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人体前列腺中的锌:正常、增生及癌组织中的情况

Zinc in the human prostate gland: normal, hyperplastic and cancerous.

作者信息

Sviridova T V, Zaichick S V

机构信息

Medical Radiological Research Centre, Obninsk, Kaluga Region, Russia.

出版信息

Int Urol Nephrol. 1997;29(5):565-74. doi: 10.1007/BF02552202.

Abstract

Zinc concentration in a prostate gland is much higher than in other human tissues. Data for zinc changes in different prostate diseases are limited and greatly contradictory. To analyze transrectal puncture tissue biopsy and resected materials, zinc content was estimated in benign prostatic hyperplasia (BPH) and cancer. There were 109 patients studied (50 BPH and 59 cancer). The control group consisted of 37 intact glands of men who died an unexpected death (accident, murder, acute cardiac insufficiency, etc.). All materials studied were divided into two parts. One of them was morphologically examined, while the zinc content of another one was estimated. The radionuclide induced energy dispersive X-ray fluorescent analysis was used for zinc determination. Zinc content (M +/- SE) of normal prostate, BPH and cancer was 1018 +/- 124, 1142 +/- 77, and 146 +/- 10 micrograms/g dry tissue, respectively. It was shown that zinc assessment in the material of transrectal puncture biopsy of prostate indurated site can be used as an additional test for differential diagnosis of BPH and cancer. Accuracy, sensitivity and specificity of the test are 98 +/- 2%.

摘要

前列腺中的锌浓度远高于人体其他组织。关于不同前列腺疾病中锌变化的数据有限且存在很大矛盾。为了分析经直肠穿刺组织活检和切除的材料,对良性前列腺增生(BPH)和癌症中的锌含量进行了评估。共研究了109例患者(50例BPH和59例癌症)。对照组由37例因意外死亡(事故、谋杀、急性心功能不全等)的男性完整前列腺组成。所有研究材料均分为两部分。其中一部分进行形态学检查,另一部分评估锌含量。采用放射性核素激发能量色散X射线荧光分析法测定锌含量。正常前列腺、BPH和癌症的锌含量(M +/- SE)分别为1018 +/- 124、1142 +/- 77和146 +/- 10微克/克干组织。结果表明,对前列腺硬结部位经直肠穿刺活检材料进行锌评估可作为BPH和癌症鉴别诊断的一项辅助检查。该检查的准确性、敏感性和特异性为98 +/- 2%。

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