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Query: UMLS:C0007097 (carcinoma)
 152,788 document(s) hit in 31,850,051 MEDLINE articles (0.00 seconds)

A controlled clinical trial is in progress to assess the value of hyperbaric oxygen and radiotherapy in the management of head and neck cancer. An established dose-fractionation schedule in hyperbaric oxygen is being compared with a widely used conventional schedule in air. Survival and local recurrence-free rates are significantly higher in the oxygen group, and the effects on normal tissue are similar in both groups. These findings suggest a genuine therapeutic advantage. There was a distinct improvement in the results of treating advanced laryngeal carcinoma, where there was a high survival rate, without resort to laryngectomy.
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PMID:Radiotherapy and hyperbaric oxygen in head and neck cancer. Interim report of second clinical trial. 6 92

Frequent coitus with several partners or at a very young age carries the greatest risk of cancer of the uterine cervix. Lowest risk is among celibate women and those who live in communities where marriage is stable and where premarital and extramarital coitus is infrequent. All evidence points to the venereal hypothesis of cervical cancer. Herpes simplex virus Type 2 (HSV-2) has been implicated. Immunological defenses, oxygen tension, pH, and hormonal changes in the cervical tissues may also be factors. It has been reported that 15% of women whose cervical smears indicated recent herpes infection had either epithelial dysplasia or carcinoma in situ. In 350 women with squamous cancer of the cervix, antibodies to HSV-2 have been reported to be higher than in controls. As shown by serological evidence to have had HSV-2 infection, among 1500 women studied, dysplasia, carcinoma in situ, or invasive cervical cancer has been reported to have been 5-6 times more frequent than in controls. A diagnosis of HSV-2 infection warrants a fluorescent antibody test of even a virus culture. Patients with a positive test should be checked frequently as they seem to be at considerable risk of developing carcinoma of the uterine cervix.
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PMID:Editorial: Herpesvirus and cancer of uterine cervix. 17 80

Measurements of respiration, CO2 and lactate production, and changes in the levels of various key metabolites of the glycolytic sequence and tricarboxylic acid cycle were made on five lines of rodent ascites tumor cells (two strains of Ehrlich ascites tumor cells, Krebs II carcinoma, AS-30D carcinoma, and L1210 cells) incubated aerobically in the presence of uniformly labeled D-[14C]glucose. From these data, as well as earlier evidence demonstrating that the reduced nicotinamide adenine dinucleotide (NADH) shuttle in these cells requires a transaminase step and is thus identified as the malate-aspartate shuttle (W.V.V. Greenhouse and A.L. Lehninger, Cancer Res., 36: 1392-1396, 1976), metabolic flux diagrams were constructed for the five cell lines. These diagrams show the relative rates of glycolysis, the tricarboxylic acid cycle, electron transport, and the malate-aspartate shuttle in these tumors. Large amounts of cytosolic NADH were oxidized by the mitochondrial respiratory chain via the NADH shuttle, comprising anywhere from about 20 to 80% of the total flow of reducing equivalents to oxygen in these tumors. Calculations of the sources of energy for adenosine triphosphate synthesis indicated that on the average about one-third of the respiratory adenosine triphosphate is generated by electron flow originating from cytosolic NADH via the malate-aspartate shuttle.
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PMID:Magnitude of malate-aspartate reduced nicotinamide adenine dinucleotide shuttle activity in intact respiring tumor cells. 19 30

The proliferation parameters of the Walker carcinoma were estimated from both in vivo and in vitro measurements. tthe transplantable Walker carcinoma 256 was grown in male inbred BD1 rats. During exponential growth, 5--6 days after transplantation, a PLM curve was performed, yielding estimates of TC approximately equal to 18-0 hr, TS approximately equal to 6-4 hr, TG2+M approximately equal to 4-1 hr. With the double labelling technique in vitro under 2-2 atm oxygen we obtained: TC approximately equal to 18-2 hr, TS approximately equal to 8-2 hr, TG2+M approximately equal to 2-0 hr. From pulse cytophotometry DNA content histograms the fractions of cells in the cell cycle phases were calculated using a computer program: fG1 approximately equal to (47-6 +/- 1-1)%, fS approximately equal to (34-1 +/- 1-0)%, fG2+M approximately equal to (18-3 +/- 1-5)%. These fractions remained constant between the fifth and the twelfth day after transplantation. At that time the tumour growth had already slowed down appreciably. The growth fraction determined by repetitive labelling was 0.96 on the fifth and 0-93 on the seventh and eleventh day. The cell loss factor was phi approximately equal to 17% during exponential tumor growth and increased to about 100% between the tenth and twelfth day. The agreement of the cell kinetic data determined by autoradiography from solid tumours in vivo (PLM, continuous labelling) and autoradiography as well as pulse cytophotometry from in vitro experiments (excised material) was satisfactory.
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PMID:Studies on the population kinetics of the Walker carcinoma by autoradiography and pulse cytophotometry. 32 11

