Summary
A combination of MFC (Mitomycin-C, 5-FU and Cytosine arabinoside) was administered to 32 gastric cancer patients and study was made of the therapeutic efficacy in relation to the histological pattern.
In evaluation based on the degree of cancer cell infiltration (INF), chemotherapy was more effective in cases with INF α and β than those with INF γ. As for the grade of follicular hyperplasia in regional lymph nodes of gastric cancer, the higher was the grade, the more effective was the chemotherapy.
However, a significant relationship could not be observed between histological pattern of stromal reaction of the gastric cancer and clinical effects of chemotherapy. The grade of lymphocyte infiltration or connective tissue reaction in the stroma was not related with the therapeutic effects. No relationship was also obtained between the grade of sinus histiocytosis of lymphoid reaction in the lymph nodes and therapeutic effects.
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References
Black, M.M., Opler, S., and Speer, F.D.: Microscopic structure of gastric carcinoma and their regional lymph nodes in relation to survival,Surg. Gyn. Obst. 98: 725–734, 1954.
Hattori, T., Tetsuro, S., Niimoto, M., Yamagata, S., Terao, H., and Tani, T.: Clinical experiences with the intra-tumoral large-dose administration of OK-432,Gan to Kagakuryoho (Cancer & Chemotherapy) 1: 985–989, 1975, (in Japanese).
Hattori, T., Niimoto, M. and Toge, T.: Immunotherapy of cancer in combination with surgery”,Rinsho-geka (Journal of Clinical Surgery) 30: 1393–1399, 1975 (in Japanese).
Hattori, T., Niimoto, M., Yamagata, S. and Toge, T.: Clinical studies on streptococcal preparation (OK-432) combined with Mitomycin-C, 5-FU and Cytosine arabinoside in advanced cancer patients,Jap. J. Surg. 5: 133–138, 1975.
Japanese Research Society for Gastric Cancer: The general rule for the gastric cancer study in surgery,Jap. J. Surg., 3: 61–71, 1973.
Karnofsky, D.A.: Meaningful clinical classification of therapeutic response to anticancer drugs,Clin. Pharm. Ther. 2: 705–712, 1961.
Kimura, T. and Koyama, Y.: Chemotherapy as an adjuvant to surgery in gastric carcinoma, Proceeding of the Japanese Cancer Association, The 31 st Annual Meeting, 133, (Nagoya) 1972.
Murakami, T., Iwanami, H. and Miyauchi, H.: Relation between the grade of anaplasia of gastric cancer and the histological features as well as its prognosis,Nihon Gan Chiryo Gakkai Zasshi, (J. Jap. Cancer Th.) 3: 252–258, 1968 (in Japanese).
Niimoto, M. and Hattori, T.: Evaluation of chemotherapeutic effects in relation to the histological pattern of the gastric cancer,Gan no Rinsho (Jap. J. Cancer Clin.) 22: 1231–1237, 1976 (in Japanese).
Sasao, T., Niimoto, M., Ohya, M., Yamagata, S., Toge, T., Terao, H., Tani, T., Nagata, N. and Hattori, T.: Clinical study on combined treatment of MFC (Mitomycin-C, 5-FU, Cytosine arabinoside) and OK-432 for the advanced cancer patients,Gan to Kagaku-ryoho (Cancer & Chemotherapy) 1: 991–997, 1975 (in Japanese).
Shinoda, M. and Fujisawa, T.: A study on tumor and interstitium,J. Kyoto Pref. Med. Univ. 83: 93–98, 1974 (in Japanese).
Ster, J.L., Elias, G.E., Didolkar, M. and Holyoke, E.D.: Evaluation of palliative resection in advanced carcinoma of the stomach,Surgery 70: 291–298, 1975.
Straus, F.H., Cheronis, N.D. and Staus, E.: Demonstration of reducing enzyme systems in neoplasms and living mammalian tissue by triphenyltetrazolium chloride,Science 108: 113–115, 1948.
The criteria of the Japan Society for Cancer Therapy:Nihon Gan Chiryo Gakkai Zasshi (J. Jap. Cancer Th.) 2: 79, 1967 (in Japanese).
Toge T., Samaru, Y., Fujii, G. and Hattori, T.: Human lymphocyte response to PHA and PWM in micromethod,Rinsho-meneki (J. Clinical Immunology) 7, 111–116, 1975 (in Japanese).
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Niimoto, M., Yamagata, S., Toge, T. et al. Evaluation of chemotherapeutic effects on gastric cancer in relation to the histological pattern. The Japanese Journal of Surgery 8, 1–9 (1978). https://doi.org/10.1007/BF02469329
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DOI: https://doi.org/10.1007/BF02469329