Fig. 1 Method of SRCA Table 1 Drug dose and treatment schedule in SRCA Table 2 Results of SRCA for renal cell carcinomas * Histological grading of the
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1 SUBRENAL CAPSULE ASSAY FOR CHEMOSENSITIVITY TEST OF URINARY TRUCT CANCERS Jun Hasegawa, Yoshio Yamanaka, Kezutaka Horiuchi and Masao Akimoto Department of Urology, Nippon Medical School (Director: Prof. Masao Akimoto) Subrenal capsule assay as a chemosensitivity test was performed on 8 renal cell carcinomas and 7 transitional cell carcinomas using athymic mice. Twelve of the 15 trials were considered suitable for evaluable assay. In 2 of the 3 non-evaluable trials the histological examination showed fibroblasts without cancer cells in the implants of the control group while the implants grew macroscopically. No host cell infiltration was observed microscopically in any implant of the control groups of evaluable assays. Mice were treated with several anticancer agents and sensitivities were evaluated by the tumor growth inhibition rate (TGIR) on the day 10 or 12 and by histological changes. No correspondence was observed between TGIR and histological changes. The charasteristic histological finding of the treated groups of transitional cell carcinomas was cystic degeneration and it seemed to be a factor of the discordance between TGIR and the histological changes.
2 Fig. 1 Method of SRCA Table 1 Drug dose and treatment schedule in SRCA Table 2 Results of SRCA for renal cell carcinomas * Histological grading of therapeutic effects
3 858 Table 3 Results of SRCA for transitional cell carcinomas *Histological grading of therapeutic effects Fig. 2 Histology illustrates of the control the absence are mainly observed of tumor in subrenal group in Case Fig cell. Fibroblasts capsular Histology of Case 11 reveals cisplatin-treated marked cystic group formation. in (H-E) space. (H-E) 一 方, histological す る 間 質 で 占 め ら れ, 腫 瘍 細 胞 は 認 め ら れ な か っ た (Fig. 2). 両 症 例 と もquality controlの 組織 像 では癌 胞 巣 の 破 壊 は あ る も の の, vividと 思 わ れ る 腫 瘍 細 胞 は豊 富 に 存 在 し て い た. 組 織 学 的 に 生 着 の 確 認 が な さ れ た12例 で は そ の 組 織 像 は 原 腫 瘍 の 形 態 を よ く保 持 し (平 あ った. は1例 小 さ く, 内4例 が1未 満で これ に 対 し, 組 織 学 的 に 生 着 が 確 認 され た 移 行 上 皮 癌5例 2.06)と で の 相 対 平 均 腫 瘍 重 量 は 均0.94)と の 相 対 平 均 腫 瘍 重 量 は (平 均 腎 細 胞 癌 症 例 に 比 較 し大 き く, 1未 満 の も の の み で あ っ た. 結 果 を 示 す. TGIRが50%以 の はCase2のMTX投 与 群, Case3のIFM投 2群 の み で あ っ た. ぞ れhistological こ れ ら2群 effect Grade 0, 低 い も の で あ っ た. 各 治 療 群 のTGIRとhistological effectと の 間 に 明 ら か な相 関 性 は 見 出 せ な か っ た. 3. 移 行 上 皮 癌 症 例 に お け る制 癌 剤 感 受 性 Table3に 結 果 を 示 す. 前 述 の ご と くCase9, Case 算 出 は可 能 で あ っ た が, 組 織 学 的 に は 腫 瘍 の 生 着 が 確 認 され ず 評 価 不 能 で あ っ た. Case 11 15の5例, 19治 療 群 中TGIRが50%以 群 は6群 認 め ら れ た. TGIRが84%と Case12, VLB投 与 群 は 組 織 像 で もGradeIIIと 療 群 中 最 も 高 いhistological 上の 最 も 高 か った effectを 示 した. 全治 しか し effectの 間 に 明 ら か な 相 関 性 は 見 出 せ な か っ た. 上 を 示 した 治療 群 の組 織 像 に お い て しぼ しば観 察 され た の が 与 群の Fig. 3に 示 す よ うな 嚢 腫 形 成 で あ り, こ の 所 見 は 症 の組織 学 的変 化 はそれ GradeIで IIbと 変 化 の 最 も強 与 群 で のTGIRは8%と 他 の治 療 群 で はTGIRとhistological 2. 腎 細 胞 癌 症 例 に お け る 制 癌 剤 感 受 性 Table2に CDDP投 10に お い て はTGIRの て お り, 宿 主 反 応 は 全 く認 め な か っ た. 腎 細 胞 癌 症 例7例 か っ たCase4, effect Grade あ っ た. 例, 薬 剤 の 種 類 を 問 わ ず 多 くの 治 療 群 で み られ た.
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