Lange M K, Martin E W
Department of Surgery, Ohio State University, Columbus.
World J Surg. 1991 Sep-Oct;15(5):617-22. doi: 10.1007/BF01789208.
Intraoperative detection of colorectal carcinoma with the Neoprobe gamma detector has been useful in surgical decisionmaking regarding resectability by localizing additional tumor not readily identified by palpation or inspection, and in determining surgical resection margins. Tumor labeling has been achieved in 84% of the patients. Occult tumor has been identified in 18% of evaluable patients and changed operative decisions in 43% of patients. New monoclonal antibodies with radiolabels offer hope for more effective agents for imaging, Radioimmunoguided Surgery and potential therapeutic modalities.
使用Neoprobeγ探测器在术中检测结直肠癌,有助于手术决策,通过定位触诊或检查不易发现的额外肿瘤来判断肿瘤是否可切除,并确定手术切除边缘。84%的患者实现了肿瘤标记。在18%的可评估患者中发现了隐匿性肿瘤,43%的患者因此改变了手术决策。带有放射性标记的新型单克隆抗体为更有效的成像剂、放射免疫导向手术及潜在治疗方式带来了希望。