PMID- 1736832 OWN - NLM STAT- MEDLINE DCOM- 19920312 LR - 20131121 IS - 0385-0684 (Print) IS - 0385-0684 (Linking) VI - 19 IP - 2 DP - 1992 Feb TI - [Preoperative role of angiotensin II induced hypertension chemotherapy (IHC) in advanced gastric carcinoma]. PG - 203-9 AB - To investigate the role of preoperative IHC in advanced gastric carcinoma, clinical, surgical and pathological stagings of 13 patients were analysed retrospectively. These patients were treated with a 3-drug combination of adriamycin, 5-fluorouracil and mitomycin C under angiotensin II induced hypertensive state. The response rate was 69.2% and mean survival time was 850.2 days. "Down staging" in surgical stage was observed in 5 out of 13 cases (38.3%), and in pathological stage 7 cases (53.8%) "down staging" was achieved. Mean survival time of "pathological down-staging" cases was significantly longer than that of "non-down-staging" cases (1039.6 vs 322.1 days, p less than 0.01, generalized Wilcoxon test). IHC brings selective increase of drug delivery to tumor tissue, and will be useful as preoperative chemotherapy in advanced gastric carcinoma in terms of "down staging". FAU - Sugiyama, K AU - Sugiyama K AD - Department of Clinical Cancer Chemotherapy, Tohoku University, Sendai, Japan. FAU - Sato, H AU - Sato H FAU - Ishizuka, K AU - Ishizuka K FAU - Hoshi, M AU - Hoshi M FAU - Urushiyama, M AU - Urushiyama M FAU - Wakui, A AU - Wakui A LA - jpn PT - English Abstract PT - Journal Article PL - Japan TA - Gan To Kagaku Ryoho JT - Gan to kagaku ryoho. Cancer & chemotherapy JID - 7810034 RN - 11128-99-7 (Angiotensin II) RN - 50SG953SK6 (Mitomycin) RN - 80168379AG (Doxorubicin) RN - U3P01618RT (Fluorouracil) SB - IM MH - Adult MH - Aged MH - Angiotensin II/pharmacology/*therapeutic use MH - Antineoplastic Combined Chemotherapy Protocols/*therapeutic use MH - Blood Pressure/*drug effects MH - Combined Modality Therapy MH - Doxorubicin/administration & dosage MH - Female MH - Fluorouracil/administration & dosage MH - Gastroscopy MH - Humans MH - *Hyperthermia, Induced MH - Male MH - Middle Aged MH - Mitomycin/administration & dosage MH - Preoperative Care MH - Retrospective Studies MH - Stomach Neoplasms/drug therapy/pathology/*therapy EDAT- 1992/02/01 00:00 MHDA- 1992/02/01 00:01 CRDT- 1992/02/01 00:00 PHST- 1992/02/01 00:00 [pubmed] PHST- 1992/02/01 00:01 [medline] PHST- 1992/02/01 00:00 [entrez] PST - ppublish SO - Gan To Kagaku Ryoho. 1992 Feb;19(2):203-9.