• 中國(guó)醫(yī)科大學(xué)第一臨床學(xué)院外科(沈陽(yáng)110001);

應(yīng)用免疫組化方法檢測(cè)20例直腸癌患者癌組織及癌旁粘膜腫瘤相關(guān)抗原的表達(dá)以及癌旁粘膜粘液性質(zhì)的變化。結(jié)果顯示:T抗原在癌組織的表達(dá)明顯高于癌近側(cè)端10cm處粘膜的表達(dá),但與癌遠(yuǎn)側(cè)端5cm處粘膜的T抗原表達(dá)則無(wú)明顯差異。在距直腸癌遠(yuǎn)端5cm及近端10cm處粘膜唾液酸粘蛋白反應(yīng)分別為45%(9/20)和20%(4/20),癌旁遠(yuǎn)側(cè)端5cm處粘膜T抗原與唾液酸粘蛋白均呈陽(yáng)性反應(yīng)者為40%(8/20),均呈陰性者為30%(6/20),兩者之間差異顯著(P<0.05)。但在癌旁近側(cè)端10cm處兩者之間則無(wú)顯著差異(P>0.05)。由此表明,直腸癌旁粘膜腫瘤相關(guān)抗原的異常表達(dá)及其分泌的粘液性質(zhì)的改變可能揭示癌旁沾膜存在某種程度的惡性潛勢(shì)。

引用本文: 張強(qiáng),沈魁,董雨亭,段志泉. 直腸癌與癌旁粘膜腫瘤相關(guān)抗原表達(dá)的研究. 中國(guó)普外基礎(chǔ)與臨床雜志, 1995, 2(2): 66-67. doi: 復(fù)制

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  1. 1. Philipes RKS, Hittinger R, Blesovsky L, et al. Local recurrence following curative surgery for large bowel cancer I. The overall picture. Br J Surg, 1984;71:12.
  2. 2. McDermott FT, Hughes ESR, Pihl AM, et al. Local recurrence after potentially curative resection for rectal cancer in series of 1008 patients. Br J Surg, 1985;72:34.
  3. 3. Shamsuddin AM, Elsayed AM. A test for detection of colorectal cancer. humann Pathology, 1988;19:7.
  4. 4. Filipe MI. Value of histochemical reactions for mucosubstane in the diagnosis of certain pathological condition of the colon and rectum. Gut, 1969;10:577.