【摘要】 目的 :探讨腹水CK7等单克隆抗体在鉴别原发与转移性卵巢癌腹水中的意义。方法 :对 43例腹水及2 2例手术标本采用免疫组化ABC法进行CK7、MG7、CEA、AB、CK、CK8、EMA、HBME、LCA、VIM单克隆抗体测定。应用SPSS8 0统计软件 ,卡方精确检验分析。结果 :单因素分析表明 :(1)CK7单克隆抗体是鉴别原发性卵巢癌有益的指标。 (2 )原发性和来源于胃转移性卵巢癌腹水标本中MG7表达有显著性差异。 (3)CEA有益于鉴诊断来源肠道的癌性腹水。 (4 )腹水免疫组化结果与手术标本相比无明显差异。结论 :腹水免疫组化细胞学检查有助于提高原发及转移性卵巢腹水的检测率更多还原

【Abstract】 Purpose:In order to deterimine the role of CK7 and other monoclonal antibodies in identification of primary and metastatic malignant ascites due to ovarian carcinoma.Methods:We used immunocytochemical ABC assay to detect the experssions of CK7、MG7、CEA、AB、CK、CK8、EMA、HBME、LCA、VIM monoclonal antibodies in 43 ascitic samples and 22 specimens. Chi square was used for statistic assay with SPSS 8.0 software. Results:One way ANOV assay showed that: (1) Cytokeratin 7 monoclonal antibody can be a very useful mark of primary ovarian carcinoma. (2) MG7 expression in peritoneal cells was significantly different in primary ovarian cancer and metastatic ovarian carcinoma of gastric origin. (3) CEA can be helpful in suggesting the origin of intestine carcinoma or not. (4) Immunohistochemical study of the peritoneal fluids showed results, similar to those in specimens. Conclusions: Immunocytochemical assay in the peritoneal fluids is a helpful diagnostic modality in differentiating between primary and metastatic ascites due to ovarian carcinoma.更多还原