[Clinico-morphologic correlations of lesions induced by adriamycin administered in the thoracic aorta].

Giornale italiano di oncologia Pub Date : 1989-10-01
F Rusignuolo, F P Palumbo, M Bellisi, P Romano, G Anselmo, L F Cortese
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Abstract

The Authors, on the basis of 9 casual radiographic observations of thoracic aortic ectasy in subjects affected of neoplasms and previously treated with antitumoral drugs, hypothesize a possible correlation between the use of adriamycin and the appearance of the aortic lesion. So, they suggest an experimental study on 12 rabbits. They administered adriamycin 2 mg/kg twice weekly for 5 weeks to 8 rabbits. The other 4 rabbits are considered as control group. After 24 hours from the end of treatment the Authors sacrifice 4 treated rabbits and 2 controls, and they examine the heart and the thoracoabdominal aorta. This procedure is repeated at 21th day in the other 4 treated rabbits and in the controls. The histopathological examinations show in the treated group the appearance of lesions especially in the media. These lesions are the elastic fragmentation, the medionecrosis and the cystic necrosis, they can be responsible of aortic ectasy.

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[阿霉素在胸主动脉引起病变的临床形态学相关性]。
作者基于对9例肿瘤患者胸主动脉扩张的随机x线观察,假设阿霉素的使用与主动脉病变的出现之间可能存在相关性。因此,他们建议对12只兔子进行实验研究。8只家兔给予阿霉素2 mg/kg,每周2次,连续5周。其余4只兔作为对照组。治疗结束24小时后,取治疗兔4只,对照组2只,检查心脏和胸腹主动脉。在另外4只治疗兔和对照组中,在第21天重复上述步骤。组织病理学检查显示在治疗组病变的外观,特别是在介质。这些病变为弹性碎裂、中间坏死和囊性坏死,可导致主动脉扩张。
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