Fetissof F, Lansac J, Arbeille-Brassart B
Ann Anat Pathol (Paris). 1980;25(3):201-16.
Oestradiol receptors were demonstrated using the technique of Sin Hang Lee. Receptors are seen after incubation of a section of breast tissue frozen immediately before, with oestradiol bound to a fluorescent molecule (17 beta-oestradiol-6-carboxymethyloxime-bovine serum albumin-fluorescein isothiocyanate). By the same technique, it is possible to visualise progesterone receptors (11 alpha-hydroxy-progesterone hemisuccinate-bovine serum albuminum-tetramethyl rhodamine isothiocyanate). This technique was applied routinely to all breast specimens sent to the laboratory. There were approximately 30 carcinomas, 10 fibroadenomas and 10 dysplasic lesions. Infiltrating carcinomas contained oestrogenic receptors, their distribution being heterogeneous. They appeared to consist of a mixture in varying proportions of positive and negative cells. Intracanalicular carcinomas contained little or no receptors. Receptors were present in Paget cells whilst surrounding keratinocytes contained none. Young fibroadenomas showed the presence of receptors within their epithelial and fibroblastic elements. By contrast, fibroadenomas in a state of involution were negative. Dysplasias may contain receptors, the quantity and distribution showing no typical pattern. In particular, intracanalicular epithelial proliferations may contain receptors. The results of this technique have not yet been correlated with those of "exchanges in vitro".
采用辛航·李的技术检测雌二醇受体。将乳腺组织切片在冷冻前立即与结合荧光分子的雌二醇(17β-雌二醇-6-羧甲基肟-牛血清白蛋白-异硫氰酸荧光素)孵育后,可观察到受体。通过同样的技术,也能够观察到孕激素受体(11α-羟基孕酮半琥珀酸酯-牛血清白蛋白-异硫氰酸四甲基罗丹明)。该技术常规应用于送至实验室的所有乳腺标本。标本中约有30例癌、10例纤维腺瘤和10例发育异常病变。浸润性癌含有雌激素受体,其分布不均一。它们似乎由比例不同的阳性和阴性细胞混合组成。管内癌几乎不含或不含受体。佩吉特细胞中存在受体,而周围的角质形成细胞则没有。年轻的纤维腺瘤在其上皮和纤维成分中显示有受体。相比之下,处于退化状态的纤维腺瘤为阴性。发育异常可能含有受体,其数量和分布没有典型模式。特别是,管内上皮增生可能含有受体。该技术的结果尚未与“体外交换”的结果相关联。