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2063 例疑诊副肿瘤性神经系统综合征患者血清“经典”神经肿瘤抗体的阳性率。

Positivity of serum "classical" onconeural antibodies in a series of 2063 consecutive patients with suspicion of paraneoplastic neurological syndrome.

机构信息

Second Department of Neurology, Institute of Psychiatry and Neurology, Sobieskiego 9, 02-957 Warsaw, Poland.

出版信息

J Neuroimmunol. 2013 Jun 15;259(1-2):75-80. doi: 10.1016/j.jneuroim.2013.04.007. Epub 2013 Apr 30.

Abstract

This study determined the prevalence of classical onconeural Ab in a series of 2063 consecutive patients that were investigated because of suspicion of PNS as well as evaluated individual onconeural Ab in relationship to the clinical spectrum of associated neurological syndromes and tumor types detected in 70 patients finally diagnosed with PNS. We conclude that detectability of onconeural Ab is low among patients suspected with PNS. Specification of Ab is helpful in defining a neurological syndrome as paraneoplastic as well as in searching of underlying tumor. The success in tumor screening depends on the type of onconeural Ab.

摘要

本研究在因疑似 PNS 而接受检查的 2063 例连续患者系列中确定了经典的神经肿瘤相关抗体(onconeural Ab)的流行率,并评估了在最终被诊断为 PNS 的 70 例患者中发现的相关神经综合征和肿瘤类型的个体神经肿瘤相关抗体与临床谱的关系。我们得出结论,疑似 PNS 的患者中神经肿瘤相关抗体的检测率较低。抗体的特异性有助于将神经综合征定义为副肿瘤性,也有助于寻找潜在的肿瘤。肿瘤筛查的成功取决于神经肿瘤相关抗体的类型。

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