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微波消融和131I-肿瘤细胞核人鼠嵌合单克隆抗体联合治疗肺癌
引用本文:姚红霞,张金山. 微波消融和131I-肿瘤细胞核人鼠嵌合单克隆抗体联合治疗肺癌[J]. 国际放射医学核医学杂志, 2012, 36(5): 264-268,306
作者姓名:姚红霞  张金山
作者单位:广州医学院第三附属医院核医学科,510150
基金项目:广州市属高校科研一般项目(10A241)
摘    要:微波消融(MWA)被认为是一种肺癌局部控制的新型微创治疗方法,它通过超声、CT或MRI引导经皮穿刺导人微波天线,利用微波产热机制,高温原位灭活肿瘤细胞,对原发性周围型肺癌或转移性肺癌局部控制率较高,但对于瘤体负荷较大的肿瘤病灶(如肿瘤直径在3 cm以上)或近肺门的中心型肺癌、多发转移性肺癌的治疗风险大、疗效欠佳.以变性...

关 键 词:肺肿瘤  微波消融  碘放射性同位素  放射免疫疗法  抗体,单克隆

Combination of microwave ablation and 131^I labeled tumor necrosis therapy chimeric antibody in the treatment of lung cancer
Affiliation:YAO Hong-xia, ZHA NG Jin-shan. Department of Nuclear Medicine, the Third Affiliated Hospital of Guangzhou Medical College, Guangzhou 510150, China
Abstract:Microwave ablation(MWA) has been considered as an advanced, minimally invasive tech- nique in the treatment of lung cancer with a high local efficiency. MWA can inactivate tumor cells based on microwave heating mechanisms. It has a high local control rate of primary peripheral lung cancer and metastatic lung cancer result from percutaneous microwave antennas injection under ultrasound, CT and MRI guidance. However, for the lesions those are greater than 3.0 cm in diameter or abutting the hilars and the dif- fuse lesions there is less effective.131^I labeled tumor necrosis therapy chimeric antibody (131^I-chTNT), a novel radioimmunotherapy which uses cell of degeneration or necrotic tumor cell nuclear antigen as target provides a new therapeutic approach for lung cancer, but the complete response is low. MWA can induce a mass tumor necrosis under the action of microwave thermal effect which greatly increases the targeting area for 131^I-chTNT radioimmunotherapy. Therefore, combination of MWA and 131^I-chTNT will enhance the treatment efficacy of lung cancer.
Keywords:Lung neoplasms  Microwave ablation  Iodine radioisotopes  Radioimmunotherapy  Antibodies, monoclonal
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