Super sponges.

نویسنده

  • J F Medlin
چکیده

The localisation of tumour deposits by a 131 1 labelled monoclonal antibody to carcinoembryonic antigen (CEA) has been evaluated in 24 patients with primary gastric, oesophageal and colorectal cancer and in 26 patients with clinically suspected recurrent gastric and colorectal cancer. Seventeen of 20 primary sites and 6/15 associated secondary sites were correctly identified by external scanning. Measurement of radiolabelled antibody in the resected specimens demonstrated a 2.6-3.3 fold increase in comparison with the surrounding normal tissue (P< 0.01). The antibody scans were compared with computerised tomography (CT) in the detection of recurrent disease. The respective sensitivities and specificities for the two investigations were 61% and 33% for antibody scanning and 64% and 100% for CT. Assessment of the distribution of labelled antibody demonstrated rapid clearance with <2% detectable in serum samples at 24 h. The implications of these findings together with the mechanisms of excretion are discussed. Radioimmunolocalisation (RIL) has the potential to specifically differentiate between malignant and benign tissues. Studies in gastrointestinal cancer with antibodies to CEA have demonstrated correct identification in nearly 90% (Goldenberg et al., 1980) and 42% (Mach et al., 1980) of tumour sites. The variation between these series reflects differences in the subjective interpretation of the scans. In addition in these early studies polyclonal antibodies were investigated which are limited by cross-reactivity with similar antigens present in normal tissues. The development of monoclonal antibodies (Kohler & Milstein, 1975) has produced agents with theoretically greater specificity for the antigens and thus reduce the difficulties of cross-reactivity. In this study we describe our experience with a radiolabelled monoclonal antibody to CEA together with its potential clinical application for the staging of primary gastric and colorectal cancer and for the detection of recurrent cancer. Previous studies have suggested that the actual amount of antibody accumulated in tumours is an extremely small proportion of the amount injected (Mach et al., 1981) and we have also assessed the distribution of labelled antibody in patients and measured the concentration of antibody within resected tumours.

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عنوان ژورنال:
  • Environmental Health Perspectives

دوره 106  شماره 

صفحات  -

تاریخ انتشار 1998