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TABLE OF CONTENTS

 



 

Introduction:

   As regards oncology nowadays the statutory health insurance agencies can only fulfill their tasks predetermined by the legislator to a limited extent. In the light of secured knowledge this at least fully applies to Sect.12 of the code of social law comprising social security services (SGB V.) as far as the legal situation in respect of the stipulation of economic efficiency is concerned .
 

The respective text of the law reads as follows:

   The benefits must be sufficient, adequate and economic, they shall not exceed the necessary limit. Benefits which are unnecessary or inefficient cannot be claimed by the insured, shall not be provided by the grantor of benefits and not be granted by the health insurance agencies.

 

  The statistician of the German Centre for Cancer Research of Heidelberg (1) already revealed in his publication of 1990 that the statutory health insurance agencies presumably illegally provide benefits in kinds for matter-of-routine therapies with cytotoxics (chemotherapy).The reason : The said therapy methods do not ascribed any life-prolonging effects. Moreover,the dramatic deterioration of the quality of life substantially affects the remaining life span of cancer patients.

    It can be seen from the chart (Fig 1) which shows recently published statistics from the German Centre for Cancer Research in Heidelberg. (DKFZ) that up to now the situation has not changed.

    According to the disillusioning results from Heidelberg, chemotherapy has an effect with only 5% of the patients, provided it is combined with resection and radiation.This is because most cancer patients present late and are therefore not suitable for surgical resection of their tumors.

    About  400,000 patients per annum still die from the aftereffects of the mentioned useless attempts of treatment (2) or of the cancer per se. The German Cancer Congress estimated the cost expenditure for treating cancer patients at DM 125,000 to DM 1.5 Million per patient, mind you, for often ineffective methods of treatment.

 
THE THERAPIES BY WHICH CANCER IS CURED 
 
1_pix_1
  Chart 1:chart by the German centre for Cancer Research,Heidelberg

   Even the most recent new combinations of chemotherapies and conventional therapies that may be disguised as " scientific studies" and are newly promoted by certain groups of experts which are charged at the expense of the insurance agencies, fail to change the factual situation. They all the more oppose the stipulations of Sect.70 of the code of social law comprising the social security services (STGB V.) concerning quality, humaneness and economic efficiency. The insuree's money to an amount of two-digit billions-according to estimates - are may therefore be fruitlessly spent.

   The alleged " scientific character" of the mentioned unallowed studies at the expense of the health insurer fails to change this; the same applies to neoplasms, such as those for " therapy optimisation " (3) They merely and unnecessarily diminish the people's faith in the otherwise time-honored principles of classical medicine.




 

    Against this background it is not only the responsibility of the social security institutions, but also the responsibility of the other groups of medical experts, especially after the oncologically oriented groups of experts have started to shun their responsibility. The damage caused to the overall economy at the expense of the joint society of health insurance has already reached substantial proportions and can be easily estimated (cf. above)

    Mainly responsible are the doctors in the medical service of the health insurances (MDK). It is their duty to present the scientific knowledge which has been ascertained already since 1990(1) from a factual point of view and in accordance with the stipulations of Sect. 275 SGB V . This means : they are liable to translate the said knowledge into common language that is comprehensible by the laymen employed with the health insurances.

    By doing so, the medical progress that are reached can then be integrated into the social security too, as stipulated by Sects 63 to 66, SGBV., para.3. And only in this way the insured can be prevented from further damage.

   In practice, the necessity. remains to translate the seemingly twisted, but by now valid scientific knowledge and facts in a form that is comprehensible by the layman and to realize it in therapy. The aim: Not only the responsible people at the health insurance but also those directly affected , namely the insured themselves should be enabled to analyse the factual situation. It is therefore one of the objective of the following explanations to present as a working basis an evaluation of the scientifically determined facts pertaining to the field of oncoimmunology in a form that is comprehensible by the medical layman. 

   Another objective is to provide a practical working assistance for the medical services, health authorities and also authorities providing financial aid to patients.

   In practice, these explanations serve the purpose of acquainting the patients, i. e. the persons involved and their relatives with the complex scientific facts relating to oncoimmunology by means of a generally comprehensible presentation.



