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Method of determining clinical effectiveness in cervical cancer

IPC classes for russian patent Method of determining clinical effectiveness in cervical cancer (RU 2464576):
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Method for prediction of children pyelonephritis development with renal system anomalies Method for prediction of children pyelonephritis development with renal system anomalies / 2442987

FIELD: medicine.

SUBSTANCE: method involves the measurement of neutral α-glucosidase and L-alanylaminopeptidase in patients urine. With increased activity level of neutral α-glucosidase over 25.20±1.76 μmole of maltose/μmole of creatinine per hour in children below age of 7 and with level of its activity over 16.77±1.64 μmole of maltose/μmole of creatinine per hour in children over age of 7, as well as increased activity of L-alanylaminepeptidase ofver 0.97±0.12 ncat/mole creatinine regadless of age the damage of epithelium of proximal renal channel predictive of pyelonephritis development in children with renal system anomalies.

EFFECT: higher diagnosis accuracy of children pyelonephritis with renal system anomalies development.

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FIELD: medicine.

SUBSTANCE: one week after the termination of polychemotherapy, daily urine is examined for the amount of cortisol and cortisone, while blood is examined for adrenocorticotropic hormone. It is followed by calculating the relation of total cortisol and cortisone to adrenocorticotropic hormone. If the derived value is 0.74 and higher, high responsiveness to chemopreparations is stated.

EFFECT: use of the method enables selecting the most adequate complex of anticancer chemopreparations for each patient, performing a surgical intervention in more conservative extent.

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The invention relates to medicine, in particular to cancer, and can be used in the treatment of patients with cervical cancer.

Known way to predict individual sensitivity to XT by definition in the blood of patients before treatment concentrations of pituitary hormones - follicle-Stimulating and luteinizing (patent No. 1827639 bull. 26. from 15.07.93 - Teemoista, Mebazaa "method for determining the sensitivity of individual patients with ovarian cancer stage 3-4 to chemohormonal").

However, the use of the known method is not always possible, as suggested regimens for the treatment of cervical cancer do not use hormonal drugs.

There is a method of forecasting results lekarstvennoi therapy in patients with BREAST CANCER on discriminant functions using indicators (hormones and catecholamines defined daily urine of patients - the amount of 17 - ketosteroids, dehydroepiandrosterone, norepinephrine, epinephrine (Unibanco, Aigeria, SEO, Timkovsky, Ligularia "explore the possibilities of predicting the effectiveness of anticancer therapy on the basis of the original neuroendocrine indicators." The book "Autolymphocyte and other issues of Oncology". M, 1997).

The method is quite effective, it gives the possibility of the ability to determine the most effective treatment regimen. However, it is very time consuming, requires a minimum of 2 weeks for all analyses, the consumption of significant quantities of reagents.

The aim of the invention is the determination of individual sensitivity to chemotherapy in patients with cervical cancer of reproductive age.

This objective is achieved in that one week after completion of chemotherapy in daily urine of patients are determined by the content of cortisol and cortisone and blood content of adrenocorticotropic hormone (ACTH). Next, calculate the ratio of the sum of cortisol and cortisol to ACTH. When the value of the indicator below 0,60 ascertain the lack of sensitivity of tumor cells to chemotherapy, and when the value of this index is 0.74 and above note the high sensitivity to chemotherapeutic drugs.

Analysis of the known methods of determining the effectiveness of tumor cells to chemotherapeutic drugs and claimed allows to establish the existence of novelty and difference of the latter.

The novelty of the proposed method of determining the effectiveness of treatment of cervical cancer is that patients of reproductive age with cancer of the cervix determine the individual sensitivity of each patient used antitumor drugs.

In open sources information of Russia, CIS and abroad analogion the x ways could not be found.

The developed method is industrially applicable. It can be used in health care facilities General medical network, as it can be reproduced and repeated many times.

The method is as follows. After being diagnosed with cancer of the cervix are polychemotherapy one of the proposed standard schemes. Then a week after the last drug administration in daily urine of the patient determine the amount of cortisol and cortisone and blood adrenocorticotropic hormone. Next, determine the ratio between the amount of cortisol and cortisone to adrenocorticotropic hormone. When the value of the indicator below 0,60 ascertain the lack of sensitivity of tumor cells to chemotherapy, and when the value of this index is 0.74 and the above-noted high sensitivity to chemotherapeutic drugs.

An example of a specific implementation, a method of determining the effectiveness of treatment of cervical cancer can serve as a statement of history

Patient C., 27 years old, medical history, No. 7686/and enrolled in the gynecology Department 10.11.2001, for examination. Complaints when applying for rich whites. In the anamnesis the patient childbirth, abortion no, not pregnant.

In March 2001 on the periodic health examination found cervical erosion, underwent conservative treatment without E. the reaction. 10.11.2001, directed at the cancer Institute with suspected cancer of the cervix.

Upon receipt 13.11.2001, mirrors: cervix cylindrical shape, on the front lip of the cervix is a small exophytic tumor of 1.5×1.5 cm Rectovaginal: the uterus is a small mobile left appendages are not defined, right - testoste.

Produced biopsy of cervical tumors. Histological analysis from 11.11.2001, No. 100899. Squamous cell carcinoma without keratinization.

Diagnosis: cervical cancer .Ib CL gr. II, exophytic T1NoMo.

From the proposed intervention and radiation therapy the patient refused.

In the gynecology Department of RNII with 29.11.2001 he had undergone chemotherapy. Just received 100 mg methotrexate 2000 mg of cyclophosphamide + 1000 mg 5-fluorouracil. 12.12.2001 daily urine determined number of cortisol and cortisone and blood content of ACTH, determined by dividing the amount of cortisol and cortisol to ACTH. The amount of cortisol and cortisone was 0.70, and the ratio of to ACTH 0,82. After the treatment, when viewed in the mirrors found: the cervix is not changed, no tumor, the allocation of scarce. Bimanual: the uterus is normal in size, limited to mobile, parametrium available.

Produced by cytological examination of a scraping from the surface of the cervix. Analysis No. 236/ - signs of tumors and atypical the notches Cytology was not found.

30.12.2001, the patient was discharged home with the purpose of the control turnout in 3 months.

14.03.2002 - at the control examination the patient feels well.

Within 2 years the patient was subjected to systematic examination and signs of recurrence of the disease was not. Can start to their previous employment.

Developed by the method determined by the efficiency of anticancer chemotherapy in 16 patients with cervical cancer. In cases where the ratio between the amount of cortisol and cortisone to adrenocorticotropic hormone exceeded 0.74 and higher patients to date in satisfactory condition.

Technical and economic efficiency of the method of determination of efficiency of treatment of cervical cancer is the ability to choose the most suitable for each patient is complex anticancer chemotherapy; surgical interventions in more moderate amounts.

The method of determining the effectiveness of treatment of cervical cancer, including chemotherapy and biochemical study of hormones, characterized in that one week after the end of chemotherapy in daily urine to determine the amount of cortisol and cortisone and blood - adrenocorticotropic hormone, then calculate the amount of cortisol and cortisone to adrenocorticotropic hormone; when led is ine of this index is 0.74 and above note the high sensitivity to chemotherapeutic drugs.

 

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