RESUMO
Cytochemical demonstration of levamisole-sensitive alkaline phosphatase (AP) have been used for the identification of tumor cells in serous effusions. AP-activity is not demonstrable in mesothelial cells and histiocytes-macrophages in serous effusions in 18 noncancer patients. Enzyme activity is detected in cancer cells in serous effusions in 19 from 52 cancer patients. Oncoassociated antigens are detected on the membranes of AP-positive cancer cells more rare that AP-negative cancer cells.
Assuntos
Fosfatase Alcalina/análise , Líquido Ascítico/enzimologia , Biomarcadores Tumorais/análise , Ensaios Enzimáticos Clínicos/métodos , Neoplasias/diagnóstico , Derrame Pleural Maligno/enzimologia , Membrana Serosa/enzimologia , Fosfatase Alcalina/efeitos dos fármacos , Líquido Ascítico/citologia , Histocitoquímica , Humanos , Levamisol , Metástase Neoplásica , Derrame Pleural Maligno/patologia , Membrana Serosa/citologiaRESUMO
Pleural cavity exudates obtained from 26 patients with cancer of the lung, ovary, stomach and breast and 13 cases of nononcological pathologies were studied using enzymatic cytochemical methods and monoclonal antibodies. A complex of tissue markers (carcinoembryonic antigen, 90 kdalton glycoproteid, activity of alkaline phosphatase and nonspecific alpha-naphthylacetate esterase, and PAS-positive bodies) was identified. It allows to differentiate between malignant and mesothelial cells in smears prepared from exudates.
Assuntos
Anticorpos Monoclonais , Derrame Pleural/enzimologia , Neoplasias Pleurais/diagnóstico , Biomarcadores/química , Antígeno Carcinoembrionário/análise , Diagnóstico Diferencial , Epitélio/patologia , Humanos , Reação do Ácido Periódico de Schiff , Derrame Pleural/patologia , Neoplasias Pleurais/enzimologia , Neoplasias Pleurais/secundárioRESUMO
Data are reported of a study of the immunophenotypic aspects of lymphocytes in exudates from the pleural cavity realized by means of an immunoperoxidase method using monoclonal antibodies produced in the USSR. The importance is shown of the investigation for the differential diagnosis of lymphoid reactions and B-lymphoproliferative diseases.
Assuntos
Linfócitos/imunologia , Derrame Pleural/imunologia , Anticorpos Monoclonais , Antígenos CD/análise , Diagnóstico Diferencial , Humanos , Técnicas Imunoenzimáticas , Reação Leucemoide/diagnóstico , Transtornos Linfoproliferativos/diagnóstico , FenótipoRESUMO
A method for the determination of surface proteins and cellular elements cytoskeleton proteins in exudates from the pleural cavity is described. Use of this method has helped identify carcinoma cells in exudates of 19 patients out of the 21 examinees with oncologic diseases and permitted a characterization of the subpopulation composition of lymphocytes. This method may be employed as an additional test for the detection of carcinoma cells in exudates from serous cavities.