Polevaia E B, Tkacheva G A, Ivanov V M, Koposova T L
Vopr Onkol. 1984;30(3):9-13.
Tissue polypeptide antigen (TPA) and carcinoembryonic antigen (CEA) were studied radioimmunologically in 112 patients with breast cancer. 39 healthy females and 13 patients with mastopathy were in control. In cases of incipient and localized forms of breast cancer, mean levels of CEA and TPA did not differ from those in controls despite the direct correlation between the number of patients with elevated concentrations of both antigens and stage of the disease. In cases of local dissemination of tumor, CEA concentration was 3 times and in patients with distant metastases-5 times that in control. TPA level was found to rise at a slower rate in the same patients as tumor process advanced. It was shown that radioimmunological tests for CEA and TPA provide an efficient means of evaluating breast cancer expansion thanks to its low threshold of sensitivity in identifying early cancer. A direct correlation between CEA and TPA levels was established.
采用放射免疫法对112例乳腺癌患者的组织多肽抗原(TPA)和癌胚抗原(CEA)进行了研究。39名健康女性和13例乳腺病患者作为对照。在早期和局限性乳腺癌病例中,尽管两种抗原浓度升高的患者数量与疾病分期之间存在直接相关性,但CEA和TPA的平均水平与对照组并无差异。在肿瘤局部扩散的病例中,CEA浓度是对照组的3倍,而在有远处转移的患者中则是对照组的5倍。在同一患者中,随着肿瘤进展,TPA水平升高的速度较慢。结果表明,由于CEA和TPA放射免疫检测在识别早期癌症方面具有较低的敏感性阈值,因此为评估乳腺癌的扩散提供了一种有效的手段。CEA和TPA水平之间建立了直接相关性。