Local recurrence of cancer after cryosurgery is related to the inability to monitor and predict destruction of cancer
(temperatures > -40°C) within an iceball. We previously reported that a cytokine adjuvant TNF-α could be used to
achieve complete cancer destruction at the periphery of an iceball (0 to -40°C). This study is a further development of
that work in which cryosurgery was performed using cryoprobes operating at temperatures > -40°C. LNCaP Pro 5 tumor
grown in a dorsal skin fold chamber (DSFC) was frozen at -6°C after TNF-α incubation for 4 or 24 hours. Tumors
grown in the hind limb were frozen with a probe tip temperature of -40°C, 4 or 24 hours after systemic injection with
TNF-α. Both cryosurgery alone or TNF-α treatment alone caused only a minimal damage to the tumor tissue at the
conditions used in the study. The combination of TNF-α and cryosurgery produced a significant damage to the tumor
tissue in both the DSFC and the hind limb model system. This augmentation in cryoinjury was found to be time-dependent
with 4-hour time period between the two treatments being more effective than 24-hour. These results suggests
the possibility of cryotreatment at temperatures > -40°C with the administration of TNF-α.
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