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1.
Cancer Microenviron ; 6(3): 273-6, 2013 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-24045913

RESUMO

To study the mechanism of interaction of tumor cells with bone marrow cells continuous wave electron paramagnetic resonance (EPR) experiments at 9 GHz including a spin trapping of superoxide were carried out. The common features of the EPR spectra in healthy and tumor affected tissues of donors and rats as well as their difference are presented and discussed. It is proposed that labile iron pool plays a significant role in mechanisms of tumor invasion. We hope that the observed EPR features could be used to study the mechanisms of invasion and progression of tumor in different organs.

2.
Ukr Biokhim Zh (1999) ; 83(2): 20-8, 2011.
Artigo em Russo | MEDLINE | ID: mdl-21851043

RESUMO

Review is devoted to the analysis of biological effects of microwaves. The results of last years' researches indicated the potential risks of long-term low-level microwaves exposure for human health. The analysis of metabolic changes in living cells under the exposure of microwaves from mobile communication systems indicates that this factor is stressful for cells. Among the reproducible effects of low-level microwave radiation are overexpression of heat shock proteins, an increase of reactive oxygen species level, an increase of intracellular Ca2+, damage of DNA, inhibition of DNA reparation, and induction of apoptosis. Extracellular-signal-regulated kinases ERK and stress-related kinases p38MAPK are involved in metabolic changes. Analysis of current data suggests that the concept of exceptionally thermal mechanism of biological effects of microwaves is not correct. In turn, this raises the question of the need to revaluation of modern electromagnetic standards based on thermal effects of non-ionizing radiation on biological systems.


Assuntos
Telefone Celular , Proteínas de Choque Térmico/metabolismo , Micro-Ondas/efeitos adversos , Espécies Reativas de Oxigênio/metabolismo , Proteínas Quinases p38 Ativadas por Mitógeno/metabolismo , Animais , Apoptose/efeitos da radiação , Linhagem Celular , Telefone Celular/normas , Dano ao DNA , Humanos , Estresse Oxidativo/efeitos da radiação
3.
Lik Sprava ; (1-2): 118-21, 2010.
Artigo em Russo | MEDLINE | ID: mdl-20608038

RESUMO

The authors have studied interconnection between daily excretion of androgenous metabolites and life-span of patients with lung cancer of different histological gradation. Positive correlation was found between life-span of patients with lung cancer and index of androsterone daily excretion. The patients with lung cancer of high differentiation had their androgenous fractions daily excretion compared with those of healthy persons, and patients with the lung cancer of middle and low degree of differentiation had their androgenous fractions daily excretion considerably lower than those of healthy persons.


Assuntos
Androsterona/urina , Carcinoma de Células Escamosas/diagnóstico , Desidroepiandrosterona/urina , Etiocolanolona/urina , Neoplasias Pulmonares/diagnóstico , Carcinoma de Células Escamosas/patologia , Carcinoma de Células Escamosas/urina , Humanos , Neoplasias Pulmonares/patologia , Neoplasias Pulmonares/urina , Masculino , Valor Preditivo dos Testes , Prognóstico , Análise de Sobrevida
4.
Exp Oncol ; 29(3): 203-6, 2007 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-18004245

RESUMO

AIM: To study the influence of redox-active cobalt(III) complex with tetradentate Schiff base and nicotinamide as an axial ligand on the rate of superoxide radical-anions generation and levels of NO in tumor and normal tissues of Lewis lung carcinoma bearing mice as well as activity of matrix metalloproteinases 2 and 9 (MMPs) in tumor. METHODS: The superoxide radical-anions formation and NO level in tissues were assessed by EPR method with the use of 1-hydroxy-2,2,6,6-tetramethyl-4-oxopiperidin and diethyldithiocarbomate spin traps, respectively. MMPs activities were determined by zymography in polyacrylamide gel. RESULTS: It was observed that the rate of superoxide radical-anions generation was selectively increased in tumor tissue (by a factor of 6-7) accompanied with the decrease of NO level (by a factor of 2) due to tested complex administration. Activities of MMPs in tumor were significantly decreased. CONCLUSION: It is supposed that the one of mechanisms of detected earlier antimetastatic effect of complex is based on its ability to induce the formation of high level of superoxide radical-anions selectively in the tumor tissue that results in the damage of its regulatory functions, in particular alteration in the regulation of NO-synthase, decrease of NO generation as well as activities of MMPs.


