61 COUHARIN RESISTANCE AND LUNG CANCER. M C. Manotti, 1. Poli, R. Quintavalla, i# Pini di Medicina Generale and Centro Emostasi, Ospedale Maggiore, Parma, Italy.
A.G.
Dettori.
5’
Divisione
Recurrence
of venous thradxxis
during
(about
2% in the 3 months treatment
scribe
here three
patients
boestaolism while stologic
diagnosis
Heparin shifted year,
Lou molecular
Another
patient anti-Xa
weight
developed units
These case histories 1)
Counarin
4 years
carcinoma
oral
anticoagulants after
were referred
11.520
units
because of recurrent
was subsequently
and adenocarcinoma
anti-Xa
dosage is unusual
deep venoua thrordsosis).
to our clinic
and in whom a lung cancer
in one case,
at adequate
acute
found.
We dethromThe hi-
in two cases.
signs and symptoms of thrombosis.
heparin,
and did not shou any thrcobotic
rin 4.000
last
in ameliorating
uith
cxnmwnly prescribed
with Acenocouwrol
was epidermoid
was effective
to
uho in the
on therapy
treatment
period
One of these patients
once a day subcutaneously
for
was then about
one
recurrence.
a cerebral
esbolus
after
4 days of treatment
with
Lou molecular
weight hepa-
once a day S.C. suggest the follouing resistance
should alert
considerations: to the presence
of underlying
neoplasm and specifically
of
lung cancer. 2)It
is conceivable of uith
in these
vitamin
K dependent
direct
antithrombin
3) Lou molecular
ueight
cases a persistent
heparin
coagulation activity,
thrtiin
factors, like
thus
generation
notwithstanding
requiring
an antithronbotic
the decrease medication
heparin.
at high dosage may also be effective.
62 FROM MONOCYTES TUMOR NECROSIS FACT&? PRODUCTION BY PERIPHERAL HEAD AND NECK CANCER PATIENTS.Attanasio M.,Gori A.M., Martini F., Boccuzzi S.+, Boscherini G., Giusti B., Pinto S., Gallo O.*, Clinica Medica I e Dilaghi M.*, E.*. Clinica Gallina Otorinolaringoiatrica*. University of Florence. squamous In patients (pts)with advanced head and neck carcinoma (HNSC),evidence of cell-mediated immunity and monocyte of this (M) functional abnormalities has been reported.The aim by LPS activated M study iS to investigate the release of TNF(HNSC). from pts with advanced head and neck squamous carcinomas 6 with oral cavity cancer) Ten male pts (4 with sopraglottic and were grouped and ten controls have been The pts studied. Karnofsky and according to TNM classification of UICC1987 criteria. Pure M were incubated with LPS (10 pg/mL) for 4 hrs at 37'C.TNF-d concentrations in supernatants were determined with a produced specific from pts Stimulated M ELISA (Biokine). signigicantly (p70 or ~70 was 926 ng/lO ng/lO cells respectively. Cur findings show that M from advanced but HNSC patients have an increased capability to produce TNF, TNF production is not relevant in cancer-related clinical state.