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胃癌组织中癌胚抗原(CEA)的免疫组织化学研究:与术前血清水平、组织学类型及肿瘤间变程度的相关性

Immunohistochemical study of carcinoembryonic antigen (CEA) in gastric tumors: correlation with preoperative serum levels, histologic type, and grade of anaplasia of the tumor.

作者信息

Santeusanio G, Peronace L, Castagna G, De Muro G, Santi D, D'Orazio A, Amanti C, Midiri G, Campisi C, D'Ambra G

机构信息

Dipartimento di Biopatologia Umana, Universitá degli Studi di Roma, La Sapienza, Italy.

出版信息

J Surg Oncol. 1988 Jan;37(1):13-9. doi: 10.1002/jso.2930370105.

DOI:10.1002/jso.2930370105
PMID:3275835
Abstract

The occurrence of carcinoembryonic antigen (CEA) was studied in 45 cases of gastric tumors by the immunoperoxidase technique. CEA-positive staining was found in 48.8% of tumors. A correlation was found between preoperative CEA values and tumor CEA staining. All patients with serum CEA values below 2.5 ng/ml showed CEA-negative staining of tumor. In patients with serum CEA values between 2.6 and 10 ng/ml, the tumors showed a minority of CEA-positive cells; but in patients with serum CEA values above 10 ng/ml, the tumors contained a majority of CEA-positive cells. CEA-positive staining was found in 34.4% of tumors of the diffuse type, and in 75% of tumors of the intestinal type. A high percentage of CEA positivity was seen in well-differentiated tumors (87.7%) compared to the moderately differentiated (69.2%), and to the undifferentiated (28.7%). A faint CEA-positivity was observed in intestinal metaplasia, while normal gastric mucosa was CEA-negative.

摘要

采用免疫过氧化物酶技术对45例胃肿瘤患者的癌胚抗原(CEA)表达情况进行了研究。在48.8%的肿瘤中发现了CEA阳性染色。术前CEA值与肿瘤CEA染色之间存在相关性。所有血清CEA值低于2.5 ng/ml的患者肿瘤均显示CEA阴性染色。血清CEA值在2.6至10 ng/ml之间的患者,肿瘤显示少数CEA阳性细胞;但血清CEA值高于10 ng/ml的患者,肿瘤含有多数CEA阳性细胞。弥漫型肿瘤中34.4%发现CEA阳性染色,肠型肿瘤中75%发现CEA阳性染色。与中分化(69.2%)和未分化(28.7%)肿瘤相比,高分化肿瘤中CEA阳性率较高(87.7%)。在肠化生中观察到微弱的CEA阳性,而正常胃黏膜CEA阴性。

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