 
 
 

What are Cytokines? 

  I
n classical medicine, the field of immunotherapy has been established many decades ago.

    The immune system and hence the individual endogenous defenses can either be activated directly, i.e. specifically targeted, or indirectly, i.e. unspecifically targeted, a difference which will be explained later on.

    The success of whatsoever type of defenses , be it a specific or an unspecific one , is due to signal transduction. This means the transduction of information while the defenses mechanism is working in the body namely between the immunoactive cells of the blood and the tissular cells of the body.


Targeted Defense:

   Cytokines are the signal and messenger substances that are used by the immune system for a targeted defense-they are divided into interferons (IFN) and interleukins (IL) according to their origin and task and are readily referred to as the " language of the immune system . " Their components are specific to the individual; comparable to his fingerprints, i.e. therefore also in the human species they are characteristic for each individual and might be compared to the letters of the alphabets. When the endogenous defenses are activated, whole cascades of cytokines are grouped into " precise " words and these words  are then grouped into comprehensive " sentences " .

   The effector cells : the leucocytes and the lymphocytes, communicate among each other and with the tissular cells by means of the different cytokine cascades .Each single step towards self-healing ,which is similar to the language processes, is individually determined by the different word orders (different combinations of cytokine cascades ). It is in this manner that bacteria, fungi and viruses,which are unnoticeably inhaled into the lungs with each breath , can then be repelled and destroyed without us knowing it.

 

Cytokines as medicine

  It's  a natural desire therefore, to try to make use these natural antibodies as pharmaceutical preparations (4) in cancer therapy. Synthesized through genetic engineering or from the use of foreign blood, the retorts-IFN and - IL ( recombinant cytokines ), however, have not met with high expectations. They have only one thing in common: an excessive number of dangerous and potentially life-endangering side-effects as well as high pharmacy selling prices.

   The prepared cytokines lack the specific therapeutic, i.e. the targeted effects. Their effects are exclusively limited to an non-specific effect, i.e. to the untargeted immunostimulation (4) as is sufficiently known for treatments with foreign proteins.

   Hence, the use of targeted and specific immunodefense methods-particularly without the dangerous side-effects-have been mainly restricted to the use of autologous target cytokines (Own Blood Cytokines ) . It is for the reasons that the different types of autologous cytokine therapies (Own Blood Cytokines ) as a medical service had become a fixed part of the scale of medical fees (GOÄ) for many decades.



 
 

Application in practice

  The well-founded scientific fundamental knowledge, and its theraupeutic applications in practice are often two different pairs of shoes. This experience can also be obtained from evaluating the therapeutic treatment with recombinant cytokines. Even today the specific effects of the autologous target cytokines ( Own Blood Cytokine ) is often equated to the non-specific effects of recombinant cytokines , which leads to considerable false estimations and indications being made.

   Not even certain groups of medical experts are above these false estimations . And often it is considered a "more valuable asset " to carry out therapeutic studies on recombinant cytokines rather than take into account the quality of life or the length of survival of the patient that is suffering from cancer.

   This , again, makes it more difficult for the medical services of the health insurance agencies to do the tasks assigned to them by the legislators ; especially in cases where a decision on the financing of recombinant cytokine studies must be made (cf. Sect. 66, SGB V.,chapter 10).

Often , real conflicts of interests arise not only at the expense of the patients but at the expense of the health insurance agencies as well. This situation is still aggravated if the respective professional organisations (and competent Medical Boards ) are biased .

 

Natural tumor defense

  It is a well-known fact that many natural environmental influences contribute to the formation of cancer, and that the endogenous immune system repells them quite naturally . A typical example of that is the reddening of the skin after a sunbum:

   The skin reddens because of thermic exposure and is soothed in the shade and then becomes pale . Only hours later the skin reddens, i. e. shows sunburn. By that time only the endogenous immune system will have recognized the damages to the hereditary material of the skin cells caused by the solar irradiation (chromosome aberrations / chromosome breaks) and it commences to repair those damages by means of an inflammation (reddening ) (the so-called repair mechanisms.).

