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Method of forecasting retrocessions of larynx cancer

IPC classes for russian patent Method of forecasting retrocessions of larynx cancer (RU 2389030):
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FIELD: medicine.

SUBSTANCE: in patients suffering from larynx cancer after surgical oncotomy in the course of dispensary observation levels of androsteron and estradiol in 24-hour collection urine are examined and their ratio to each other are determined. At ratio level more than 3 emergence of disease retrocession or metastasis in the near future is forecasted. At ratio level lower than 3 a long-lasting recurrence-free period is forecasted.

EFFECT: use of this method enables to forecast emergence of larynx cancer retrocession and to assume measures to individualise therapeutic modality.

2 ex

 

The invention relates to medicine, namely to Oncology, and can be used after conducting a combined treatment of cancer of the larynx.

Larynx cancer is a tumor, the formation and development of which is associated with the influence of sex hormones androgenic and ekstrennogo series. While androgens stimulate the development of laryngeal cancer, and estrogen - brake.

Known "Method of predicting the effectiveness of autohemotherapy cancer patients organs of the oral cavity and pharynx" - patent # 2253354, BI No. 16 dated 10.06.2005 year. The authors as a criterion of the effectiveness of anticancer therapy suggest using the dynamics of the ratio of the concentration of the thyroid hormone triiodothyronine and thyroxine and pituitary hormone - tireotropina. The proposed method allows to determine in advance the degree of effectiveness of anticancer therapy.

However, what will be the course of the malignant process, the intensity of its development, when will manifest disease recurrence and for how long will relapse-free period, the known method does not provide answers.

There is a method of predicting treatment of vulvar cancer, which serves to conduct dynamic monitoring of patients and after anticancer therapy to make a determination in daily urine excretion of melatonin (patent No. 253175, BI No. 20 of 20.07.2000,). The method allows high accuracy to determine existing disease recurrence in a sharp increase levels of the hormone.

There is a method allows to identify existing relapse, with its clinical manifestation. However, it is not possible to predict the occurrence of relapse.

The aim of the invention is the detection of recurrence and/or metastases to their clinical manifestations.

The goal is to reach a determination in daily urine of patients with laryngeal cancer indicators Androsterone and estradiol, calculate the ratio of Androsterone to estradiol. When the ratio is above 3 to predict recurrence or metastasis during the first year after the first stage of anticancer therapy. The ratio of Androsterone to estradiol below 3 indicates the long disease-free period.

Comparative analysis of known methods of predicting recurrence of cancer of the larynx and claimed gives grounds to speak about the differences and the novelty of the developed method.

The novelty of the "predictor of laryngeal cancer" is used to forecast the most variable of hormones. Androgens stimulate the development of laryngeal cancer, and estrogen inhibit it. The lower the ratio of the former to the latter, the more favorable will be the course of the disease. To identify this in the weft urine to determine the ratio of Androsterone to estradiol. When the index is above 3 to predict recurrence or metastasis in the near future, and a score of below 3 corresponds to the long-term relapse-free period.

In open sources information of Russia, CIS and foreign ways, a similar offer could not be found.

Developed a Method for predicting the recurrence of laryngeal cancer is industrially applicable. It can be reproduced and repeated many times in hospitals General medical network and specialized institutions with cancer.

The method is as follows.

The patient, who is in the hospital, collected during the day the urine. Next, the method Dingemans modification Zelensky determine the rate Androsterone. Method Brown in the modification Savchenko - estradiol levels. Calculate the value of the ratio of Androsterone to estradiol and its value above 3 predict disease recurrence or metastasis during the first year after the combined treatment. The ratio of Androsterone to estradiol below 3 indicates the long disease-free period.

An example of a specific application of the method can serve as a statement of case histories.

1. Patient P., born in 1954, the case history No. 20087/O was admitted to the Department of head and neck tumors, RNII 19.02.2002,

4.06.2003, the patient is enrolled at RNII diagnosed with cancer of the larynx St, chronic stenosis.

4.06.2003, urgent tracheostomy.

9.06.2003, the extirpation of the larynx. Histological analysis: squamous cell carcinoma with keratinization. The postoperative period was uneventful.

23.06.-13.07.2003 - radiotherapy in total focal dose of 40 Gy.

14.07.2003, - the patient was discharged in satisfactory condition at the place of residence.

26.09.2003, - a patient admitted to the hospital for follow-up research. Collected daily urine of the patient.

27.09.2003, performed biochemical urinalysis. The level Androsterone - 18,55; estradiol - 3,5, the first to the second with 5.3. The patient was prescribed a course of chemotherapy.

15.12.2003, - during the inspection. Right in the surgical scar - dense enlarged lymph node up to 2.5 cm in diameter without clear boundaries, limited mobility. Cancer metastases in the paratracheal lymph nodes of the neck. Recommended to continue polychemotherapy.

2. Patient M., born in 1956 history No. 17699/t was admitted to the Department of head and neck tumors, RNII 15.09.2004 years with a diagnosis of cancer of the larynx St - chronic stenosis.

17.09.2004, the extirpation of the larynx. Histological analysis: squamous cell carcinoma with keratinization.

The postoperative period was uneventful, the wound healed by first intention.

1.10.2004 year the patient was discharged in satisfactory condition. the URC to control the inspection in a month.

25.12.2004 year - on examination, the patient data for recurrence or metastasis no. The patient's condition is satisfactory. Active, working at home, in the garden.

26.12.2004, - a study of daily urine of the patient. Defined indicators Androsterone - 7,35 µmol/day. and estradiol - 2,92 nmol/day., their ratio of 2.55.

24.03.2005 some, is at the control examination of the patient of disease recurrence or metastasis was not detected. The condition is quite satisfactory

15.04.2005, - the patient feels well. Clinical data for recurrence no.

The proposed method of monitoring the condition of the patient after treatment were traced 17 patients. In each case, the level of Androsterone to estradiol was possible to determine the direction and intensity of the malignant process.

Technical and economic efficiency "method of predicting recurrence of laryngeal cancer" allows you to:

- in the absence of clinical symptoms to predict disease recurrence;

- to take measures to individualize therapeutic effects.

A method for predicting recurrence of cancer after surgical removal of the tumor, including biochemical analysis of daily urine of the patient, wherein the patient in daily urine to determine the level of Androsterone to estradiol and led the ine relationships above 3 predict the occurrence of disease recurrence or metastasis in the near future; when the index is below 3 a long disease-free period.

 

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