PURPOSE: Detection of radiation resistant hypoxic cells in poorly vascularized regions of tumors could facilitate selection of therapeutic schedules for the combination of radiotherapy and hyperthermia. PATIENTS AND METHODS: In 29 patients (9 breast carcinomas, 8 soft tissue sarcomas, 8 lymph node metastases of head and neck cancers and 4 different other tumors) the oxygenation status was examined before, during and after radio- and partially thermoradiotherapy. It was registered using a needle electrode under local anesthesia. The pO2-values obtained from about 100 to 200 sites of an individual tumor were displayed as histograms (Eppendorf-pO2-Histograph, Hamburg). RESULTS: Hypoxic tissue areas (pO2 < 5 mm Hg) was found more in sarcomas (10.2%) than in lymph node metastases of head and neck cancers (5.8%) and breast carcinomas (3.3%). We observed in the course of therapy increasing pO2 values (reoxygenation) only partially in the groups of breast carcinomas and cervical lymph node metastases, decreasing in the soft tissue sarcomas. CONCLUSIONS: In future the selection of patients for hyperthermia could be done on the base of pO2-measurements.
PURPOSE: Detection of radiation resistant hypoxic cells in poorly vascularized regions of tumors could facilitate selection of therapeutic schedules for the combination of radiotherapy and hyperthermia. PATIENTS AND METHODS: In 29 patients (9 breast carcinomas, 8 soft tissue sarcomas, 8 lymph node metastases of head and neck cancers and 4 different other tumors) the oxygenation status was examined before, during and after radio- and partially thermoradiotherapy. It was registered using a needle electrode under local anesthesia. The pO2-values obtained from about 100 to 200 sites of an individual tumor were displayed as histograms (Eppendorf-pO2-Histograph, Hamburg). RESULTS: Hypoxic tissue areas (pO2 < 5 mm Hg) was found more in sarcomas (10.2%) than in lymph node metastases of head and neck cancers (5.8%) and breast carcinomas (3.3%). We observed in the course of therapy increasing pO2 values (reoxygenation) only partially in the groups of breast carcinomas and cervical lymph node metastases, decreasing in the soft tissue sarcomas. CONCLUSIONS: In future the selection of patients for hyperthermia could be done on the base of pO2-measurements.