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Studies on preoperative cancer chemotherapy —Effects of preoperative intra-arterial infusion of methotrexate and mitomycin C on stomach cancer—

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Summary

Preoperative intra-arterial infusion with methotrexate and mitomycin C was carried out in 17 patients with gastric cancer and its efficacy was confirmed by autoradiography of gastric cancer cells labeledin vitro with3H-thymidine. The average dose of methotrexate administered was about 90 mg and that of mitomycin C was 8 mg. Decrease in grain count and a low percentage of labeled cells in gastric cancer tissues and metastatic lymph nodes were found in the treated patients. On the basis of these findings, it was concluded that this therapy could inhibit remarkably DNA biosynthesis of gastric cancer cells. In addition, the following morphological changes were observed in cancer cells from most of the treated patients; vacuolation and pyknosis of nuclei, cytolysis, and increased cellular debris. A discussion was given of usefulness of this therapy as a prophylactic treatment of cancer metastasis originating from surgery.

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References

  1. Baserga, R., Kisieleski, W. E. and Halvorsen, K.: A study on the establishment and growth of tumor metastases with tritiated thymidine, Cancer Res., 20: 910–917, 1960.

    PubMed  CAS  Google Scholar 

  2. Baserga, R., Henegar, G. C., Kisieleski, W. E. and Lisco, H.: Uptake of tritiated thymidine by human tumors in vivo, Lab. Invest., 11: 360–364, 1962.

    PubMed  CAS  Google Scholar 

  3. Clarkson, B., Young, C., Dierick, W., Kuehn, P., Kim, M., Berrett, A., clapp, P. and Lawrence, W.: Effects of continuous hepatic artery infusion of antimetabolites on primary and metastatic cancer of the liver, Cancer, 15: 472–488, 1962.

    Article  PubMed  CAS  Google Scholar 

  4. Clarkson, B., Ota, K., Ohkita, T. and O'Connor, A.: Kinetics of proliferation of cancer cells in neoplastic effusions in man, Cancer, 18: 1189–1213, 1965.

    Article  PubMed  CAS  Google Scholar 

  5. Condit, P. T., Shnider, B. I. and Owens, A. H.: Studies on the folic acid vitamins. VII. The effects of large doses of amethopterin in patients with cancer, Cancer Res., 22: 706–712, 1962.

    PubMed  CAS  Google Scholar 

  6. Duff, J. K., Sullivan, R. D., Miller, E., Ulm, A. H., Clarkson, B. D. and Clifford, P.: Antimetabolite-metabolite cancer chemotherapy using continuous intra-arterial methotrexate with intermittent intramuscular citrovorum factor, Cancer, 14: 744–752, 1961.

    Article  PubMed  CAS  Google Scholar 

  7. Eagle, H.: Amino acid metabolism in mammalian cell cultures, Science, 130: 432–437, 1959.

    PubMed  CAS  Google Scholar 

  8. Fujimoto, S.: Effect of pyridoxal phosphate on toxicity and antitumor activity of mitomycin C and 4-deoxypyridoxine hydrochloride in rats, Cancer Chemother. Rep., 50: 313–318, 1966.

    CAS  Google Scholar 

  9. Fujimoto, S., Watanabe, Y., Enomoto, K., Adachi, M., Itoh, K. and Watanuki, S.: Studies on preoperative cancer chemotherapy. Methods of preoperative intraarterial infusion by the use of methotrexate and vinblastine, Cancer, 24: 433–441, 1969.

    Article  PubMed  CAS  Google Scholar 

  10. Johnson, H. A. and Bond, V. P.: A method of labeling tissues with tritiated thymidine in vitro and its use in comparing rates of cell proliferation in duct epithelium, fibroadenoma, and carcinoma of human breast, Cancer, 14: 639–643, 1961.

    Article  PubMed  CAS  Google Scholar 

  11. Lieb, L. M. and Lisco, H.: In vitro uptake of tritiated thymidine by carcinoma of the human colon, Cancer Res., 26: 733–740, 1966.

    PubMed  CAS  Google Scholar 

  12. Lipkin, M., Bell, B. and Sherlock, P.: Cell proliferation kinetics in the gastrointestinal tract of man. I. Cell renewal in colon and rectum, J. Clin. Invest., 42: 767–776, 1963.

    Article  PubMed  CAS  Google Scholar 

  13. McDonald, G. O., Livingston, C., Boyles, C. F. and Cole, W. H.: The prophylactic treatment of malignant disease with nitrogen mustard and triethylenethiophosphoramide (Thio TEPA), Ann. Surg., 145: 624–629, 1957.

    PubMed  CAS  Google Scholar 

  14. Rubini, J. R., Cronkite, E. P., Bond, V. P. and Fliedner, T. M.: The metabolism and fate of tritiated thymidine in man, J. Clin. Invest., 39: 909–918, 1960.

    PubMed  CAS  Google Scholar 

  15. Rubini, J. R., Cronkite, E. P., Bond, V. P. and Keller, S.: In vitro labeling of proliferating tissues and tumors with tritiated thymidine, J. Nucl. Med., 2: 223–230, 1961.

    Google Scholar 

  16. Shapiro, D. M. and Fugmann, R. A.: A role for chemotherapy as an adjunct to surgery, Cancer Res., 17: 1098–1101, 1957.

    PubMed  CAS  Google Scholar 

  17. Shiba, S. and Taguchi, T.: Mitomycin. Its experimental research and clinical application, 1st ed. Tokyo (in Japanese), Igaku shoin, 1967; pp. 75–78.

  18. Sullivan, R. D., Miller, E. and Sikes, M. P.: Antimetabolite-metabolite combination cancer chemotherapy. Effects of intra-arterial Methotrexate-intramuscular citrovorum factor therapy in human cancer, Cancer, 12: 1248–1262, 1959.

    Article  PubMed  CAS  Google Scholar 

  19. Titus, J. L. and Shorter, R. G.: Labeling of human tumors with tritiated thymidine, Arch. Pathol., 79: 324–328, 1965.

    PubMed  CAS  Google Scholar 

  20. Veterans Administration Cooperative Surgical Adjuvant Study Group. Use of ThioTEPA as an adjuvant to the surgical management of carcinoma of the stomach, Cancer, 18: 291–297, 1965.

    Article  Google Scholar 

  21. Wolberg, W. H. and Brown, R. R.: Autoradiographic studies of in vitro incorporation of uridine and thymidine by human tumor tissue, Cancer Res., 22: 1113–1119, 1962.

    PubMed  CAS  Google Scholar 

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Fujimoto, S., Urushibara, O., Watanabe, Y. et al. Studies on preoperative cancer chemotherapy —Effects of preoperative intra-arterial infusion of methotrexate and mitomycin C on stomach cancer—. Japanese Journal of Surgery 1, 72–82 (1971). https://doi.org/10.1007/BF02468543

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  • DOI: https://doi.org/10.1007/BF02468543

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