“…The drug most commonly used in Japan is mitomycin C (MMC) (2); the maximum effective dose of MMC suppresses natural killer (NK) cell activity and pretreatment with Received January 12, 1998; accepted March 23, 1998 For reprints and all correspondence: Koichi Ishikawa, Department of Surgery I, Oita Medical University, 1-1 Idaigaoka, Hasama-machi, Oita 879-5593, Japan Abbreviations: CDDP, cisplatin; 5-FU, 5-fluorouracil; MMC, mitomycin C; NK, natural killer; pre-op, preoperative; POD, postoperative days; PBS, phosphate-buffered saline; PBMC, peripheral blood mononuclear cells; FCS, fetal calf serum; Err ratio, effector-to-target ratio this drug enhances the growth ofthe experimental metastases (8). Cisplatin (CDDP) and 5-fluorouracil (5-FU) are among the major agents which have been tested in clinical trials (2,9), and recently attention has turned to the combination therapy of low-dose CDDP-5-FU because of biochemical modulation (10,11).…”