Chomette G, Sevestre C, Gregeois J
Ann Anat Pathol (Paris). 1977;22(3):209-19.
The authors report on a method for studies using immunofluorescence with total and anti-light chain anti-immunoglobuline immune serums of bone marrow specimens previously fixed, decalcified, and embedded in paraffin. The semi-quantitative counts of plasmocytes on histological sections are in agreement with those performed by other authors on smears of bone marrow punctures. The results of this method are in agreement with those of serum electrophoresis. It provides a distinction between polyclonal and monoclonal plasmocytosis and an exact identification of clonal proliferation of a frank tumorous nature (myeloma and Waldenström). Applicable to autopsies performed within 24 hours, it reveals the existance in the vast majority of amyloid diseases of monoclonal dysglobulinemia, without the abnormal clone being necessarily present in the other immunocyte area (spleen and ganglions).
作者报告了一种研究方法,该方法使用免疫荧光技术,针对先前固定、脱钙并石蜡包埋的骨髓标本,采用全免疫球蛋白和抗轻链抗免疫球蛋白免疫血清。组织学切片上浆细胞的半定量计数与其他作者对骨髓穿刺涂片所做的计数结果一致。该方法的结果与血清电泳结果相符。它能够区分多克隆和单克隆浆细胞增多症,并准确识别具有明显肿瘤性质(骨髓瘤和华氏巨球蛋白血症)的克隆增殖。该方法适用于在24小时内进行的尸检,它揭示了在绝大多数淀粉样变性疾病中存在单克隆球蛋白血症,而异常克隆不一定存在于其他免疫细胞区域(脾脏和淋巴结)。