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Original communication| Volume 109, ISSUE 5, P597-601, May 1991

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Total parenteral nutrition and tumor metastasis

  • Michael H. Torosian
    Correspondence
    Reprint requests: Michael H. Torosian, MD, 3400 Spruce St., 4th Floor Silverstein, Hospital of the University of Pennsylvania, Philadelphia, PA 19104.
    Affiliations
    Department of Surgery and Harrison Department of Surgical Research, University of Pennsylvania School of Medicine, Philadelphia, Pa. USA

    Veterans Administration Medical Center, Philadelphia, Pa. USA
    Search for articles by this author
  • Robert B. Donoway
    Affiliations
    Department of Surgery and Harrison Department of Surgical Research, University of Pennsylvania School of Medicine, Philadelphia, Pa. USA

    Veterans Administration Medical Center, Philadelphia, Pa. USA
    Search for articles by this author
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      Abstract

      A major clinical concern with providing total parenteral nutrition to the tumor-bearing host is the potential to stimulate tumor growth. This study was performed to determine the effect of total parenteral nutrition on primary tumor growth and spontaneous pulmonary metastasis in Lobund rats with subcutaneous prostate adenocarcinoma (PA-III) implants. Significant acceleration of primary tumor growth and tumor metastasis occurred in animals receiving parenteral nutrition consisting of amino acids, dextrose, and lipid or standard enteral nutrition compared to control animals. This study represents the first report of stimulating tumor metastasis with specific parenteral nutrients and clearly indicates that both primary tumor growth and tumor metastasis can be altered by exogenous substrate administration.
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