Schwenk H U, Steigenberger H
Klin Padiatr. 1978 Sep;190(5):453-9.
Of 31 patients with solid, malignant tumours, 15 were shown to have over 0.5 mg/100 ml Serum concentration of alpha-2 pregnancy-associated glycoprotein (alpha2-PAG). These increased values were found for patients with neuroblastomas, Wilms tumours and rhabdomyosarcomas. However, for several different lymphomas and haemoblastoses, alpha2-PAG could not be demonstrated with the electroimmunodiffusion technique used (Laurell). From 230 children with non-neoplastic diseases, 62 had demonstrable concentrations of alpha2-PAG, of 38 healthy children, 2 were positive, while from 50 newborn infants, with different illnesses no increased values were found. Post-operative controls using repeated determination of d2-PAG are complicated by the slow change in concentration, and by the influence of chemotherapy. The determination of alpha2-PAG for the initial diagnosis of malignant diseases in childhood and for post-operative monitoring of the disease, is therefore of only limited value at least until further investigations have been carried out.
在31例实体恶性肿瘤患者中,有15例血清α-2妊娠相关糖蛋白(α2-PAG)浓度超过0.5mg/100ml。神经母细胞瘤、肾母细胞瘤和横纹肌肉瘤患者出现了这些升高的值。然而,对于几种不同的淋巴瘤和血液病,使用(劳雷尔)免疫电泳技术未能检测到α2-PAG。在230例非肿瘤性疾病患儿中,62例可检测到α2-PAG浓度;在38例健康儿童中,2例呈阳性;而在50例患有不同疾病的新生儿中,未发现升高的值。术后通过重复测定d2-PAG进行监测很复杂,因为浓度变化缓慢且受化疗影响。因此,至少在进一步研究之前,测定α2-PAG用于儿童恶性疾病的初步诊断和术后疾病监测,价值有限。