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Volume 20, Number 3, September 2008

Effect of Irradiation on Malignant Tumour Invasion into Bone

Kathawut Tachasuttirut,1 Shogo Hasegawa,1,2 Norio Yoshino,3 Daisuke Ito,1,2 Ken Omura1,2
1Oral and Maxillofacial Surgery, Department of Oral Restitution, Division of Oral Health Sciences, Graduate School, Tokyo Medical and Dental University, 2Department of Advanced Molecular Diagnosis and Maxillofacial Surgery, Hard Tissue Genome Research Center, and 3Oral and Maxillofacial Radiology, Department of Oral Restitution, Division of Oral Health Sciences, Graduate School, Tokyo Medical and Dental University, Tokyo, Japan

Abstract
Objective:
The periosteum acts as a protective barrier against the entry of tumour cells during direct bone invasion of malignant tumours. Injuries to the periosteum may cause impairment of its barrier function. The effect of irradiation on tumour bone invasion was examined using a mouse tumour transplantation model.
Materials and Methods: Forty four C57BL/6J mice were used to evaluate the effect of irradiation. The calvarias of the mice were scratched and/or irradiated (dose, 10 Gy), and B16F10 melanoma cells were inoculated. Mice from the irradiation only group were inoculated with B16F10 cells 1, 7 or 14 days after irradiation, and the association of irradiation effects with this duration was evaluated. Calvaria specimens were radiologically and histologically evaluated, and the quantity of bone resorption was examined.
Results: Bone invasion was not evident in non-irradiated non-scratched control mice, even when the tumour size reached 15 to 20 mm. However, cortical bone resorption and tumour cell entry were observed in both irradiation only and scratch only groups. More aggressive invasion of B16F10 was found in irradiation plus scratch calvarias. Evaluation based on sagittal suture opening revealed no significant differences in bone invasion among these groups.
Conclusion: Injuries caused by irradiation made the periosteum more prone to malignant tumour invasion. The effect of irradiation on bones might be long lasting.


Key words: Bone and bones, Neoplasm invasiveness, Periosteum, Radiation effects

Asian J Oral Maxillofac Surg. 2008;20:117-123.
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