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输卵管细胞学作为卵巢癌早期检测的一种有前景的工具。

Tubal Cytology of the Fallopian Tube as a Promising Tool for Ovarian Cancer Early Detection.

作者信息

Chen Hao, Klein Robert, Arnold Stacy, Wang Yiying, Chambers Setsuko, Zheng Wenxin

机构信息

Department of Pathology, University of Arizona College of Medicine.

Department of Obstetrics and Gynecology, Henan Provincial People's Hospital.

出版信息

J Vis Exp. 2017 Jul 25(125):55887. doi: 10.3791/55887.

DOI:10.3791/55887
PMID:28784945
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5612597/
Abstract

Currently, it is widely accepted that the vast majority of ovarian high-grade serous carcinoma (HGSC) originate from the fallopian tube. However, due to the lack of markers or tools for the ovarian cancer identification, the early detection of HGSC remains challenging. Direct sampling of the fallopian tube can enhance sensitivity for detection of neoplastic cells when the tumor is not grossly visible. We developed a procedure to collect fallopian tube cells directly from freshly received surgical specimens, which has shown excellent correlation with histological findings. This approach lays a foundation for the future utility of minimally invasive laparoscopic screening in high-risk patient populations.

摘要

目前,人们普遍认为绝大多数卵巢高级别浆液性癌(HGSC)起源于输卵管。然而,由于缺乏用于卵巢癌识别的标志物或工具,HGSC的早期检测仍然具有挑战性。当肿瘤肉眼不可见时,直接对输卵管进行采样可以提高对肿瘤细胞检测的敏感性。我们开发了一种从新鲜获取的手术标本中直接收集输卵管细胞的方法,该方法已显示出与组织学结果具有极好的相关性。这种方法为未来在高危患者群体中进行微创腹腔镜筛查奠定了基础。

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本文引用的文献

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Cytologic studies of the fallopian tube in patients undergoing salpingo-oophorectomy.对接受输卵管卵巢切除术患者的输卵管进行细胞学研究。
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Fallopian tube as main source for ovarian and pelvic (non-endometrial) serous carcinomas.输卵管是卵巢和盆腔(非子宫内膜)浆液性癌的主要来源。
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Effect of screening on ovarian cancer mortality: the Prostate, Lung, Colorectal and Ovarian (PLCO) Cancer Screening Randomized Controlled Trial.筛查对卵巢癌死亡率的影响:前列腺癌、肺癌、结直肠癌和卵巢癌(PLCO)癌症筛查随机对照试验。
JAMA. 2011 Jun 8;305(22):2295-303. doi: 10.1001/jama.2011.766.
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Are all pelvic (nonuterine) serous carcinomas of tubal origin?所有的盆腔(非子宫)浆液性癌都是输卵管来源的吗?
Am J Surg Pathol. 2010 Oct;34(10):1407-16. doi: 10.1097/PAS.0b013e3181ef7b16.
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The origin and pathogenesis of epithelial ovarian cancer: a proposed unifying theory.上皮性卵巢癌的起源和发病机制:一种提出的统一理论。
Am J Surg Pathol. 2010 Mar;34(3):433-43. doi: 10.1097/PAS.0b013e3181cf3d79.
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Serous tubal intraepithelial carcinoma: its potential role in primary peritoneal serous carcinoma and serous cancer prevention.浆液性输卵管上皮内癌:其在原发性腹膜浆液性癌及浆液性癌预防中的潜在作用
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