Huber H, van Gierke S, Falkensammer M, Ebner E, Weimann J, Lederer B
Dtsch Med Wochenschr. 1978 Jul 21;103(29):1169-73. doi: 10.1055/s-0028-1129223.
Immunological investigations concerning pathological autoantibodies and defects of humoral immunity were performed in 7 patients with thymomas, 5 of which showed invasive growth. The number of B and T lymphocytes in blood was determined at the same time using membrane markers as well as blood lymphocyte stimulation with phytohaemagglutinine. Two of the 3 patients with auto-antibodies against striated muscles or nuclei showed the clinical signs of accompanying disease (myasthenia gravis, lupus erythematodes). A humoral immunodisturbance with IgM deficiency was demonstrable in one patient and was accompanied by clinical symptoms. Lymphopenia with decreased numbers and functional disturbance of T and B lymphocytes could be shown in the majority of patients. Immunological investigations simplify proof of accompanying diseases in thymomas. These represent an important prognostic criterium in the same way as does invasive growth.
对7例胸腺瘤患者进行了关于病理性自身抗体和体液免疫缺陷的免疫学调查,其中5例显示侵袭性生长。同时使用膜标记物测定血液中B淋巴细胞和T淋巴细胞的数量,并使用植物血凝素对血液淋巴细胞进行刺激。3例患有抗横纹肌或细胞核自身抗体的患者中有2例出现了伴随疾病(重症肌无力、红斑狼疮)的临床症状。在1例患者中证实存在伴有临床症状的IgM缺乏引起的体液免疫紊乱。大多数患者可出现淋巴细胞减少,T淋巴细胞和B淋巴细胞数量减少及功能障碍。免疫学调查有助于胸腺瘤伴发疾病的诊断。这些与侵袭性生长一样,是重要的预后标准。