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颅内生殖细胞肿瘤的免疫组织化学研究

An immunohistochemical study of intracranial germ cell tumours.

作者信息

Yamagami T, Handa H, Yamashita J, Okumura T, Paine J, Haebara H, Furukawa F

出版信息

Acta Neurochir (Wien). 1987;86(1-2):33-41. doi: 10.1007/BF01419502.

DOI:10.1007/BF01419502
PMID:2441574
Abstract

Histologically verified intracranial tumours, mainly germ cell tumours of the pineal and suprasellar regions, were studied immunohistochemically using anti-serum of alpha fetoprotein (AFP), human chorionic gonadotropin (HCG), carcinoembryonic antigen (CEA), human placental lactogen (HPL), pregnancy specific beta-1 glycoprotein (SP-1), glial fibrillary acidic protein (GFAP), S-100 and neuron specific enolase (NSE). In germinomas, HCG positive cells were occasionally demonstrated in cells presenting as syncytiotrophoblastic giant cells (STGC), and GFAP and S-100 positive cells were found in the surrounding gliotic lesions. Teratomas were positive for CEA in their epithelial components. Endodermal sinus tumours were positive for AFP, choriocarcinomas for HCG and SP-1, and embryonal carcinomas for AFP, HCG and SP-1. HCG and SP-1 positive cells were demonstrated in STGC. As for the relationship between serum AFP level and tissue localization, many cases presenting a serum AFP level exceeding 220 ng/ml were positive for AFP in tumour tissue.

摘要

对经组织学证实的颅内肿瘤,主要是松果体区和鞍上区的生殖细胞肿瘤,使用甲胎蛋白(AFP)、人绒毛膜促性腺激素(HCG)、癌胚抗原(CEA)、人胎盘催乳素(HPL)、妊娠特异性β1糖蛋白(SP - 1)、胶质纤维酸性蛋白(GFAP)、S - 100和神经元特异性烯醇化酶(NSE)的抗血清进行免疫组织化学研究。在生殖细胞瘤中,偶尔在表现为合体滋养层巨细胞(STGC)的细胞中发现HCG阳性细胞,并且在周围的胶质增生性病变中发现GFAP和S - 100阳性细胞。畸胎瘤的上皮成分CEA呈阳性。内胚窦瘤AFP呈阳性,绒毛膜癌HCG和SP - 1呈阳性,胚胎癌AFP、HCG和SP - 1呈阳性。在STGC中发现HCG和SP - 1阳性细胞。至于血清AFP水平与组织定位之间的关系,许多血清AFP水平超过220 ng/ml的病例肿瘤组织中AFP呈阳性。

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1
An immunohistochemical study of intracranial germ cell tumours.颅内生殖细胞肿瘤的免疫组织化学研究
Acta Neurochir (Wien). 1987;86(1-2):33-41. doi: 10.1007/BF01419502.
2
Localization of alpha-fetoprotein and human chorionic gonadotropin to specific histologic types of nonseminomatous testicular cancer.甲胎蛋白和人绒毛膜促性腺激素在非精原细胞瘤性睾丸癌特定组织学类型中的定位。
Urology. 1983 Dec;22(6):649-54. doi: 10.1016/0090-4295(83)90320-5.
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Intracranial germ cell tumors: pathobiological and immunohistochemical aspects of 70 cases.颅内生殖细胞肿瘤:70例病例的病理生物学和免疫组化研究
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4
[Immunohistological evaluation of AFP and hCG in germ cell tumors].[生殖细胞肿瘤中AFP和hCG的免疫组织学评估]
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[Importance of immunohistochemistry for neuro-oncology. IV. Distribution model of beta human chorionic gonadotropins in intracranial germ cell tumors].[免疫组织化学在神经肿瘤学中的重要性。IV. β-人绒毛膜促性腺激素在颅内生殖细胞肿瘤中的分布模式]
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Non-seminomatous germ cell tumors of the testis. Immunohistochemical localization and serum levels of human chorionic gonadotropin (HCG) and pregnancy-specific beta-1 glycoprotein (SP-1); value of SP-1 as a tumor marker.睾丸非精原细胞瘤。人绒毛膜促性腺激素(HCG)和妊娠特异性β1糖蛋白(SP-1)的免疫组化定位及血清水平;SP-1作为肿瘤标志物的价值。
Oncodev Biol Med. 1982;3(5-6):409-22.
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Alpha-fetoprotein (AFP) and human chorionic gonadotropin (HCG) in testicular germ cell tumours. A prospective immunohistochemical study.睾丸生殖细胞肿瘤中的甲胎蛋白(AFP)和人绒毛膜促性腺激素(HCG)。一项前瞻性免疫组织化学研究。
Acta Pathol Microbiol Immunol Scand A. 1983 May;91(3):165-76. doi: 10.1111/j.1699-0463.1983.tb02742.x.
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Immunohistological localization of AFP and HCG in uniformly classified testis tumors.甲胎蛋白和人绒毛膜促性腺激素在统一分类的睾丸肿瘤中的免疫组织学定位
Anticancer Res. 1983 Sep-Oct;3(5):327-30.
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Alpha-fetoprotein (AFP) and human chorionic gonadotropin (HCG) in testicular germ cell tumours. A comparison of histologic and serologic occurrence of tumour markers.睾丸生殖细胞肿瘤中的甲胎蛋白(AFP)和人绒毛膜促性腺激素(HCG)。肿瘤标志物的组织学和血清学出现情况比较。
Acta Pathol Microbiol Immunol Scand A. 1983 May;91(3):183-90. doi: 10.1111/j.1699-0463.1983.tb02744.x.
10
[Cellular localization of alpha-fetoprotein (AFP), human chorionic gonadotropin (HCG), and carcinoembryonic antigen (CEA) in malignant germ cell tumors of the ovary using immunoperoxidase technique (author's transl)].运用免疫过氧化物酶技术对卵巢恶性生殖细胞肿瘤中甲胎蛋白(AFP)、人绒毛膜促性腺激素(HCG)及癌胚抗原(CEA)进行细胞定位(作者译)
Nihon Sanka Fujinka Gakkai Zasshi. 1980 Jun;32(6):757-66.

引用本文的文献

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J Neurosurg Case Lessons. 2024 Mar 4;7(10). doi: 10.3171/CASE23718.
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Intracranial Germinomas: Diagnosis, Pathogenesis, Clinical Presentation, and Management.颅内生殖细胞瘤:诊断、发病机制、临床表现和治疗。
Curr Oncol Rep. 2023 Jul;25(7):765-775. doi: 10.1007/s11912-023-01416-2. Epub 2023 Apr 10.
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Pineal germ cell tumors: Two cases with review of histopathologies and biomarkers.

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Human chorionic gonadotropin is expressed virtually in all intracranial germ cell tumors.人绒毛膜促性腺激素几乎在所有颅内生殖细胞肿瘤中均有表达。
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Differences still exist in the approach to the diagnosis and management of pineal lesions.
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Neurosurgical experience with tumours of the pineal region at Clinica Puerta de Hierro.铁之门诊所松果体区肿瘤的神经外科治疗经验。
Acta Neurochir (Wien). 1992;116(1):23-32. doi: 10.1007/BF01541249.
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Glial fibrillary acidic (GFA) protein-containing cells in the human pineal gland.人类松果体中含胶质纤维酸性(GFA)蛋白的细胞。
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Pineal germinoma with syncytiotrophoblastic giant cells: a case with panhypopituitarism and isosexual pseudopuberty.伴有合体滋养层巨细胞的松果体生殖细胞瘤:一例全垂体功能减退和同性假性性早熟病例
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