   Only after all potential cancer cells have been repaired does this inflammation subside . The inflammation is an important and necessary part of the immune defense mechanism, including the endogenous defense system that fights against cancer cells (healing inflammation).

   If the skin damage caused by exposure to the sun has been too intense and is irreparable , the skin is desquamated and a bullous exanthema is formed (vesication) and the skin is renewed in total.

   The above mechanisms of biological cancer defense and also similar mechanisms are carried out in the  human body many thousands of times every day.



 
 

Cancer cell repair

   Millions of body cells ae renewed every day by means of cell divisions . During this process eucaryotic organic and tissular cells as well as cells with modified hereditary material , i.e. potential cancer cells, are formed. The cancer cells, recognized as faulty cellular structures, are easily identified by the immmocompetent cells of the defense system . By means of the so-called repair mechanisms, the immune system of the human body repairs the body cells that are recognized as faulty and repairs the hereditary material in a process similar to the one observed with sunbrn.

   During the said process, the B-Iymphocytes-comparable to scout cells tansform themselves into plasma cells , which in turn produce antibodies that mark the tumor cells and with their aid repair or destroy them.

   Through a well- balanced interaction of the different T-cell subpopulations ; the helper cells and suppressor cells , the remaining T-cells are now activated . If need be , natural killer cells (NK)destroy the tumor cells by means of chemical substances, called perforines, which causes the mortification of the cells .



 

Fig.1: Signal transduction in vitro : nutural killer cells have occupied the cell membrane of the tumor cell. Cireular defects in the cell membrane (arrow a ), which look as if they have been perforated, after digestive impact of the perforine synthesis at the contact point NK cell : tumor cell membrane arrow b : NK cell in action(enlargement:screen electronic microscope).
 

    Macrophages swallow the fragments of the destroyed cancer cells (phagocytosis ).  Smaller fragments are digested, bigger ones are transported away and are catabolized e.g. through the liver.

 

Causes of cancer formation

  For the 400,000 cancer patients in Germany each year, the described biological cancer defense mechanisms fail to function . What are the causes for this failure?

   For may decades the opinion prevailed that a tumor might only be formed in a weakened or faulty immune system. Scientifically, it was postulated that chronic viral infections often coincided with the formantion of cancer.

   The above hypothesis was even confirmed by animal tests.

   Today we know that the mentioned theory regarding the formation of cancer only applies in rare cases.

   The same can be said of the doubtful results obtained by animal testing . Nowadays, genetic manipulation has made it possible for any animal testing to be successful because the required conditions for testing can be artificially created; even though this may go against the fundamental Laws of Nature. Merely, adequate animals have to be produced first (e.g. transgenetic mice )and virtually everything is confirmed " scientifically" . These animals are bred to have a deficient immune system, so that human tumor cells can be transplanted into them without being immunologically rejected by these specially bred animals.

   In nature and in practice this is , however , completely different. Everybody who has experience in dealing with cancer patients will know that if the cancer diagnosis is confirmed; the news usually strikes the patient like lightning. Usually, the very people who are affected are those who " have never been ill throughout their lives " This practical experience too, may induced an internal reorientation of his endogenous defense system .I t is known today as fundamental knowledge in classical medicine that only  in rare cases, do the weakened endogenous defences cause the formation of cancer.



 

Enveloping of cancer cells

   It is scientifically well-founded that the enveloping of the cancer cells as such is the reason for the formation of cancer (6). The cancer cells owe their ability to survive in an intact immune system due to this protection in order that they may remain unidentifiable (Tab 2,A)

.

 

    tumor_1
    tumor_2
    tumor_3
    tumor_4
                                        

    Tab 2
    : diagram of signal trensduction , i. e. cytokine.production by leucocytes ( for detailed description cf ,text )



   Already in the 70s our working group had pointed out the said enveloping of tumor cells and recognition mechanisms (7-9). Our findings were confirmed by other scientists, e.g. the German Centre for Cancer Research, Heidelberg, in 1992, i.e. at a time (6) when our working group had for many years already experienced therapeutic successes based on the said findings.

