http://chineseinput.net/에서 pinyin(병음)방식으로 중국어를 변환할 수 있습니다.
변환된 중국어를 복사하여 사용하시면 됩니다.
人體 胃癌 및 胃炎에서의 CEA의 表現에 對한 免疫酵素 組織學的 硏究
元南熙,李大一,白承龍 고려대학교 의과대학 1982 고려대 의대 잡지 Vol.19 No.3
Carcinoembryonic antigen (CEA) isolated from adenocarcinomata of human digestive system and fetal or embryonic gut tissue is one of tumor associated antigens. In recent years, extensive studies to detect CEA in the blood as well as in the tissue of various conditions have been reported. However, characterization of CEA in the tissue of stomach cancer, common malignant tumor in Korea, has rarely been investigated. The author performed peroxidase-antiperoxidase immunohistologic study with anti-CEA antibody to determine the presence of CEA in 51 cases of gastric adenocarcinoma and 18 cases of chronic gastritis. All tissues examined were obtained with endoscopic biopsy, fixed in 10% formalin and embedded in paraffin. The findings were analysed and results obtained are as following. 1. CEA positive reaction to anti-CEA antibody was noted in 45 of the 51 cases with gastric cancer (88.2%). 2. Patterns of positive reaction to anti-CEA antibody of 45 CEA positive adenocarcinomas were focal in 9 cases (20.0%), moderate in 10 cases (22.2%) and diffuse in 26 cases (57.8%). 3. Comparing the pattern of CEA positive reaction with histologic differentiation of cancer cell, the differentiated type showed diffuse linear pattern along membrane the surface and undifferentiated type revealed focal positive pattern in the cytoplasm. 4. Of 18 cases with chronic gastritis, 8 cases of non-specific gastritis and 10 cases of intestinal metaplasia, CEA poistive reaction to anti-CEA antibody was noted in 4 cases at the lesion of intestinal metaplasia. The results obtained above suggest that presence of CEA in gastric cancer is detected 88% of cases, variable in pattern, partly depending on morphologic differentiation, and even exhibit in goblet cells in some intestinal metaplasia which is believed to be a precancerous condition of stomach cancer.