(133/156),72例骨转移患者治疗后,病灶骨/全身骨放射睡  相似文献   

17.
目的:通过骨显像评价^153钐-EDTMP治疗骨转移癌的效果,进而证实其抑制、消除转移灶作用。方法:对182例恶性肿瘤合并骨转移病人共进行560次^153钐-EDTMP治疗,治疗前后常规行骨显像检查。结果:^153钐-EDTMP治疗后疼痛总缓解率为88.46%(161/182),12.64%(23/182)病例发生严重白细胞减低。44.51%(81/182)病例骨转移灶缩小、消失。结论:^153钐-EDTMP是通过抑制、消除骨转移灶达到止痛的。骨显像能显示治疗后骨转移灶的变化。  相似文献   

18.
Squamous cell carcinoma (SCC) is the most common form of oral cancer. Destruction and invasion of mandibular and maxillary bone frequently occurs and contributes to morbidity and mortality. We hypothesized that the bisphosphonate drug zoledronic acid (ZOL) would inhibit tumor-induced osteolysis and reduce tumor growth and invasion in a murine xenograft model of bone-invasive oral SCC (OSCC) derived from an osteolytic feline OSCC. Luciferase-expressing OSCC cells (SCCF2Luc) were injected into the perimaxillary subgingiva of nude mice, which were then treated with 100 μg/kg ZOL or vehicle. ZOL treatment reduced tumor growth and prevented loss of bone volume and surface area but had no effect on tumor invasion. Effects on bone were associated with reduced osteolysis and increased periosteal new bone formation. ZOL-mediated inhibition of tumor-induced osteolysis was characterized by reduced numbers of tartrate-resistant acid phosphatase-positive osteoclasts at the tumor-bone interface, where it was associated with osteoclast vacuolar degeneration. The ratio of eroded to total bone surface was not affected by treatment, arguing that ZOL-mediated inhibition of osteolysis was independent of effects on osteoclast activation or initiation of bone resorption. In summary, our results establish that ZOL can reduce OSCC-induced osteolysis and may be valuable as an adjuvant therapy in OSCC to preserve mandibular and maxillary bone volume and function.  相似文献   

19.
This study was designed to assess femur angioarchitecture and hematological effects of Walker 256/B cells in a rat model of tumor osteolysis. Tumor osteolysis was induced by in situ inoculation of Walker 256/B malignant cells. Six other rats were sham operated and served as control. Twenty days later, rats were euthanized, and femurs were collected than radiographed. Angioarchitecture [mean lumen diameter (MLD), wall thickness (WTh), Vessel number, volume, and separation (VNb, VV, and VSp respectively)] was studied by histomorphometry at 2 different positions (P1: diaphysis, and P2: metaphysis) of the operated femora. Some hematological parameters were also assessed. Walker 256/B induced marked tumor osteolysis, with cortical perforation and trabecular destruction, associated increase in bone vascularization (increases of VNb and VV and decrease of VSp). Angioarchitecture of W256/B rats was disorganized and showed large MLD and lower WTh. These effects were more prominent in P2. When compared to Sham group, significantly decreases at levels of red blood cell (RBC), hemoglobin (Hb), hematocrit (Ht), and white blood cell (WBC) were observed in W256/B rats. These results suggest that Walker 256/B cells induced tumor osteolysis, improve hypervasculature especially near the tumoral foci (P2) associated hematological disruption. Besides, tumor vessels showed abnormal (enlarged and thinner) and disorganized morphology.  相似文献   

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