Assuntos
Carcinoma Pulmonar de Lewis/tratamento farmacológico , Carcinoma Pulmonar de Lewis/metabolismo , Cobalto/farmacologia , Óxido Nítrico/metabolismo , Superóxidos/metabolismo , Animais , Feminino , Metaloproteinase 2 da Matriz/efeitos dos fármacos , Metaloproteinase 2 da Matriz/metabolismo , Metaloproteinase 9 da Matriz/efeitos dos fármacos , Metaloproteinase 9 da Matriz/metabolismo , Camundongos , Camundongos Endogâmicos C57BL , Óxido Nítrico/análise , Oxirredução , Detecção de Spin , Superóxidos/análise
5.
Exp Oncol ; 28(1): 49-53, 2006 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-16614708

RESUMO

AIM: To establish the association between the radical oxygen species (ROS) and NO levels in the tumor cells mitochondria, between cell hypoxia development and activation of matrix metalloproteinases-2 and -9. MATERIALS AND METHODS: Electron paramagnetic resonance (EPR) at room temperature and at the temperature of liquid nitrogen (77 degrees K), spin traps technology, enzymography in polyacrylamide gel were applied. RESULTS: Redox-centers in the respiration cascade of mitochondria have been revealed, multiple oxidative damage of which in breast and liver cancer tissues of experimental animals as well as in tumor tissue from patients with gastric cancer promote the development of cell hypoxia. Involvement of ROS and NO in activation of latent forms of matrix metalloproteinases in gastric tumor tissues has been shown. CONCLUSION: We hypothesize that superoxide radical-anions participate in development of cell hypoxia in tumors and surrounding normal tissues inducing activation of latent forms of matrix metalloproteinases.


Assuntos
Hipóxia Celular/fisiologia , Metaloproteinases da Matriz/metabolismo , Óxido Nítrico/metabolismo , Espécies Reativas de Oxigênio/farmacologia , 9,10-Dimetil-1,2-benzantraceno , Animais , Carcinoma Hepatocelular/patologia , Hipóxia Celular/efeitos dos fármacos , Modelos Animais de Doenças , Espectroscopia de Ressonância de Spin Eletrônica , Ativação Enzimática , Feminino , Humanos , Neoplasias Hepáticas/patologia , Neoplasias Mamárias Experimentais/metabolismo , Ratos , Neoplasias Gástricas/patologia
6.
Exp Oncol ; 28(4): 323-5, 2006 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-17285119

RESUMO

AIM: To study the relationship between the level of generation of reactive oxygen species (ROS) and nitric oxide (NO) and activity of matrix metalloproteinases (MMPs) MMP-2 and MMP-9 in the vessels isolated from rectal tumors and Arteria rectalis superior. METHODS: EPR at the room temperature and 77 degrees K, Spin Traps technology and zymography in polyacrylamide gels were applied. RESULTS: In the vessels isolated from rectal tumors and Arteria rectalis superior high levels of ROS, NO and formation of complexes of NO with FeS-proteins at the sites of electron-transporting chain of mitochondria have been detected. High activities of MMP-2 and MMP-9 in vascular wall were also observed. The direct positive correlation between the rate of NO generation and formation of complexes of NO with FeS-proteins as well as between ROS and NO formation and MMPs activities have been revealed. CONCLUSION: Altered oxidative equilibrium in mitochondria of cells in vascular wall promotes formation of cell hypoxia and its autocatalytic potentiation accompanied with activation of MMPs.


Assuntos
Endotélio Vascular/metabolismo , Metaloproteinases da Matriz/metabolismo , Óxido Nítrico/biossíntese , Neoplasias Retais/irrigação sanguínea , Neoplasias Retais/metabolismo , Superóxidos/metabolismo , Espectroscopia de Ressonância de Spin Eletrônica , Humanos , Mitocôndrias/metabolismo , Detecção de Spin
7.
Ukr Biokhim Zh (1999) ; 76(5): 115-22, 2004.
Artigo em Russo | MEDLINE | ID: mdl-16100907

RESUMO

Red laser light (lambda = 633 nm) in a dose of 9.5 mJ/cm2 defends quail's embryo from X-ray irradiation (8.5 Gr). It is expressed in the 1.9 times decrease of embryo mortality on early term of incubation and 1.6 times increase of hatch in a group of embryos, which were affected by X-rays and laser radiation compared with an embryo, irradiated only by X-rays. Repeated laser irradiation of adult quails (dose 21 J) after CCl4-intoxication led to normalization of hydroxylation and antioxidant systems functions.