   Tumor cells produce so-called surface markers, such as e.g. CD44v (6) for their own protection which are comparable to a magical cap. " Enveloping " is the scientific term for this process.

   The surfaces are the same as those produced by lymphocytes .In the blood cancer cells incorporate into the phalanx of lymphocytes, pretend to be them and hence remain unidentified.

   Certainly, this is not the only protection against indentificatoin and defense. Recent examinations confirmed that tumor cells also carry protective substances on their surfaces which are similar to hormones ,e.g. the hormone B-HCG.

   Thus ,the cancer cells achieve additional protection against immunological detection, similarly to the ovum protecting itself from being discharged from the uterus.

   This is the reason why the tumor cells can multiply unimpededly, At a very early stage they spread via the bloodstream and the lymphatics ( " haematogenous " and " lymphogenous" metastatic spread).



 
 
 

Tumor stem cells 

   Long before the first clinical hints at a tumor disease and diagnosis thereof, tumor mestastases have already spread. This was confirmed by the fundamental examination results obtained by the Riethmuller working group, Munich, (10-17).L

   By means of an early metastatic spread of individual tumor cells into the bone marrow the metastatic cells adapt to the sterm cells of the bone marrow and - as described above-can no longer be differentiated from the other stem cells of the bone marrow by the defense of the immune system.

   In accordance with Riethmuller (18) we talk of tumor stem cells in such cases.



Strategically important spot

   The bone marrow is the site of great strategic importance for the tumor stem cells . Similar to blood cells which are produced by the stem cells of bone marrow and are then washed out via the bloodstream or the lymphatics, tumor cells are equally produced by the tumor stem cells in the bone marrow and are washed our via the bloodstream or the lymphatics, as they metastasize.

   This also is the reason why the surgical resection of cancer only leads to a restitutio ad integrum, i.e. recovery, if it was carried out at a very early stage prior to the clandestine formation of metastases.

   However , if a tumor is already causing suffering in the patient or if it is easily visible and hence has been discovered and resected only as a result thereof ; usually millions of tumor cells are already circulating in the bloodstream and the lymphatics of the patient.



Early cancer diagnosis and early resection:

   Though surgical resection results in a reduction of the tumor mass, the metastatic spread has already taken place and can be cured in only 5% of all tumor cases with the conventional therapies; and also only in combination with radiation and chemotherapy.

   With the remaining 95% of all tumor cases (table 1) it is only a matter of time before the relapse of the tumor manifests itself anew because of the lymphogenous and haematogenous metastatic spread that have already occurred in the patient.

   This also explains why the number of new cancer cases and its mortality rate in Germany have remained almost equal over the years despite of all the costly and complicated therapeutic measures that are undertaken by the patient ; besides also expesriencing a poorer quality of life by the patient. Against this backdrop, early cancer diagnosis deserves the utmost priority.




 
 
 

Way out :Immunotherapy

   Not only in the case of gastrointestinal tumors, i.e. tumors of the gastrointestinal tract (2) and the different forms of the mammary carcinomas (breast cancers ) (19), have conventional chemotherapy regimes so far failed to cure the patient but there are even reports of deaths as a result of therapy in some cases.

   In the case of the other types of tumors (1) it was just as little possible to prolong the life by chemotherapy .

   The only exception are the different kinds of leukaemia , tumors of the testicles and small-cell bronchial carcinoma. But here , too, chemotherapy does not fundamentally or in all cases mean a cure.

   Hence, today only immunotherapy remains to give the hope for a reasonable chance of a cure for the patient's cancer. For many years, it was used as an adjuvant therapy, i.e. concomitantly used in classical medicine ; this natural form of treatment is used as a defense against tumors and have been gaining more and more importance and significance in the recent years.

   With regards to immunotherapy, we differentiate between two important , completely different treatment principles : the specific and the non-specific immunotherapy.


Non-specific Immunotherapy :
A
n example thereof , is the treatment with foreign proteins such as misteltoe or its lectin , and similarly the cytokine preparations belong to this group.

   In non-specific immunotherapy, the immunosystem is activated (only) in general . The effect is limited to the improvernent of the general defense situation unless when too high doses are used that result in side-effects. There are no specific targets of the non-specific immunodefense mechanisms.


