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Anticancer chemosensitivity profile of freshly separated human pancreatic cancer cells assessed by DNA synthesis inhibition assay

✍ Scribed by Yoshikazu Masai; Yoshinori Nio; Michihiko Tsubono; Chen-Chiu Tseng; Kazuya Kawabata; Hitoshi Hayashi; Shunichi Ishigami; Masayuki Imamura


Publisher
John Wiley and Sons
Year
1994
Tongue
English
Weight
680 KB
Volume
57
Category
Article
ISSN
0022-4790

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✦ Synopsis


The chemosensitivity of 49 freshly separated human pancreatic cancers to seven kinds of anticancer agents were assessed by a DNA synthesis (3Hthymidine incorporation) inhibition assay. DNA synthesis is higher in involved lymph nodes (n = 7), malignant effusion (n = 15), liver metastasis (n = 7), primary cancer (n = 15), and skin metastasis (n = 5). Chemosensitivity assay demonstrates that etoposide, 4-epirubicin , carboquone, and 5-fluorouracil are more effective than cisplatin, mitomycin-C, and Adriamycin. In general, metastatic lesions of pancreatic cancer tend to show higher chemosensitivity than primary lesions. Pathological analysis demonstrates that small primary pancreatic cancers tend to be more responsive than large primary cancers, and primary pancreatic cancers with no regional lymph node involvement also tend to be more responsive than those with nodal involvement. No significant differences are seen in terms of tumor spread, vascular involvement, sex of patient, and histological type. When chemosensitivity assay is not available, the results of the present study may be beneficial to choose the regimens.