PMID- 8732695 OWN - NLM STAT- MEDLINE DCOM- 19970114 LR - 20191101 IS - 1067-5582 (Print) IS - 1067-5582 (Linking) VI - 19 IP - 2 DP - 1996 Mar TI - Treatment of oral cavity and oropharynx squamous cell carcinoma with perilymphatic interleukin-2: clinical and pathologic correlations. PG - 125-33 AB - We describe the correlations between the clinical and histologic findings in an initial series of 60 patients with T2-4, N0-3, M0 squamous cell carcinoma (SCC) of the oral cavity or oropharynx enrolled in a randomized trial set up to evaluate whether the disease-free interval and survival are extended when perilymphatic injections of recombinant interleukin-2 (rIL-2) are combined with routine surgery and radiotherapy. Twenty-nine patients were operated on only (controls). The other 31 received two daily injections of 2,500 U rIL-2, one near the mastoid process on the same side as the tumor and the other under the chin, for 10 days before surgery, and further injections on the nonoperated-on side on a monthly basis for 1 year starting 4 weeks after surgery (or radiotherapy, where necessary) in an effort to upregulate the immune system and delay recurrence. Their surgical specimens displayed a significantly greater inflammatory reaction, larger areas of necrosis, and more intense sclerosis. The inflammatory tumor infiltration consisted of eosinophils, plasma cells, and CD25+ and human leukocyte antigen (HLA)-DR+ lymphocytes. However, no correlations were apparent with regard to the intensity of necrosis, eosinophil infiltration, and the number of DR+ cells and the clinical outcome. By contrast, the correlation between CD25+ cells and a significantly longer disease-free survival suggests that induction of T-cell reactivity, and perhaps specific immunity, is the only important aspect of rIL-2-induced antitumor reactivity. FAU - De Stefani, A AU - De Stefani A AD - Department of Otolaryngology, University of Turin, Italy. FAU - Valente, G AU - Valente G FAU - Forni, G AU - Forni G FAU - Lerda, W AU - Lerda W FAU - Ragona, R AU - Ragona R FAU - Cortesina, G AU - Cortesina G LA - eng PT - Clinical Trial PT - Journal Article PT - Randomized Controlled Trial PT - Research Support, Non-U.S. Gov't PL - United States TA - J Immunother Emphasis Tumor Immunol JT - Journal of immunotherapy with emphasis on tumor immunology : official journal of the Society for Biological Therapy JID - 9418950 RN - 0 (Interleukin-2) RN - 0 (Recombinant Proteins) SB - IM MH - Adult MH - Aged MH - Carcinoma, Squamous Cell/immunology/*therapy MH - Disease-Free Survival MH - Female MH - Humans MH - Immunotherapy, Active MH - Interleukin-2/administration & dosage/*therapeutic use MH - Lymphatic System/immunology MH - Male MH - Middle Aged MH - Mouth Neoplasms/immunology/*therapy MH - Oropharyngeal Neoplasms/immunology/*therapy MH - Recombinant Proteins/administration & dosage/*therapeutic use EDAT- 1996/03/01 00:00 MHDA- 1996/03/01 00:01 CRDT- 1996/03/01 00:00 PHST- 1996/03/01 00:00 [pubmed] PHST- 1996/03/01 00:01 [medline] PHST- 1996/03/01 00:00 [entrez] AID - 10.1097/00002371-199603000-00005 [doi] PST - ppublish SO - J Immunother Emphasis Tumor Immunol. 1996 Mar;19(2):125-33. doi: 10.1097/00002371-199603000-00005.