[Combination of adoptive immunotherapy and chemotherapy against advanced cancer with peritoneal dissemination].

Nihon Gan Chiryo Gakkai shi Pub Date : 1990-08-20
M Iwahashi, H Tanimura, H Yamaue, T Tsunoda, M Tani, M Tamai, K Taniguchi, Y Aoki
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Abstract

In a case of advanced gastric cancer with bilateral Krukenberg's tumors and peritonitis carcinomatosa, total gastrectomy, splenectomy and bilateral oophorectomy was performed. Since progressive peritoneal dissemination was recognized, 150 mg of CDDP and 10 mg of MMC which were proved to be effective by chemosensitivity test of anticancer drugs were administered intraperitoneally. After one month, ascites increased. So LAK cells and TIL were transferred intraperitoneally 6 times. With this treatment ascitic collection remarkably decreased, the performance status improved and serum level of IAP and CA125 normalized. Thus, it is clarified that the combination of adoptive immunotherapy and chemotherapy possesses therapeutic efficacy against advanced gastric cancer with peritonitis carcinomatosa.

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【过继性免疫治疗与化疗联合治疗晚期肿瘤伴腹膜播散】。
晚期胃癌合并双侧Krukenberg肿瘤及癌性腹膜炎1例,行全胃切除术、脾切除术及双侧卵巢切除术。由于认识到进展性腹膜播散,经抗癌药物化疗敏感性试验证实有效的CDDP 150 mg和MMC 10 mg腹腔注射。一个月后,腹水增加。因此,LAK细胞和TIL腹腔内转移6次。治疗后腹水收集明显减少,运动性能改善,血清IAP和CA125水平恢复正常。由此可见,过继性免疫治疗联合化疗对晚期胃癌合并癌性腹膜炎具有治疗效果。
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