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J.Jpn. Surg. Soc.. 85(12): 1508-1517, 1984


Original article

STUDIES ON THE NEW ANTICANCER PREPARATION, 5-FLUOROURACIL-POLYGLYCOLIC ACID-COMPOSITE AND ITS THERAPEUTIC EVALUATION

Department of Surgery (I), Kanazawa University School of Medicine, Kanazawa, Japan

Makoto Hirano

The purpose of these studies was to characterize the effect of the new anticancer preparation, 5- fluorouracil-polyglycolic acid-composite (F-PGA needle), on experimental tumors and in patients with solid tumors. The formative composite in a F-PGA needle was found to easily dissociate in physiologic saline resulting in the release of 5-fluorouracil (5-FU). The aspect of 5-FU release was observed to be relative to 5-FU content in the needle, but not to the length of the needle.
When a F-PGA needle of 10mm in length and 30% in 5-FU content was subcutaneously or intrahepatically implanted in healthy rats, the release of 5-FU was maintained for 9 days in each case. Pathophysiologic examination of the liver following the implantation of a F-PGA needle revealed an increase in severe necrosis and/or degeneration and infiltration of small-round cells with the increase in release of 5-FU. Implantation of F-PGA needles into tumor mass of AH 130-bearing rats resulted in an increased 5-FU level in tumor tissue reaching the maximum level of 16.00±1.98μg/g after 24 hours, and in a marked inhibition of the tumor growth indicating 2.4% of T /C (tested/controled) at 10 days after implantation of the needle.
A study of the F-PGA needle was made for 10 patients with terminal carcinomas and in 5 of these were verifiable. Of these 5 patients, shrinkage of tumors or improvement of symptoms was observed in 3 cases.
From these results, the F-PGA needle is promising in the treatment of unresectable cancer as a longacting chemotherapy.


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