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[用放射性标记肿瘤抗体进行恶性肿瘤的闪烁扫描检测。基于免疫组织化学研究的临床结果]

[Scintigraphic detection of malignancies with radioactively labelled tumor antibodies. Clinical results based on immunohistochemical research].

作者信息

Biersack H J, Bockisch A, Vogel J, Oehr P, Hansen H H, Hartlapp J, Biltz H, Jaeger N, Bellmann O

出版信息

Dtsch Med Wochenschr. 1987 Feb 27;112(9):341-4. doi: 10.1055/s-2008-1068054.

Abstract

69 patients with different tumors (colorectal, melanoma, testicle, ovary, bladder, carcinoid, lungs) were investigated by radioimmunoscintigraphy. The corresponding antibodies or their F(ab')2 fragments against CEA (n = 30), melanoma antigen (n = 25), TPA (n = 6), beta-HCG (n = 5), HMFG-2 (n = 2) and CEA/CA 19-9 (n = 1) were selected on the basis of immunohistochemical investigations of the primary tumors. The precision was 62%, and the number of false-negative findings was 32%. Additional clinical information (detection or exclusion of a suspected recurrence) could be obtained in 22 patients. From these results, it can be concluded that the corresponding tumor antibodies should be selected on the basis of immunohistochemical investigations of the primary tumor before performing radioimmunoscintigraphy to screen for recurrences or metastases.

摘要

69例患有不同肿瘤(结直肠癌、黑色素瘤、睾丸癌、卵巢癌、膀胱癌、类癌、肺癌)的患者接受了放射免疫闪烁扫描检查。根据对原发性肿瘤的免疫组织化学研究,选择了针对癌胚抗原(CEA,n = 30)、黑色素瘤抗原(n = 25)、组织多肽抗原(TPA,n = 6)、β-人绒毛膜促性腺激素(β-HCG,n = 5)、高分子量黑色素瘤相关抗原-2(HMFG-2,n = 2)和CEA/CA 19-9(n = 1)的相应抗体或其F(ab')2片段。其准确率为62%,假阴性结果数量为32%。22例患者可获得额外的临床信息(检测或排除疑似复发情况)。从这些结果可以得出结论,在进行放射免疫闪烁扫描以筛查复发或转移之前,应根据原发性肿瘤的免疫组织化学研究选择相应的肿瘤抗体。

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