Abstract
During a course of radiotherapy or chemotherapy the number of clonogenic cells in a tumour decreases exponentially. After one third of the treatment period more than 99% of the remaining tumour consists of doomed cells. Therefore, it would appear to be impossible to assess the therapeutic response of tumours directly from biopsy material taken during treatment. Nevertheless, attempts to study the therapeutic response during treatment have been made in order to obtain prognostic information on individuals so as to individualize treatment. A variety of approaches have been used. In carcinoma of the cervix a close correlation has been established between the results of some of these assays and local tumour control or long term survival of patients. Even without a complete understanding of the undelying mechanisms, these methods may be useful for the selection of patients for unconventional treatments like fast neutrons or other modalities which are not available to all patients.
Full text
PDF







Selected References
These references are in PubMed. This may not be the complete list of references from this article.
- Barendsen G. W. Analysis of tumour responses by excision and in vitro assay of cellular clonogenic capacity. Br J Cancer Suppl. 1980 Apr;4:209–216. [PMC free article] [PubMed] [Google Scholar]
- Cherry C. P., Glucksmann A., Walter L. The influence of tumour type, persistent precancerous lesions and lymph node involvement on the results of radiotherapy in oral cancers. Br J Radiol. 1967 Aug;40(476):612–618. doi: 10.1259/0007-1285-40-476-612. [DOI] [PubMed] [Google Scholar]
- Dubrauszky V. Assessment of radiosensitivity of carcinoma of the cervix. J Obstet Gynaecol Br Commonw. 1966 Feb;73(1):41–43. doi: 10.1111/j.1471-0528.1966.tb05117.x. [DOI] [PubMed] [Google Scholar]
- Dubrauszky V., Rotte K. Die Beurteilung der Strahlensensibilität beim Kollumkarzinom. Strahlentherapie. 1971 Apr;141(4):390–395. [PubMed] [Google Scholar]
- ELKIND M. M., SUTTON H. Radiation response of mammalian cells grown in culture. 1. Repair of X-ray damage in surviving Chinese hamster cells. Radiat Res. 1960 Oct;13:556–593. [PubMed] [Google Scholar]
- Fettig O., Kaltenbach F. B., Kloke W. D. Der 3 H-Thymidine-Test zur Beurteilung der Strahlensensibilität des Collum-Carcinoms. Arch Gynakol. 1973;213(3):283–292. doi: 10.1007/BF00668037. [DOI] [PubMed] [Google Scholar]
- GRAHAM R. M., GRAHAM J. B. A cellular index of sensitivity to ionizing radiation; the sensitization response. Cancer. 1953 Mar;6(2):215–223. doi: 10.1002/1097-0142(195303)6:2<215::aid-cncr2820060202>3.0.co;2-i. [DOI] [PubMed] [Google Scholar]
- GRAHAM R. M., GRAHAM J. B. Cytologic prognosis in cancer of the cervix; two year survival rates in a randomized series. Am J Roentgenol Radium Ther Nucl Med. 1962 Jan;87:56–59. [PubMed] [Google Scholar]
- GUSBERG S. B. A consideration of the problems of radiosensitivity in cancer of the cervix. Am J Obstet Gynecol. 1956 Oct;72(4):804–819. doi: 10.1016/0002-9378(56)90173-9. [DOI] [PubMed] [Google Scholar]
- GUSBERG S. B., HERMAN G. G. Radiosensitivity testing of cervix cancer by the test dose technique. Am J Roentgenol Radium Ther Nucl Med. 1962 Jan;87:60–68. [PubMed] [Google Scholar]
