Caillaud J M, Bellet D
Nouv Presse Med. 1981 Mar 21;10(13):1057-60.
Twenty-six tumours of the seminoma type and 54 embryonic carcinomas of the testis were studied with immunoperoxidase, using an anti-beta HCG immune serum and an anti-alpha FP immune serum. The results obtained in first group suggest the possibility of a new type of "pseudo-seminoma" tumours, with high levels of circulating HCG probably due to proliferation of trophoblasts. In the second group, 88% of the tumours gave positive response to one or the other immune sera. However, the anti-alpha FP-positive structures were similar to those of pure vitelline tumours, and the anti-beta HCG-positive structures were syncytiotrophoblastic elements different from those of conventional carcinomas. The combined results of histology, immunohistochemistry and pre-operative biological tests should lead to improved identification of malignant germ cell tumours of the testis.
采用抗β-人绒毛膜促性腺激素免疫血清和抗甲胎蛋白免疫血清,通过免疫过氧化物酶法对26例睾丸精原细胞瘤和54例胚胎癌进行了研究。第一组的研究结果提示可能存在一种新型的“假性精原细胞瘤”肿瘤,其循环血中人绒毛膜促性腺激素水平较高,可能是由于滋养层细胞增殖所致。在第二组中,88%的肿瘤对其中一种或另一种免疫血清呈阳性反应。然而,抗甲胎蛋白阳性结构与纯卵黄囊瘤相似,抗β-人绒毛膜促性腺激素阳性结构是合体滋养层细胞成分,与传统癌不同。组织学、免疫组织化学和术前生物学检测的综合结果应有助于提高睾丸恶性生殖细胞肿瘤的诊断水平。