A technique has been used to measure distributions of oxygen removal rate, QR, in samples of recently excised tissue where QR is defined as the ratio of the oxygen uptake rate to the oxygen solubility. QR was measured at 91 sampling points across a cross section of tissue of diameter 5 mm. By placing markers in the tissue and using special procedures to obtain sections of the tissue samples it was possible to compare the distributions of QR with the histological structure of the tissues. The overall resolution of the system is about 1/2 mm so that structures of the order of a millimetre or more could be examined. There are considerable inhomogeneities in QR within some normal tissues, for example 4-19 mm Hg/s in rat kidney and 0.4-1.5 mm Hg/s in human cervix. Inhomogeneities in tumour tissues are also associated with the histological structure and examples for the Lewis lung mouse carcinoma show a correlation between QR and regions of viable or necrotic tissue. For a biopsy sample of human carcinoma of the cervix QR correlates with the degree of local infiltration by tumour cells.
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PMID:Comparison between the oxygen removal rate and the histological structure of normal and tumour tissues. 34 20

In a randomized controlled clinical trial of hyperbaric oxygen in the radiotherapy of advanced carcinoma of the uterine cervix a total of 320 cases were contributed by four radiotherapy centres in the United Kingdom. The use of hyperbaric oxygen resulted in improved local control and survival. The benefit was greatest in patients under the age of 55 who presented with stage III disease. There was a slight increase in radiation morbidity but it seemed that the benefit of hyperbaric oxygen outweighed this increase in morbidity and that there was a true improvement in the therapeutic ratio.
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PMID:Hyperbaric oxygen and radiotherapy: a Medical Research Council trial in carcinoma of the cervix. 36 Nov 44

The clinical trials of the use of hyperbaric oxygen in radiotherapy conducted by the Medical Research Council's working party have shown that local cure and survival can be improved in head and neck and cervical cancer. Evidence for benefit has been presented in carcinoma of bronchus, but none has so far been found in carcinoma of the bladder. Although hyperbaric oxygen has produced increased effect upon normal tissues as well as upon tumour, a real improvement in therapeutic ratio appears to be present. The future use of hyperbaric oxygen in radiotherapy will depend upon a comparison of effectiveness with other methods now being tested to improve radiotherapy. The trials have yielded much fundamental and clinical data of general relevance in the radiotherapy of malignant disease.
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PMID:Hyperbaric oxygen: the Medical Research Council trials and their clinical significance. 36 Nov 45

For 12 years randomised clinical trials have been run at Portsmouth in collaboration with the Medical Research Council's Working Party on radiotherapy and high pressure oxygen to determine the survival rate of patients treated by megavoltage radiotherapy in high pressure oxygen (HPO) compared with those treated in air at atmospheric pressure. Five hundred and five patients have been included, 280 with carcinoma bronchus, 163 with carcinoma bladder and 62 with carcinoma cervix stage III. With conventional small fraction daily radiotherapy, the use of HPO has not improved survival in carcinoma of the bronchus and of the bladder. When six fractions of 600 rad maximum tissue dose are given in HPO, some improved survival is shown in carcinoma of the bronchus and of the cervix compared with the same dose in the air series. In the cervix, the survival rate in HPO is almost the same as that of a retrospective series treated by an intrauterine radium tube followed by 6000 rad central depth dose to the whole true pelvis in air. Large fraction radiotherapy has not given improved survival when using adjuvant HPO in carcinoma of the bladder. The bladder trial has now been abandoned.
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PMID:Clinical trials of radiotherapy in hyperbaric oxygen at Portsmouth, 1964--1976. 41 93

A thoracoscopic examination was performed in 41 patients under local anesthesia in the lateral decubitus position. Prior thoracocentesis (38 patients) and blind biopsy with an Abrams' needle (32 patients) had been nondiagnostic. The initial nine patients were examined with the flexible fiberoptic bronchoscope, yielding a diagnostic accuracy of 56 percent (five cases). This technique was discontinued when two patients had normal findings on biopsies, despite the visual observation of later diagnosed carcinoma. Subsequent thoracoscopic procedures were performed with a rigid 11-mm single-puncture thoracoscope (Storz), which was diagnostic in 28 (88 percent) of the remaining 32 patients. A hemothorax (400 ml) was the only potentially serious complication. Twelve patients were prospectively monitored during the thoracoscopic procedure for changes in cardiac rhythm and oxygen saturation. Sinus tachycardia was the only arrhythmia observed. The mean fall in oxygen saturation was 1.4 percent. We conclude that thoracoscopic examination with the rigid thoracoscope is diagnostically superior to the fiberoptic bronchoscope and is a safe procedure which can be performed under local anesthesia.
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PMID:Thoracoscopy. A safe, accurate diagnostic procedure using the rigid thoracoscope and local anesthesia. 42 22

Cells of Ehrlich ascites carcinoma were incubated under aerobic and anaerobic conditions with 3H-uridine, and the amount and radioactivity of poly(A)-containing and poly(A)-non-containing fraction of cytoplasmatic RNA were determined. It is shown that RNA biosynthesis, as judged by the labeled precursor incorporation, is nearly similar to that under oxygen supply conditions. The specific radioactivity of poly(A)-containing fraction of cytoplasmatic RNA of cells incubated under anaerobic conditions was 2 times as much as that under aerobic ones.
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PMID:[Cytoplasmic RNA biosynthesis in Erlich ascitic carcinoma cells under anaerobic conditions]. 57 Nov 71


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