Specific immunotherapy :
I
n this class, only the very complicated ASI-therapy according to Schirrmacher (20), which is only restricted to certain kinds of tumors and the therapy using autologous target cytokines ( Own Blood Cytokine ) are known.

   The specific immunotherapy activates the immune system in a targeted manner against the tumor .

   In the case of the specific immunotherapy too, the therapeutic effect is divided into two steps :

   The first step comprises the specific targeted inflammation at the tumor and its metastases :

   The cellular correlate for this is the activation of the B-lymphocytes to become plasma cells which , in turn , recognize the tumor cells as an antigen and make them identifiable with the aid of antibodies which they deposit on the surface of the tumor cells, i.e. determination as an antigen; thereby the defense function of the  T-cell line is stimulated (cf . above ).

   The second step is the direct destruction of the tumor :

   The cellular correlate for this is the control through helper and suppressor cells and the activation of the natural killer cells (NK), followed by the mortification of the tumor cells and the removal through macrophages . These are specific to the individual and are highly specific processes whose duration is determined by different factors and co-factors.(22).



 

Lab technology :

   Already in the early phases of tumor disease about 1 million tumor cells circulate in the blood of the cancer patient , i.e. about 2,000 tumor cells calculated per 50 ml (10-17) of peripheral blood . This is exactly the amount of blood or the number of tumor cells which are required for the relevant tumor cell-targeting in-vitro.

   While in vivo, i.e. in the body of the cancer patient, the tumor cells are protected form immunological recognition via enveloping (Table 2 A ) . But in-vitro , it is possible on the other hand , to deprive the tumor cells of this enveloping . In 1978 we had already morphologically demonstrated (7,8) that tumor cells and macrophages which are drawn with the blood of the patient, will give up their enveloping for brief moments, e.g. during the cell division phase. During this mitosis phase, the tumor cell is not protected because its outer cell membrane, nucleus and nuclear membrane are being restructured . Now they quickly become prey to the leucocyte and lymphocyte recognition.

   Before long, leucoctes migrate to the place of cell division within in the cell culture of the patient's nucleated cells using the patient's own serum; and occupy the entire surface of the tumor cell (Fig. 2). In this situation, signal-transduction (targeting ) between the leucocytes and tumors takes place unhindered. As with any other immune defense processes, the entire immunological transduction cascade is now initiated (cf. above ); first, antibodies are produced by plasma cells ; followed by the controlled activation of killer cells (NK); and finally the tidying-up activities of the macrophages (phagocytosis ) occur.

  

 Fig 2: signal transduction in vitro:at the  lower edge of the picture there are two  tumor cells in rest plase .In the center of the  picture a tumor cell in mitosis is obvious  whose surface is occupied by a plurality of  leucocytes . Enlargement:lens 16, phase contrast.

  
   
From Fig. 3 the signal-transduction processes are more obvious. The different B-and T-lymphocytes, killer cells and macrophages communicate by means of pseudopodal appendices.

When seen on the scanning electron microscope ( Fig. 1) the result becomes clear : a tumor cell is occupied by several killer cells, the tumor cell membrane is punctually destroyed 8 cf. arrows, Fig. 3). In the lab this takes place entirely by natural means i.e. just as well as with the biololgical tumor defense
.



 

To contral the signal transduction

   However, this form of signal transduction depends on the speed of the spontaneous cell division of the tumor cells in vitro , which often takes place very slowly . Therefore , it was necessary to try to expedite  and intensify the signal transduction process between the leucocytes and tumor cells in the cell culture. To optimize this effect in the laboratory, demasking is done mechanically, and not chemically ( Fig. 2B).

Fig 3: signal transduction in vitro :As Fig 1.For  iilustrative purposes the leucocytes at the upper pole of   the cell division configuration were mechanically removed . The uncovered upper cell nucleus is visible. At the lower  active-portion the signal transduction becomes   recognizable in the form of the pseudopodal appendices  of the leucocytes (enlargement : lens 40 ,phase contrast)

 

The great advantage

   This has the advantage that all tumor cells may be simultaneously subjected to the same autologous signal transduction processes during a short and precisely controlled period of time. When the now demasked tumor cells are reincubated along with the autologous leucocytes, spontaneous signal tansduction the takes place in the laboratory in the same manner as descrjbed above ( Table 2 C).

