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Method for prediction of recurrent cervical cancer

Method for prediction of recurrent cervical cancer
IPC classes for russian patent Method for prediction of recurrent cervical cancer (RU 2485523):
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FIELD: medicine.

SUBSTANCE: method for prediction of recurrent cervical cancer involves biochemical daily urine analysis to determine daily urine androsterone and etiocholanolone to be related; if the relation is 0.75 mg/day or less, the recurrent disease is predicted for the first 2 years, and if the relation exceeding 0.75 mg/day, a prolonged recurrence-free period up to 10 years or more is predicted.

EFFECT: method enables the early, preclinical detection of the recurrent disease, as well as an individual selection of therapeutic approaches to each patient.

2 tbl

 

The invention relates to medicine, namely to biochemical research in Oncology, and can be used for planning of methods of prevention and treatment of recurrent cervical cancer (cervical cancer) as soon as possible after the end of the complex/combined treatment of cervical cancer patients.

It is known that the prognostic value special treatment of cancer of cervical stump is an ultrasound examination, supplemented by Doppler examination showing effective treatment reducing the number of pathological loci in the area of the tumor to 1-2 against 5-10 before treatment, the disappearance of signs of venous congestion and dilation of blood vessels. Reducing the flow velocity is almost 2 times, lowering 31.4 index of vascular resistance and by 57.1 pulsating index (Poryvaev Y.A. author. Kida. Diss. "Autohemotherapy in treatment of cancer of the cervical stump", Rostov-on-don, 2006).

However, when listing multiple prognostic factors, firstly, does not specify which of them are major, which in forecasting the future course of the disease should be guided first and foremost, and secondly, not individualized factors such forecast, as an index of vascular resistance and pulsatory index is not specified the size of their variables and, that makes it impossible for the practical use of these indicators to predict the course of disease after completion of cancer treatment.

There is a method of predicting recurrence of cervical cancer (patent RF №2023266, publ. 15.11.94,, bull. 21), chosen as a prototype, including the determination of prolactin in the serum of patients before treatment. When the value of its concentration in excess of the 400 µa/ml, predict recurrence of vulvar cancer in the near future. However, this method has drawbacks, namely to predict the risk of recurrence of the disease requires special equipment, special conditions for radioimmunoassay analysis, expensive test kits RIA, serial execution mode of study for which you want a long period of time.

Thus, presents a method for predicting although quite effective, but difficult to execute, in addition, it is used to predict recurrence only vulvar cancer, which limits its use in other malignant process.

The aim of the invention is the early preclinical prevention of recurrence of cervical cancer to develop and apply after comprehensive treatment of additional methods antitumor impacts the via.

This objective is achieved in that the admission of the patient to the hospital collected per day urine define conventional biochemical method two hormones: Androsterone and etiocholanolone, calculate the ratio between them in the form of a ratio of Androsterone/etiocholanolone, when the magnitude of the coefficient is 0.75 mg/day or lower, fluctuating between 0.5 to 0.75) predict the likelihood of recurrence of the disease in the first 2 years, and with a value in excess of 0.75 mg/day (fluctuations from 0.9 to 2.8), the duration of remission for over 10 years.

A method for predicting recurrence of cervical cancer according to the invention is new, as the ratio of Androsterone/etiocholanolone was not used in Oncology for prediction of recurrence of the disease. The novelty of the invention lies in the fact that when entering the patient cervical cancer in urine collected per day, determine the conventional biochemical method two hormones: Androsterone and etiocholanolone, calculate the magnitude of their correlation (coefficient), when the value of the coefficient of more than 0.75 expect more radical treatment.

Androstene and etiocholanolone are androgenic hormones. The Androsterone isconnection, etiocholanolone - 5β-connection. First depress the intensity of the formation of estrogens, which are stimulating FA the torus malignant growth in tissues of the cervix. This reaction determines the possibility of using the ratio of Androsterone/etiocholanolone with prognostic purpose of providing the probability of early recurrence of the disease.

Retrospectively compared the long-term results of treatment with the initial value of the coefficient androstene/etiocholanolone in 2 groups of cervical cancer patients (all treated 26 patients).

1 group (15 people) - the duration of recurrence-free period of more than 10 years;

2 group (11 persons) - the duration of recurrence-free period of less than 2 years.

The data are given in tables 1 and 2.

Table 1
Individual performance factor androstene/etiocholanolone at different duration of recurrence-free period
group 1 patients
Relapse-free period of more than 10 years
group 2 patients
Relapse-free period of less than 2 years
Name And ET And/ET Name And ET And/ET
Bo is nikova GG 60 years 5,2 5,1 1,22 Belikova NA 58 1,5 2,3 0,65
Grivko L. F. 57 1,8 1,4 1,30 Zhuravleva M.L. 57 1,7 2,3 0,74
Polyakova NI 61 1,7 0,6 2,80 Kalashnikov D.N. 70 years 1,7 2,25 0,75
Radicina M.A. 57 1,5 0,90 1,70 Kahne NN. 58 3,2 4,8 0,66
Shikova NF 66 1,08 1,2 0,91 Frolenko A.F. 63 1,04 2,1 0,50
Sklyarov EL 67 1,9 2,1 0,90 Shilin N. 58 0,4 0,7 0,57

Table 2
The dependence of the duration of recurrence-free period of cervical cancer coefficient androstene/etiocholanolone
The ratio A/ET Relapse-free period p<0,001
group 1 - more than 10 years group 2 - less than 2 years
1,47±0,15 0,63±0,07

A method for predicting the risk of recurrence of cervical cancer, including biochemical analysis of daily urine of the patient, characterized in that in daily urine determine androstene and etiocholanolone, calculate the ratio between them and when the ratio is 0.75 mg/day and below - predict the relapse of the disease in the first 2 years, and with a value in excess of 0.75 mg/day, a long disease-free period of up to 10 years and Bo is her.

 

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