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生殖细胞肿瘤中的甲胎蛋白和癌胚抗原。

Alpha-foetoprotein and carcinoembryonic antigen in germ cell neoplasms.

作者信息

Talerman A, van der Pompe W B, Haije W G, Baggerman L, Boekestein-Tjahjadi H M

出版信息

Br J Cancer. 1977 Mar;35(3):288-91. doi: 10.1038/bjc.1977.41.

DOI:10.1038/bjc.1977.41
PMID:66925
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC2025278/
Abstract

Serum alpha-foetoprotein (AFP) and serum carcinoembryonic antigen (CEA) levels were measured, serially whenever possible, in 70 patients attending the Institute of Radiotherapy, Rotterdam, on account of testicular (65) or ovarian (4) germ cell tumours or, in one case, an endodermal sinus (yolk sac) tumour in the mediastinum. In 15 patients the disease was active; in the others it was in remission. Patients with active disease had raised serum AFP levels which correlated well with disease activity; no patient without evidence of active disease had raised serum AFP levels. None of the patients with active disease was found to have raised serum CEA levels. There was no correlation between serum AFP and CEA levels in patients with germ cell neoplasms, but good correlation between serum AFP levels and disease activity. Serum CEA levels did not correlate with disease activity, and serial determinations would therefore not be useful in monitoring progress in this group of diseases.

摘要

对鹿特丹放射治疗研究所的70例患者(其中65例为睾丸生殖细胞肿瘤,4例为卵巢生殖细胞肿瘤,1例为纵隔内胚窦瘤(卵黄囊瘤))尽可能连续地检测了血清甲胎蛋白(AFP)和血清癌胚抗原(CEA)水平。15例患者疾病处于活动期,其余患者病情缓解。疾病活动期患者的血清AFP水平升高,且与疾病活动情况密切相关;无疾病活动证据的患者血清AFP水平均未升高。疾病活动期患者均未发现血清CEA水平升高。生殖细胞肿瘤患者的血清AFP和CEA水平之间无相关性,但血清AFP水平与疾病活动情况相关性良好。血清CEA水平与疾病活动情况无关,因此连续检测对监测这类疾病的进展并无帮助。

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本文引用的文献

1
Serum alpha-1 foeto-protein (fetuin) in children with malignant ovarian or testicular teratomas. Preliminary results.患有恶性卵巢或睾丸畸胎瘤儿童的血清甲胎蛋白(胎球蛋白)。初步结果。
Int J Cancer. 1969 Jan 15;4(1):76-9. doi: 10.1002/ijc.2910040110.
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Carcinoembryonic antigen in patients with tumors of the urogenital tract.泌尿生殖道肿瘤患者的癌胚抗原
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3
Yolk sac tumor (endodermal sinus tumor) and alpha-fetoprotein. A report of three cases.卵黄囊瘤(内胚窦瘤)与甲胎蛋白。三例报告。
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4
Occurrence of fetoprotein in patients with neoplasms and non-neoplastic diseases.肿瘤患者和非肿瘤性疾病患者中甲胎蛋白的出现情况。
Int J Cancer. 1968 May 15;3(3):364-73. doi: 10.1002/ijc.2910030306.
5
Embryonal serum alpha-globulin in cancer patients: diagnostic value.癌症患者的胚胎血清α球蛋白:诊断价值
Int J Cancer. 1967 Sep 15;2(5):551-8. doi: 10.1002/ijc.2910020517.
6
Fetal proteins occurring in testicular teratomas.睾丸畸胎瘤中出现的胎儿蛋白。
Int J Cancer. 1974 Aug 15;14(2):207-14. doi: 10.1002/ijc.2910140209.
7
Alpha-fetoprotein and germ cell tumors: a possible role of yolk sac tumor in production of alpha-fetoprotein.甲胎蛋白与生殖细胞肿瘤:卵黄囊瘤在甲胎蛋白产生中的可能作用。
Cancer. 1974 Nov;34(5):1722-6. doi: 10.1002/1097-0142(197411)34:5<1722::aid-cncr2820340521>3.0.co;2-f.
8
Yolk sac tumor and alpha-fetoprotein: clinicopathological study of four cases.卵黄囊瘤与甲胎蛋白:4例临床病理研究
Gan. 1974 Jun;65(3):215-26.
9
Discordance of human chorionic gonadotropin and alpha-fetoprotein in testicular teratocarcinomas.睾丸畸胎癌中人绒毛膜促性腺激素与甲胎蛋白的不一致性
Cancer. 1973 May;31(5):1065-8. doi: 10.1002/1097-0142(197305)31:5<1065::aid-cncr2820310505>3.0.co;2-h.
10
Yolk sac carcinoma of the ovary with alpha fetoprotein in serum and ascitic fluid demonstrated by immunoosmophoresis.经免疫渗电泳证实血清和腹水中存在甲胎蛋白的卵巢卵黄囊癌。
Am J Clin Pathol. 1972 Apr;57(4):511-6. doi: 10.1093/ajcp/57.4.511.