An evaluation of human recombinant α interferon in patients with metastatic gastrinoma

作者: Joseph R. Pisegna , Grace G. Slimak , John L. Doppman , Doris B. Strader , David C. Metz

DOI: 10.1016/0016-5085(93)90965-F

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摘要: Abstract Background: Metastatic gastrinoma is becoming increasingly recognized in patients with Zollinger-Ellison Syndrome. The mean 5-year survival of these Methods: efficacy and toxicity interferon was assessed 13 consecutive syndrome liver metastases. Patients were treated human recombinant α (5 million IU, subcutaneously [SC]) daily followed up at 3-month intervals multiple imaging studies. At each follow-up, therapy fasting serum gastrin concentrations obtained. Results: No patient showed a reduction tumor size any follow-up. One died after 2 months. 6 months, six (46%) had stable the liver, although new bone metastases developed one patient. Three disease for to 21 Changes correlated response All some side effects therapy. Thirty-one percent required dose reduction, (8%) have interrupted briefly. Conclusions: These results fail define therapeutic role treatment metastatic gastrinoma.

参考文章(17)
P.N. Maton, D.L. Miller, J.L. Doppman, M.J. Collen, J.A. Norton, R. Vinayek, J.I. Slaff, S.A. Wank, J.D. Gardner, R.T. Jensen, Role of Selective Angiography in the Management of Patients With Zollinger-Ellison Syndrome Gastroenterology. ,vol. 92, pp. 913- 918 ,(1987) , 10.1016/0016-5085(87)90964-4
James C. Barton, Basil I. Hirschowitz, Paul N. Maton, Robert T. Jensen, Bone Metastases in Malignant Gastrinoma Gastroenterology. ,vol. 91, pp. 1179- 1185 ,(1986) , 10.1016/S0016-5085(86)80014-2
Harold Frucht, Secretin and Calcium Provocative Tests in the Zollinger-Ellison Syndrome Annals of Internal Medicine. ,vol. 111, pp. 713- 722 ,(1989) , 10.7326/0003-4819-111-9-713
JEFFREY A. NORTON, PAUL H. SUGARBAKER, JOHN L. DOPPMAN, ROBERT A. WESLEY, PAUL N. MATON, JERRY D. GARDNER, ROBERT T. JENSEN, Aggressive resection of metastatic disease in selected patients with malignant gastrinoma. Annals of Surgery. ,vol. 203, pp. 352- 359 ,(1986) , 10.1097/00000658-198604000-00003
B. Eriksson, G. Alm, G. Lundqvist, E. Wilander, K. Öberg, A. Karlsson, T. Andersson, L. Wide, Treatment of malignant endocrine pancreatic tumours with human leucocyte interferon. The Lancet. ,vol. 328, pp. 1307- 1309 ,(1986) , 10.1016/S0140-6736(86)91435-2
J F London, T H Shawker, J L Doppman, H H Frucht, R Vinayek, H A Stark, L S Miller, D L Miller, J A Norton, R T Jensen, Zollinger-Ellison syndrome: prospective assessment of abdominal US in the localization of gastrinomas. Radiology. ,vol. 178, pp. 763- 767 ,(1991) , 10.1148/RADIOLOGY.178.3.1994415
JEFFREY A. NORTON, JOHN L. DOPPMAN, ROBERT T. JENSEN, Curative resection in Zollinger-Ellison syndrome. Results of a 10-year prospective study. Annals of Surgery. ,vol. 215, pp. 8- 18 ,(1992) , 10.1097/00000658-199201000-00012
W. Creutzfeldt, H. H. Bartsch, U. Jacubaschke, F. Stöckmann, Treatment of Gastrointestinal Endocrine Tumours with Interferon-α and Octreotide Acta Oncologica. ,vol. 30, pp. 529- 535 ,(1991) , 10.3109/02841869109092413
ErnestC. Borden, FrederickA. Murphy, Depression of interferon production after A.L.S. treatment. The Lancet. ,vol. 2, pp. 1307- 1308 ,(1969) , 10.1016/S0140-6736(69)90847-2
Joseph R. Pisegna, John L. Doppman, Jeffrey A. Norton, David C. Metz, Robert T. Jensen, Prospective comparative study of ability of MR imaging and other imaging modalities to localize tumors in patients with Zollinger-Ellison syndrome Digestive Diseases and Sciences. ,vol. 38, pp. 1318- 1328 ,(1993) , 10.1007/BF01296084