富血小板血浆皮肤移植对大鼠化学诱导的皮肤癌切除术后大面积损伤的修复作用。

IF 1.1 4区 医学 Q3 SURGERY Acta cirurgica brasileira Pub Date : 2022-01-05 eCollection Date: 2022-01-01 DOI:10.1590/ACB361203
Josiane Morais Pazzini, Stella Habib Moreira, Pedro Cassino, Marjury Maronezi, Michelle Zangirolami, Jorge Luis Alvaréz Gomés, Paulo Henrique Bertolo, Michelle do Carmo Pereira Rocha, Sonia Prince Fiebi, Caroline Kajiura, Filippo Janoni Bernardes, Caio Bustamante, Andrigo Barboza De Nardi
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引用次数: 0

摘要

目的:探讨富血小板血浆(PRP)在肿瘤切除后移植受体床上使用是否会影响肿瘤复发,因为该产品刺激血管生成、有丝分裂发生和趋化性。方法:采用褐家鼠(Rattus norvegicus albinus) Wistar大鼠30只,分为A组(诱导癌变,术后无PRP)和B组(诱导癌变,术后无PRP),每组15只。用丙酮稀释的0.5%二甲基苯并蒽(DMBA)局部应用于动物胸部皮肤诱导癌变。手术切除肿瘤后,在创面合成前应用PRP刺激血管生成。使用方差分析和Tukey检验(5%)对对照组和实验组以及宏观和微观变量的数据进行评估。结果:可以确定在重建手术中使用PRP是好的,但在肿瘤切除期间使用PRP是禁忌的,因为它除了刺激复发和转移外,还会引起手术床的变化。结论:在肿瘤切除过程中,PRP可能与手术伤口受者部位的肿瘤细胞相互作用,使用该产品可引发局部复发过程。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

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Skin graft associated with platelet-rich plasma in correcting extensive injuries resulting from the resection of skin cancer chemically induced in rats.

Purpose: To evaluate whether using platelet-rich plasma (PRP) in the graft recipient bed after the resection of a neoplasia can influence its recurrence because this product stimulates angiogenesis, mitogenesis and chemotaxis.

Methods: A study with 30 rats Wistar (Rattus norvegicus albinus), which were separated into group A (induction of carcinogenesis, PRP in the postoperative period) and group B (induction of carcinogenesis, absence of PRP in the postoperative period), with 15 animals in each. Carcinogenesis was induced on the skin of the animals' chest by the topical application of 0.5% dimethylbenzantracene (DMBA) diluted in acetone. After surgical resection of the induced neoplasia, PRP was used to stimulate angiogenesis before surgical wound synthesis. Data on the control and experimental groups and macroscopic and microscopic variables were evaluated using analysis of variance and the Tukey's test (5%).

Results: It was possible to determine that the use of PRP is good in reconstructive surgeries, but it is contraindicated in patients during tumor resection, as it can cause changes in the surgical bed, in addition to stimulating recurrences and metastases.

Conclusions: PRP may interact with tumour cells that were in the recipient site of the surgical wound during the resection of a neoplasia, and a local recurrence process can be triggered by applying this product.

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来源期刊
CiteScore
1.90
自引率
9.10%
发文量
60
审稿时长
3-8 weeks
期刊介绍: Information not localized
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