Assuntos
Antioxidantes/metabolismo , Intoxicação por Tetracloreto de Carbono/radioterapia , Coturnix/metabolismo , Raios gama , Terapia a Laser , Fígado , Animais , Intoxicação por Tetracloreto de Carbono/sangue , Intoxicação por Tetracloreto de Carbono/metabolismo , Coturnix/embriologia , Embrião não Mamífero/efeitos da radiação , Feminino , Radicais Livres/metabolismo , Hidroxilação , Peróxidos Lipídicos/metabolismo , Fígado/efeitos dos fármacos , Fígado/metabolismo , Fígado/efeitos da radiação , Masculino
8.
Exp Oncol ; 26(4): 271-7, 2004 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-15627058

RESUMO

AIM: To study in vitro influence of mechanochemically activated (MA) doxorubicin (DOXO) and electromagnetic irradiation (EMI) on human lung carcinoma A-549 cells. METHODS: Solid state DOXO was MA by input energy 20 W/g during 5 min. Tumor cells were exposed to 40 MHz EMI with power density 2 W/cm(2) at temperature 37 degrees C. RESULTS: Particles of MA DOXO have sizes 10 time smaller than officinal DOXO, high performance liquid chromatography analysis showed that parameters of officinal and MA DOXO were quantitatively equal. Mechanochemical activation initiated in the drug formation of free radicals with g = 2.005, g = 2.003 and g = 1.97. LD(50) values of MA DOXO were 5 times lower than that of officinal drug. Cell survival decreased in the following way after effects EMI --> officinal DOXO --> MA DOXO --> officinal DOXO + EMI --> MA DOXO + EMI. CONCLUSION: Treatment by MA DOXO and drug with EMI at 37 degrees C showed better targeting of drug in human lung carcinoma A-549 cells outcomes than officinal DOXO.


Assuntos
Antibióticos Antineoplásicos/farmacologia , Antibióticos Antineoplásicos/farmacocinética , Carcinoma/patologia , Doxorrubicina/farmacologia , Doxorrubicina/farmacocinética , Campos Eletromagnéticos , Neoplasias Pulmonares/patologia , Sistemas de Liberação de Medicamentos , Fricção , Humanos , Tamanho da Partícula , Temperatura , Células Tumorais Cultivadas
9.
Vopr Onkol ; 38(6): 736-43, 1992.
Artigo em Russo | MEDLINE | ID: mdl-1338672

RESUMO

Combination chemotherapy with cyclophosphamide, 5-fluorouracil, adriamycin and platinum was performed in 122 patients with stage III-IV squamous-cell cancer and adenocarcinoma of the lung. Control group included 84 cases of non-small-cell lung cancer treated with the same drugs except platinum. Ten patients with stage III disease received platinum-based combination chemotherapy and split-course radiotherapy in the total dose of 65-70 Gy. Complete or partial remission was obtained in 48.6 +/- 11.74% of stage III patients following three cycles of chemotherapy, with mean survival reaching 8.6 +/- 3.2 months. Survival in responders was 10.6 +/- 2.1 months. Chemoradiation treatment was associated with even higher survival (14.6 +/- 2.16 months). It is concluded that platinum be used in combination chemotherapy and chemoradiation treatment of the above categories of patients.


