Summary
Several studies have tried to improve the surgical results after resection for gastric cancer by different adjuvant therapy protocols, including intraoperative radiotherapy (IORT). Since 1990 we have performed a randomized, prospective trial comparing surgery alone and surgery plus adjuvant IORT to evaluate the role of adjuvant intraoperative radiotherapy in the treatment of curative resected gastric carcinomas. In the present study, p53, bcl-2 immunoreactivity and DNA fragmentation as a typical marker of apoptosis were determined to investigate the predictive value of apoptosis-related factors and the observed response to radiotherapy. Preliminary data indicate that patients with tumors containing increased numbers of apoptotic tumor cells might derive benefit from adjuvant IORT.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
Literatur
Abe M, Shibamoto M, Takahshi M, Manabe T, Tobe T, Inamoto T (1987) Intraoperative radiation therapy for carcinomas of the stomach and pancreas. World J Surg 11: 459–464.
Sindelar WF, Kinsella TJ, Tepper JE, DeLaney TF, Maher MM, Smith R, Rosenberg SA, Glatstein E (1993) Randomized trial of intraoperative radiotherapy in carcinoma of the stomach. Am J Surg 165: 178–187.
Krämling HJ, Wilkowski R, Dühmke E, Cramer C, Willich N, Schildberg FW (1996) Adjuvante intraoperative Strahlentherapie (IORT) beim Magenkarzinom. Langenbecks Arch Chir Suppl II, 211–213.
Krämling HJ, Willich N, Cramer C, Wilkowski R, Dühmke E, Schildberg FW (1997) Early results of IORT in the treatment of gastric cancer. Front Radiat Ther Oncol 31: 157–160.
Baretton GB, Diebold J, Christoforis G, Vogt M, Müller C, Dopfer K, Schneiderbanger K, Schmidt M, Löhrs U (1996) Apoptosis and immunohistochemical bcl-2 expression in colorectal adenomas and carcinomas. Cancer 77: 255–264.
Author information
Authors and Affiliations
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 1998 Springer-Verlag Berlin Heidelberg
About this paper
Cite this paper
Kopp, R., Krämling, H.J., Cramer, C., Diebold, J., Baretton, G., Schildberg, F.W. (1998). Prognostische Bedeutung von Apoptose-Induktoren/Inhibitoren in Magenkarzinom mit/ohne adjuvanter intraoperativer Radiotherapie (IORT). In: Hartel, W. (eds) Vielfalt und Einheit der Chirurgie Humanität und Wissenschaft. Langenbecks Archiv für Chirurgie, vol 1998. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-45774-6_327
Download citation
DOI: https://doi.org/10.1007/978-3-642-45774-6_327
Publisher Name: Springer, Berlin, Heidelberg
Print ISBN: 978-3-540-65144-4
Online ISBN: 978-3-642-45774-6
eBook Packages: Springer Book Archive