Does tumour related oedema contribute to the hypoxic fraction of human brain tumours?

G S Cruickshank, R Rampling
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引用次数: 6

Abstract

Focal hypoxia has been demonstrated and is known to contribute to the resistance of malignant brain tumours to radiation and chemotherapy. Using dynamic needle micro-polarography and tissue morphometry on biopsy specimens, the relationship between the effect of oedema on tissue structure and tissue pO2 was investigated in 24 patients undergoing craniotomy for tumour decompression. An inverse correlation (r = -0.84) was found for intercapillary distance and pO2 levels in peritumoural white matter, but this was less marked (r = -0.22) in tumour, probably as a result of sampling difficulties from tissue heterogeneity. Comparison of maximum pO2 levels in oedematous peritumoural white matter with those in tumour suggests that peritumoural oedema is unlikely to contribute to tumour hypoxia.

肿瘤相关水肿是否导致脑肿瘤缺氧?
局灶性缺氧已被证实并被认为有助于恶性脑肿瘤对放疗和化疗的抵抗。采用动态针微极谱和组织形态学对24例开颅肿瘤减压患者的活检标本进行研究,探讨水肿对组织结构的影响与组织pO2的关系。在肿瘤周围白质中,毛细血管间距离和pO2水平呈负相关(r = -0.84),但在肿瘤中,这一点不太明显(r = -0.22),可能是由于组织异质性取样困难。水肿性肿瘤周围白质与肿瘤中最大pO2水平的比较表明,肿瘤周围水肿不太可能导致肿瘤缺氧。
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