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[胃癌及结肠直肠癌患者淋巴细胞和癌胚抗原亚群的测定(作者译)]

[Determination of the lymphocytic and oncofetal antigen subpopulations in patients with adenocarcinomas of the stomach and of the colon and rectum (author's transl)].

作者信息

Voltas J, Sanz M L, Hernández J L, Crisci C D, Subirá M L, Zornoza G

出版信息

Med Clin (Barc). 1979 Dec 15;73(10):419-23.

PMID:93670
Abstract

The authors present a study of 50 patients with adenocarcinomas of the colon and rectum, patients with gastric adenocarcinomas, and 30 healthy individuals as a control group. In all subjects the following parameters were determined: total number of lymphocytes in the peripheral blood, T lymphocytes, T-active lymphocytes, and B lymphocytes. A study of the test for lymphoblastic transformation (TTL) with phytohemagglutinin (PHA) stimulation and the determination of alpha-fetoprotein (AFP) and carcino-embryonic antigen (CEA) were also carried out. In patients with gastric adenocarcinoma the results revealed a lymphopenia, especially at the expense of T and T-active lymphocytes, as well as a depression (in 73 per cent) of the lymphocytic response to the PHA stimulation. Patients with carcinoma of the colon showed significant results in the T-active lymphocyte population. In both neoplastic situations the determination for alpha-fetoprotein was negative, while the CEA presented a clear correlation with the evolutive stage of the tumor, being more demonstrative in the tumors located in the colon and rectum.

摘要

作者对50例结肠和直肠癌患者、胃癌患者以及30名健康个体作为对照组进行了一项研究。在所有受试者中,测定了以下参数:外周血淋巴细胞总数、T淋巴细胞、T活性淋巴细胞和B淋巴细胞。还进行了用植物血凝素(PHA)刺激的淋巴细胞转化试验(TTL)以及甲胎蛋白(AFP)和癌胚抗原(CEA)的测定。在胃癌患者中,结果显示淋巴细胞减少,尤其是以T和T活性淋巴细胞为代价,以及对PHA刺激的淋巴细胞反应降低(73%)。结肠癌患者在T活性淋巴细胞群体中显示出显著结果。在这两种肿瘤情况下,甲胎蛋白测定均为阴性,而CEA与肿瘤的进展阶段呈现明显相关性,在位于结肠和直肠的肿瘤中更具指示性。

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