   As a result of this (mechanical separation of tumor enveloping ), the addition of foreign substances necessary with other methods becomes redundant. This technique ensures that only endogenous (autologous ) materials are used (Table 2 D), which is the sole prerequisite for causing a specific immunostimulation.

 

" Branch office " of the immunosystem , the lab

  What is blocked in the body of the cancer patient by the biological immuno-defense of tumor cells , may be overcomed in the laboratory with the method that is described above ( Table 2 ).

   Figuratively speaking, the laboratory is comparable to a small branch office of the immune system where it is possible to reproduce the natural defense steps of the immune system in a manner just as natural as in the body of a healthy person. In this context the yield of antitumor-specific cytokines is considerable ( Table 2 D ) and depends on different factors and co- factors (22).

   Table 3 shows what amounts of target cytokines can be made available by the above described laboratory technique. In particular, the autologous cytokines TNF and sIL2-R have established themselves as clinically effective and provened to have particularly clinical effects.

table_3

Table 3 (4 pictures in toto ):cytokine measuring values (IL-2,IL-3,IL-6,TNF )hatched: prior to the signal transduction in vitro; black : after the signal transduction in vitro. State after 72 hours of incubation in - vitro by an example of 14 patients in toto.

table_4

Remarks : the tables demonstrate the individual activation of the autologous cytokiones with respect to time , depending on the different factors and co-factors.

 

    Mind you, these autologous cytokines are to be distinguished from the exogenous, the heterologous or homologous cytokine preparations , both with regards to their actions as well as their side effects (cf.chapter immunotherapy).

   Of a superior mature as far as their therapeutic effect is concerned, the autologous target cytokines ( Own Blood Cytokine ) are free from undesired side effects. Their specific effectiveness only becomes relevant directly at the tumor.


Course of therapy:

   These specific effects on the tumor also becomes quite clear during the course of therapy. There are no local reactions at the site where the autologous target cytokines ( Own Blood Cytokine) have been injected .A reddening , i.e. an inflammation, which is caused by an inflammatory infiltrate, only establishes itself at the site of tumor and its metastases.

   In the first step, this initially becomes apparent in the form of a slight swelling at the site of the tumor which is dependant on the different factors, and which later changes smoothly to the destruction of the tumor in the second step.

   Skin metastases, for instance, become initially infiltrated and than become reddened; just as in the case of any other inflammation. This positive effect should by no means be confused with a " local relapse " of the tumor or with a progression of the tumor . It is due to this inflammation that a reduction of the tumor mass or a disintegration of the inflammatory infiltration with an outward emptying of the tumor is seen.

   This spontaneous discharge is a therapeutic part of naturopathy which has been known for centuries (e.g. scarification, cupping glasses ) and which in this case takes place sporitaneously during the therapy with autologous target cytokines ( Own Blood Cytokine).

   The success of the treatment is naturally measured by the above described effect on the tumor or its metastases and subsequently by their reduction.



 
 

Often very late

   Our experience has shown that unfortunately patients too often come for this treatment only at a very late stage of their disease; namely when they have been previously treated for months, in part even for years with chemotherapy , which later tumed out to be completely useless.

In such cases, the immune system has been previously weakened during such therapies , and often " miracles " are expected now.

   Fortunately, it is not a " miracle " because even at such a late stage that the hope for a healing effect are fulfilled by the therapy with autologous target cytokines( Own Blood Cytokine) (24).

Therapeutical successes: 

  It is surprising that also in such grave and far advanced cases that the autologous target cytokines ( Own Blood Cytokine) do not fail to be effective in treating the patient's cancer.

   Fig.4 shows the cerebral metastasis of an unknown primary tumor with extensive oedema formation after chemotherapy and radiation treatment were not successful.

   At this point in time the patient clearly suffered from paralytic symptoms, the tumor had already broken through the falx cerebri.

