1. Szintigraphischer Malignomnachweis mit radioaktiv markierten Tumorantikörpern: Klinische Ergebnisse auf der Basis immunhistochemischer Untersuchungen
- Author
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Biltz H, J. Vogel, A. Bockisch, P. Oehr, Jaeger N, Hartlapp J, Bellmann O, Hansen Hh, and Hans-Jürgen Biersack
- Subjects
Pathology ,medicine.medical_specialty ,Tumor Antibodies ,biology ,business.industry ,Melanoma ,Melanoma antigen ,Ovary ,General Medicine ,Testicle ,medicine.disease ,Primary tumor ,medicine.anatomical_structure ,medicine ,biology.protein ,Immunohistochemistry ,Antibody ,business - Abstract
69 patients with different tumors (colorectal, melanoma, testicle, ovary, bladder, carcinoid, lungs) were investigated by radioimmunoscintigraphy. The corresponding antibodies or their F(ab')2 fragments against CEA (n = 30), melanoma antigen (n = 25), TPA (n = 6), beta-HCG (n = 5), HMFG-2 (n = 2) and CEA/CA 19-9 (n = 1) were selected on the basis of immunohistochemical investigations of the primary tumors. The precision was 62%, and the number of false-negative findings was 32%. Additional clinical information (detection or exclusion of a suspected recurrence) could be obtained in 22 patients. From these results, it can be concluded that the corresponding tumor antibodies should be selected on the basis of immunohistochemical investigations of the primary tumor before performing radioimmunoscintigraphy to screen for recurrences or metastases.
- Published
- 2008