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[肝硬化、乙型肝炎病毒感染与肝细胞癌的关联——免疫组织化学研究]

[Association of liver cirrhosis, hepatitis B virus infection and hepatocellular carcinoma--immunohistochemical study].

作者信息

Knezević-Usaj S, Marković-Lipkovski J, Jovanović R

机构信息

Vojnomedicinska akademija, Institut za patologiju i sudsku medicinu.

出版信息

Vojnosanit Pregl. 1992 Sep-Oct;49(5):432-8.

PMID:1336256
Abstract

In order to assess frequency and importance of the presence of alpha fetoprotein (AFP) and AlAChy as well as hepatitis B virus (HBV) infection antigens in the tissue of hepatocellular carcinoma (HCC) and in the liver tissue outside a tumour, there have been performed retrospective light-microscopic and immunohistochemical examinations of the liver tissue in 65 cases of HCC (39 autopsy and 26 biopsy cases). The finding of AlAChy in 100% of autopsy cases of HCC and 80.7% of biopsy cases of HCC compared with the presence of AFP in 33% of autopsy and 61.5% of biopsy cases point out that AlAChy is a more sensitive marker than AFP in diagnosing HCC. The presence of HBV infection antigens in 43.5% of autopsy cases and 23.5% of biopsy cases of HCC point to an important role of HBV infection in development of HCC in the studied population.

摘要

为了评估甲胎蛋白(AFP)、AlAChy以及乙肝病毒(HBV)感染抗原在肝细胞癌(HCC)组织和肿瘤外肝组织中的出现频率及重要性,对65例HCC患者(39例尸检和26例活检病例)的肝组织进行了回顾性光学显微镜和免疫组化检查。在100%的HCC尸检病例和80.7%的HCC活检病例中发现了AlAChy,相比之下,AFP在33%的尸检病例和61.5%的活检病例中出现,这表明在诊断HCC方面,AlAChy是比AFP更敏感的标志物。43.5%的HCC尸检病例和23.5%的HCC活检病例中存在HBV感染抗原,这表明HBV感染在所研究人群的HCC发生过程中起重要作用。

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