   Six months later already, in the course of the second autologous target cytokines ( Own Blood Cytokine) series the tumor has largely receded (Fig  4b).

   In 1992 already, the gynaegological clinic of the university Wurzbarg could confirm the following : that in about 50% of all cases there is a partial remission, a standstill (no change ) or at least a delay in the tumor growth (slow progress ) even if the initial diagnosis was infaust (23). Such positive therapeutic results cannot be obtained with any other treatment measure known today .

   This also applies to the case of a 50 year old patient with osteosarcoma and multiple metastases to the lung (Fig. 5a) . Eight months of therapy with autologous target cytokines ( Own Blood Cytokine) reduced the metastases by about 60% (Fig . 5b), a therapeutical success which could not be achieved by any other therapy, not even by chemotherapy which had been previously tried.

fig_5a

Fig. 5a :  multiple metastases of an osteosarcome of the lung .

fig_4a

Fig 4a : cercbral metastasis of an unknown primtary tumor , simultaneously there is a marked cerebral oedema farmation. The namor has broken through the falx cerabrt.

fig_4b

Fig. 4b : 6 months of therapy with autologous target cytokines. ( Own Blood Cytokine) The tumor has largely receded .

fig_5b

Fig 5b: 8 months of therapy with autologous target cytokines ( Own Blood Cytokine) : reduction of metestases by about 60 % .

 

The " special oncology "  phenomenon

   Oncologists do not always wish to fundamentally acknowledge or admit the therapeutic successes of others against the backdrop of their own unsuccessful attempts at treatment.

   The Artzbrief of the LVA Klinik Heidelberg (Fig. 5c) shows that such therapeutic successes are even deliberately ignored . The Heidelberg oncologists did not even shrink from stating the facts in an altered way .

    It is stated in this connection that :

" despite chemotherapy a no-change situation is determined.... " ,

   which is the reason why this patient was still quickly operated before a complete healing had taken place with autologous target cytokines ( Own Blood Cytokine) .

   What is particularly tragic in this examplary case is that the patient did not survive the aftereffects of the said resection (Fig. 5d ). There are numerous documents as proof of such and similar examples for the " special oncology phenomenon" .


THORAXKLINIK

der LVA Baden

HEIDELBERG-ROHRBACH

 

Case history and OP-indication :

   In the case of Mrs.   ...a no-change situation of he lung metastases was determined after the above described development of the disease and renewed chemotherapy. It appeared that the centrally threatening metastatic spread along with the corresponding complication phenomena, such as central obstruction of the respiratory tract and erosion bleeding from the central vessels, could only be overcome by operative intervention.

 
 
fig_5b
 
Fig. 5b : State after the operation of the patient who did not survive the aftereffects of the operation .


Representative treatment successes

   The Institute for Immunology and Cytobiology in Munich has compiled and briefly documented one hundred representative successful treated cases of different types of tumor diseases ; by examples of the so-called tumor patients that have been cured by autologous target cytokines  ( Own Blood Cytokine) therapy (24). With this , we have proven that even at advanced tumor stages and also for most types of tumor diseases that an anti-tumor effect by autologous target cytokines  ( Own Blood Cytokine) can be determined.

Outlook

   There is surely still need of further research and development until THE ULTIMATE CANCER MEDICINE has been found .

   Until then , the therapy with autologous target cytokines  ( Own Blood Cytokine) probably offers the best and most helpful starting point for a treatment in oncology. As far as the use of endogenous blood is concerned, in 1993 the Deutsche Krebshilfe have already recognized and published this (25).


Summary

  The differing and partly controversial interpretations for evaluation the effects of cytokines that have caused the fundamental differentiation between endogenous cytokines and recombinant cytokines to be emphasized.

The present thesis is intended as a practical guideline on how colleagues can explain the principles of immunotherapy with cytokines to the medical layman, e.g. in hospitals, official authorities and authorities for financial aid , and the medical service departments of he health insurance agencies (MDK), and to describe the mentioned principles by means of a comparison between the scientific features and the features in a form in which they are generally understood by the public .


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