Background: The effect of blood transfusion on tumor growth is controv
ersial. Under experimental conditions, even similar animal models can
give varied results. This study was undertaken to characterize the nat
ure of the effect of blood transfusion on tumor growth. Methods: Sixty
-five Fischer 344 rats subcutaneously implanted with a methylcholanthr
ene-induced sarcoma were studied with additive blood transfusion at 1%
tumor burden in two separate experiments. In experiment 1, the effect
s of syngeneic fresh whole blood transfusion (5, 10, and 15 ml/kg) and
allogeneic (5 ml/kg) were tested. To determine if stored blood influe
nced the results, experiment 2 was performed with syngeneic blood tran
sfusion (15 ml/kg) and allogeneic blood transfusion at 5 ml/kg. Tumor
dimensions were determined daily by external measurement, and tumor we
ight and growth rate were calculated. Results: No significant differen
ces in final tumor weights or tumor growth rates were found in transfu
sed rats compared with controls. This held true for syngeneic blood tr
ansfusion regardless of dose, allogeneic blood transfusion, and regard
less of whether the blood was fresh or stored. Conclusions: Additive b
lood transfusion does not affect tumor growth in this animal model. Th
is finding, together with the general inconclusiveness in the reported
literature on this topic, speaks against a dominant role for the effe
ct of blood transfusion on tumor behavior.