Assuntos
Protocolos de Quimioterapia Combinada Antineoplásica/uso terapêutico , Carcinoma Pulmonar de Células não Pequenas/tratamento farmacológico , Neoplasias Pulmonares/tratamento farmacológico , Adulto , Idoso , Protocolos de Quimioterapia Combinada Antineoplásica/efeitos adversos , Carcinoma Pulmonar de Células não Pequenas/mortalidade , Carcinoma Pulmonar de Células não Pequenas/patologia , Cisplatino/administração & dosagem , Cisplatino/efeitos adversos , Terapia Combinada , Ciclofosfamida/administração & dosagem , Ciclofosfamida/efeitos adversos , Doxorrubicina/administração & dosagem , Doxorrubicina/efeitos adversos , Feminino , Fluoruracila/administração & dosagem , Fluoruracila/efeitos adversos , Humanos , Neoplasias Pulmonares/mortalidade , Neoplasias Pulmonares/patologia , Masculino , Pessoa de Meia-Idade , Estadiamento de Neoplasias , Dosagem Radioterapêutica , Indução de Remissão , Ucrânia
10.
Eksp Onkol ; 12(6): 8-13, 1990.
Artigo em Russo | MEDLINE | ID: mdl-2175701

RESUMO

Data on protein receptors of vitamin A participating in retinoid metabolism, storage, transport and action are presented. Information about cytosolic protein receptors of vitamin A exerting hormone-like action on the cell proliferation and differentiation is considered in detail. Data concerning the presence of protein receptors in normal and tumour tissues, correlation between protein receptors and biological retinoid effect are analyzed. A hypothetic model of the binding protein mode of action in target cells related to the action model of steroid hormones is described. The authors' own data on action of vitamin A and steroid hormones on the level of estrogen and progesterone receptors in the rate of mammary cancer are reviewed.


Assuntos
Neoplasias/imunologia , Receptores de Superfície Celular/fisiologia , Retinoides/farmacologia , Proteínas de Ligação ao Retinol/fisiologia , Animais , Diferenciação Celular/efeitos dos fármacos , Divisão Celular/efeitos dos fármacos , Técnicas de Cultura , Humanos , Neoplasias Mamárias Experimentais/química , Camundongos , Neoplasias/metabolismo , Neoplasias/patologia , Ratos , Receptores de Estrogênio/análise , Receptores de Progesterona/análise , Retinoides/metabolismo , Vitamina A/farmacologia
11.
Vrach Delo ; (10): 8-11, 1989 Oct.
Artigo em Russo | MEDLINE | ID: mdl-2617994

RESUMO

An analysis of the activity of pituitary-adrenal and sympathetic-adrenal systems in patients with cancer of the digestive canal and lungs with consideration of age, sex and stage of the disease indicates that not age but the development of the tumour process is the leading factor in disorders of the neuroendocrine homeostasis. Therapeutic measures are discussed.


Assuntos
Envelhecimento/fisiologia , Neoplasias do Sistema Digestório/fisiopatologia , Neoplasias Pulmonares/fisiopatologia , Sistema Hipófise-Suprarrenal/fisiopatologia , Sistema Nervoso Simpático/fisiopatologia , Adolescente , Adulto , Idoso , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Sistemas Neurossecretores/fisiopatologia
12.
Eksp Onkol ; 11(5): 20-3, 1989.
Artigo em Russo | MEDLINE | ID: mdl-2507271

RESUMO

The dependence of the anticarcinogenic and antiblastic effect of retinoid on the regime of its inoculation and on the process stage has been established using the 7,12 dimethylbenz(a)anthracene-induced mammary carcinogenesis of rats. The prophylactic administration of retinoid alone and its therapeutic inoculation against a background of hormonal correction resulted in the most expressed effect that was estimated by the elongation of the latent period, incidence and growth rate of tumours, lifespan of treated animals as well as by the distribution of malignant and benign tumours.


Assuntos
Neoplasias Mamárias Experimentais/tratamento farmacológico , Vitamina A/uso terapêutico , 9,10-Dimetil-1,2-benzantraceno , Animais , Antineoplásicos/administração & dosagem , Antineoplásicos/uso terapêutico , Vias de Administração de Medicamentos , Feminino , Neoplasias Mamárias Experimentais/induzido quimicamente , Neoplasias Mamárias Experimentais/patologia , Ratos , Vitamina A/administração & dosagem
13.
Eksp Onkol ; 11(5): 36-9, 1989.
Artigo em Russo | MEDLINE | ID: mdl-2507272

RESUMO

The blocking of polyamine synthesis in cancer cell by a specific inhibitor (DFMO) results in an increase in membrane viscosity and in significant changes in cell deformability as determined by cell penetration through a nuclear filter with given porosity. Almost two-fold reduction of the penetration rate through the filter pores was registered for the DFMO-treated cells in spite of the fact that the cell size decreases after such a treatment. The number of cells penetrating through the filter after DFMO treatment is diminished due to an increasing resistance to penetration. The addition of putrescine to the incubation medium at physiological concentration restores all these parameters to the initial values. The possible association of these changes with differential sensitivity of cancer cells towards the inhibitor action depending on the stage of cell cycles is discussed.


