Study on the Functional Dynamic Changes of Peri-Operative Cellular Immunity in Esophageal and Cardiac Cancer

Objective: To explore the systemic and local cellular immune function of patients with esophageal carcinoma or cardiac cancer.Methods: The distribution of tumor-infiltrating lymphocyte (TIL) and cancer-associated macrophage (TAM) in local tumor tissues of 52 patients with esophageal cancer or cardiac cancer were observed by immunehistochemical method. The level of peripheral SIL-2R and TNF-alpha of preoperative and postoperative 1, 2, 3 weeks were detected by ELISA and ABC-ELISA methods respectively, then the acquired results were compared with 30 cases of normal control group.Results: The peritumor infiltration densities of TIL and TAM was greater than that of cancer nest stroma (P < 0.05). Compared with the normal control group, the levels of sIL-2R and TNF-a increased significantly (P < 0.01). Immune function could be suppressed by operative wound in a short time of post-operation, whose damage severity was closely associated with tumor TNM stages.Conclusion: Patients with esophageal or cardiac cancer have cellular immune function disorders. Dynamic testing of peripheral sIL-2R and TNT-alpha level in patients with esophageal or cardiac cancer has positive clinical significance in the evaluation of cellular immune function, tumor lesion degree and curative effect.