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[唾液酸化阶段特异性胚胎抗原-1抗原在妇科肿瘤患者中的临床价值]

[The clinical value of sialyl SSEA-1 antigen in patients with gynecologic tumors].

作者信息

Inoue M, Shimizu C, Sasagawa T, Shimizu H, Saitoh J, Ueda G, Tanizawa O, Kimura T, Kawata M, Taniguchi T

机构信息

Department of Obstetrics and Gynecology, Osaka University Medical School.

出版信息

Nihon Sanka Fujinka Gakkai Zasshi. 1987 Dec;39(12):2120-4.

PMID:2892886
Abstract

In order to estimate the clinical significance of sialyl SSEA-1 antigen, the antigen was measured with an "FH-6" Otsuka Kit in sera from patients with various gynecologic tumors. Among the patients with uterine malignancies and benign ovarian tumors, the incidence of elevated sialyl SSEA-1 antigen levels was very low. However, among the patients with ovarian malignancies, serum sialyl SSEA-1 antigen was significantly increased in the following order: clinical stage I (40%), stage II (67%) and stage III (75%). The serum antigen values were also correlated with the effect of treatment. In addition, high antigen values were also observed in all 14 malignant ovarian cyst fluids tested. The immunohistochemical localization of sialyl SSEA-1 antigen was determined by an immunoperoxidase method using FH-6 monoclonal antibody. A weak positive reaction was observed in normal glands of female genital tracts. However, the intense staining was shown on the mocus materials or on the luminal surface of some malignant glands as well as in the cytoplasm of some adenocarcinoma cells of gynecologic malignancies, although there were few positive cases or positive cells. Thus, sialyl SSEA-1 antigen appears to be a useful marker in the diagnosis of ovarian malignancies.

摘要

为评估唾液酸化阶段特异性胚胎抗原-1(sialyl SSEA-1)抗原的临床意义,使用大塚“FH-6”试剂盒检测了各种妇科肿瘤患者血清中的该抗原。在子宫恶性肿瘤和卵巢良性肿瘤患者中,唾液酸化SSEA-1抗原水平升高的发生率非常低。然而,在卵巢恶性肿瘤患者中,血清唾液酸化SSEA-1抗原按以下顺序显著升高:临床I期(40%)、II期(67%)和III期(75%)。血清抗原值也与治疗效果相关。此外,在所检测的14例恶性卵巢囊肿液中均观察到高抗原值。采用FH-6单克隆抗体免疫过氧化物酶法确定唾液酸化SSEA-1抗原的免疫组化定位。在女性生殖道正常腺体中观察到弱阳性反应。然而,尽管阳性病例或阳性细胞很少,但在一些恶性腺体的病灶物质或腔表面以及妇科恶性肿瘤的一些腺癌细胞胞质中显示出强烈染色。因此,唾液酸化SSEA-1抗原似乎是卵巢恶性肿瘤诊断中的一个有用标志物。

相似文献

1
[The clinical value of sialyl SSEA-1 antigen in patients with gynecologic tumors].[唾液酸化阶段特异性胚胎抗原-1抗原在妇科肿瘤患者中的临床价值]
Nihon Sanka Fujinka Gakkai Zasshi. 1987 Dec;39(12):2120-4.
2
Clinical usefulness of sialyl SSEA-1 antigen as tumor marker for ovarian cancer as compared with CA125, CA19-9, TPA, IAP, CEA and ferritin.与CA125、CA19-9、TPA、IAP、CEA和铁蛋白相比,唾液酸化SSEA-1抗原作为卵巢癌肿瘤标志物的临床应用价值。
Nihon Sanka Fujinka Gakkai Zasshi. 1989 Feb;41(2):217-24.
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Nihon Gan Chiryo Gakkai Shi. 1990 Jun 20;25(6):1157-61.
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Gan To Kagaku Ryoho. 1989 Sep;16(9):3221-30.
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[The clinical usefulness of the measurement of serum sialyl SSEA-1 antigen levels in patients with gynecologic diseases: as respects the comparative effectiveness of sialyl SSEA-1 and CA125].
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Clinical value of sialyl Tn antigen in patients with gynecologic tumors.
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Clinical evaluations of the tumor marker sialyl SSEA-1 antigen for clinical gynecological disease.
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