Assuntos
Carcinoma de Ehrlich/metabolismo , Eflornitina/toxicidade , Poliaminas/antagonistas & inibidores , Animais , Carcinoma de Ehrlich/induzido quimicamente , Carcinoma de Ehrlich/patologia , Membrana Celular/metabolismo , Membrana Celular/patologia , Permeabilidade da Membrana Celular , Camundongos
14.
Eksp Onkol ; 11(6): 27-33, 1989.
Artigo em Russo | MEDLINE | ID: mdl-2684607

RESUMO

The role of cell membrane structures in the mechanism of anticarcinogenic and antiblastic action of retinoids was reviewed on the basis of the authors' results and data from literature. The retinoid action induced a delay and prevention of malignant neoplasms development, which is shown by various experimental models of carcinogenesis and tumour growth. The regulatory effect of retinoids on the membrane-bound enzymic processes was analyzed as very important in the clarification of the retinoid action mechanisms not only as antipromotor agents, but also as those influencing immediately the initiation stage of the tumour process. Improvement of the A-vitamin status of the organism is an important step in realization of the prophylactic programme of the tumor growth.


Assuntos
Antineoplásicos , Membrana Celular/efeitos dos fármacos , Neoplasias Experimentais/prevenção & controle , Retinoides/farmacologia , Animais , Membrana Celular/enzimologia , Neoplasias Experimentais/patologia , Ratos
15.
Radiobiologiia ; 28(5): 588-90, 1988.
Artigo em Russo | MEDLINE | ID: mdl-2848269

RESUMO

The content of non-heme iron-sulfur proteins and free radicals in the liver, cardiac muscle, and brain was studied during the period from 10 min to 7 days following X-irradiation with doses of 11.0, 7.5, and 4.5 Gy. Ionizing radiation caused substantial changes in the function of electron-transport chains of mitochondria. The change rating was a function of dose while their character depended, in addition, upon the structural and functional characteristics of the organ.


Assuntos
Encéfalo/efeitos da radiação , Coração/efeitos da radiação , Fígado/efeitos da radiação , Animais , Espectroscopia de Ressonância de Spin Eletrônica , Transporte de Elétrons/efeitos da radiação , Radicais Livres , Masculino , Ratos , Fatores de Tempo , Irradiação Corporal Total
16.
Eksp Onkol ; 10(3): 32-5, 1988.
Artigo em Russo | MEDLINE | ID: mdl-3409832

RESUMO

The effect of drugs, including unsaturated fatty acids and antioxidants, on the lipid composition of the endoplasmic reticulum membranes was studied at early stages of NDEA-induced hepatocarcinogenesis. The complexes containing oleic, linoleic, and arachidonic acids and biological antioxidants prevent changes in the fatty acid composition and the lipid bilayer organization of the both membrane fractions of endoplasmic reticulum which are observed after the injection of NDEA alone, and they inhibit the appearance and growth in the liver of gamma-glutamyltranspeptidase positive hyperplastic nodules.


Assuntos
Dietilnitrosamina/toxicidade , Retículo Endoplasmático/efeitos dos fármacos , Ácidos Graxos Insaturados/farmacologia , Membranas Intracelulares/efeitos dos fármacos , Fígado/efeitos dos fármacos , Lipídeos de Membrana/metabolismo , Animais , Retículo Endoplasmático/análise , Retículo Endoplasmático/metabolismo , Membranas Intracelulares/análise , Membranas Intracelulares/metabolismo , Fígado/análise , Fígado/metabolismo , Neoplasias Hepáticas Experimentais/análise , Neoplasias Hepáticas Experimentais/induzido quimicamente , Neoplasias Hepáticas Experimentais/metabolismo , Masculino , Lipídeos de Membrana/análise , Ratos
17.
Vopr Onkol ; 33(3): 67-70, 1987.
Artigo em Russo | MEDLINE | ID: mdl-3564374

RESUMO

An automated IR-spectrophotometer-mini-computer system was designed for assay of steroid hormone level. Its application obviates a clinical analysis of urine. The ratio of 17-ketogenic steroids to androsterone was found to be significantly higher in patients with lung cancer than in healthy controls. The system may be used for identification of groups at high risk both during screenings and in oncological clinic.