- Grossman I., Kurohara S. S., Webster J. H., George F. W., 3rd The prognostic significance of tumor response during radiotherapy in cervical carcinoma. Radiology. 1973 May;107(2):411–415. doi: 10.1148/107.2.411. [DOI] [PubMed] [Google Scholar]
- Gusberg S. B., Herman G. G. Radiosensitivity and virulence factors in cervical cancer. Individualization of treatment. Am J Obstet Gynecol. 1968 Mar 1;100(5):627–639. doi: 10.1016/s0002-9378(15)33388-3. [DOI] [PubMed] [Google Scholar]
- JONES H. W., Jr, GOLDBERG B., DAVIS H. J., BURNS B. C., Jr Cellular changes in vaginal and buccal smears after radiation: an index of the radiocurability of carcinoma of the cervix. Am J Obstet Gynecol. 1959 Nov;78:1083–1100. doi: 10.1016/s0002-9378(16)36659-5. [DOI] [PubMed] [Google Scholar]
- LIMBURG H., NAPP J. H., WILBRAND U. Die prognostische Beurteilung des Kollumkarzinoms nach Strahlenbehandlung durch Probeentnahme und Scheidenabstrich. Geburtshilfe Frauenheilkd. 1952 Aug;12(8):723–734. [PubMed] [Google Scholar]
- ROHDE B., WISKEMANN A. UBER DAS WACHSTUM ROENTGENBESTRAHLTER MELANOMALIGNOME IN DER GEWEBEKULTUR UND IM TRANSPLANTATIONSVERSUCH. I. VERSUCHE AM MELANOMALIGNOM DES MENSCHEN UND AM TIERMELANOM NACH EINZEITBESTRAHLUNG. Strahlentherapie. 1964 Apr;123:534–544. [PubMed] [Google Scholar]
- RUBIO C. A., HERTZBERG O., KOTTMEIER H. L., OLSSON E., ZAJICEK J. SENSITIZATION AND RADIATION RESPONSE IN CASES WITH CARCINOMA OF THE UTERINE CERVIX. INVESTIGATIONS IN 720 CASES TREATED AT RADIUMHEMMET 1954--1961. Acta Radiol Ther Phys Biol. 1965 Aug;3:241–268. doi: 10.3109/02841866509133099. [DOI] [PubMed] [Google Scholar]
- Tatra G., Breitenecker G. Der klinische Wert histoautoradiographischer Untersuchungen während der Strahlentherapie des Zervixkarzinomas. Strahlentherapie. 1975 Nov;150(5):487–492. [PubMed] [Google Scholar]
- Von Lieven H., Trott K. R., Sintermann R. Experimentelle Ergebnisse der präoperativen Bestrahlung des renalen Adenokarzinoms. Strahlentherapie. 1978 May;154(5):299–304. [PubMed] [Google Scholar]
- WALTER L., HARRISON C. V., GLUCKSMANN A., CHERRY C. P. ASSESSMENT OF RESPONSE OF CERVICAL CANCERS TO IRRADIATION BY ROUTINE HISTOLOGICAL METHODS. Br Med J. 1964 Jun 27;1(5399):1673–1675. doi: 10.1136/bmj.1.5399.1672. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Walter L. H., Alper T. A suggested method for selecting patients for clinical trails of new radiotherapeutic techniques. Br J Radiol. 1974 Sep;47(561):616–617. doi: 10.1259/0007-1285-47-561-616. [DOI] [PubMed] [Google Scholar]
- Watson E. R., Halnan K. E., Dische S., Saunders M. I., Cade I. S., McEwen J. B., Wiernik G., Perrins D. J., Sutherland I. Hyperbaric oxygen and radiotherapy: a Medical Research Council trial in carcinoma of the cervix. Br J Radiol. 1978 Nov;51(611):879–887. doi: 10.1259/0007-1285-51-611-879. [DOI] [PubMed] [Google Scholar]
- Yanagita T., Herman G. G., Gusberg S. B. Autoradiographic studies in cervical cancer before and after a test dose of irradiation. Am J Obstet Gynecol. 1966 Aug 15;95(8):1051–1058. doi: 10.1016/s0002-9378(66)80003-0. [DOI] [PubMed] [Google Scholar]