Assuntos
Androgênios/urina , Glucocorticoides/urina , Processamento de Imagem Assistida por Computador , Neoplasias Pulmonares/diagnóstico , Idoso , Humanos , Neoplasias Pulmonares/urina , Masculino , Pessoa de Meia-Idade , Minicomputadores , Espectrofotometria Infravermelho
18.
Eksp Onkol ; 9(1): 14-8, 1987.
Artigo em Russo | MEDLINE | ID: mdl-3816655

RESUMO

Regular changes are revealed in electron-transport chains of the energy and detoxifying systems. The changes occur mainly in iron-sulphur centres and cytochrome P-450 under chemical and viral blastomogenesis in the muscular tissue induced by 3-methyl cholanthrene and Moloney oncornavirus. In the tissue of developing Moloney tumour and spleen kinetics of the formation of triplet signal of nitrosyl complexes is recorded in the region of g-factor of free radicals of semiquinone type and its transformation into singlet signal of EPR with the Moloney sarcoma regression.


Assuntos
Sarcoma Experimental/metabolismo , Animais , Sistema Enzimático do Citocromo P-450/biossíntese , Transporte de Elétrons , Radicais Livres , Proteínas Ferro-Enxofre/metabolismo , Fígado/enzimologia , Masculino , Metilcolantreno , Camundongos , Camundongos Endogâmicos BALB C , Vírus do Sarcoma Murino de Moloney , Músculos/metabolismo , Sarcoma Experimental/induzido quimicamente
19.
Eksp Onkol ; 8(1): 44-7, 1986.
Artigo em Russo | MEDLINE | ID: mdl-3948758

RESUMO

A comparative analysis was made for the fatty acid composition of lipids in the malignant muscular tissue, muscle and liver under blastomogenesis induced in mice by the Moloney sarcoma virus and 3-methylcholanthrene. The relation of the found changes in the fatty acid composition to the blastomogenesis stages is shown. The development of the tumour node is accompanied by a decrease of the fatty acid amount in the animal tissues and by its increase in the tumour. A spontaneous regression of the Moloney sarcoma results in increased level of the fatty acid content in the animal tissues followed by its normalization.


Assuntos
Ácidos Graxos Insaturados/análise , Fígado/análise , Músculos/análise , Sarcoma Experimental/análise , Animais , Cromatografia Gasosa , Masculino , Metilcolantreno , Camundongos , Vírus do Sarcoma Murino de Moloney , Sarcoma Experimental/etiologia , Fatores de Tempo
20.
Eksp Onkol ; 6(6): 6-12, 1984.
Artigo em Russo | MEDLINE | ID: mdl-6396067

RESUMO

The review presents a complete analysis of studies on experimental and clinical application of platinum complexes with special reference to cis-dichlorodiamminoplatinum, both separately and in combination with other chemotherapeutic preparations. Platinum complexes show their highest antiblastic activity in treatment of ovarian, testicular, lung tumours and those located in the head and neck regions as well as of the bladder cancer and tumours of the other localizations resistant to the action of alkylating agents and other preparations. The clinical material is systematized so that it is possible on the basis of the analysis performed to choose an optimum regime for treating different tumours by platinum complexes.


Assuntos
Cisplatino/uso terapêutico , Animais , Protocolos de Quimioterapia Combinada Antineoplásica/uso terapêutico , Cisplatino/efeitos adversos , Resistência a Medicamentos , Feminino , Neoplasias de Cabeça e Pescoço/tratamento farmacológico , Humanos , Rim/efeitos dos fármacos , Neoplasias Pulmonares/tratamento farmacológico , Masculino , Recidiva Local de Neoplasia/tratamento farmacológico , Neoplasias Experimentais/tratamento farmacológico , Neoplasias Ovarianas/tratamento farmacológico , Neoplasias Testiculares/tratamento farmacológico , Fatores de Tempo , Neoplasias da Bexiga Urinária/tratamento farmacológico , Neoplasias da Bexiga Urinária/secundário
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