抗胃肠癌单克隆抗体对胃肠癌普查1801例结果分析

Mass Screenjng for Gastrointestinal Carcinoma by Detection of the Tumor- associated Antigens in Feces Using Monoclonal Antibodies

  • 摘要: 以抗结肠癌及胃癌单克隆抗体组合应用对1801例进行胃肠癌普查。普查结果:32例胃肠癌肿瘤相关抗原阳性,阳性率为1.8%,部分进行胃及肠镜检查,其中12例做肠镜,30例做胃镜,结果证实:早期胃癌1例。癌前病变19例,其中大肠腺瘤5例,伴不典型增生2例,萎缩性胃炎12例,伴不典型增生7例,浅表性胃炎伴不典型增生1例,老年多发性肠憩室1例。此外,非癌前病变7例,包括浅表性胃炎、急性胃、肠炎等。1750例阴性者随访1年以上,尚未发现胃、肠癌,本法假阳性率低,0.3%。且方法较简便、价低。用于胃肠癌普查及诊断将有一定意义。

     

    Abstract: Gastrointestinal carcinoma is one of the top eight malignant diseases in term of inci-dence or cancer deaths in China. The most critical element of improved survival for cancer pati-ents is early diagnosis. To find an accurate,simple,rapid and conveneint test is necessary. Weset up a methods,using electrophoresis and enzyme labeled antibody staining assay with threemonoclonal antibodies against colorectal and gastric cancer.The mass screening by this assay wasperformed in 1801 cases.The results showed:thirty two cases were positive in 1801 persons,thepositive rate was 1.8%.After GI endoscopic and histological examinations,the final diagnosiswere:one case of early gastric cancer.19 cases of pre-malignant lessions,5 of them were colonadenomas,12 were chronic atrophic gastritis,1 was chronic supcrficial gastritis with dysplasia,1was multiple diverticulosis in an old man and 7 cases were non-malignant diseases,The palsepositive rate was 0.3%. After follow-up for more than one year no cancer was found in theother negative 1750 cases.This preliminary results show that this method may be useful in massscreening and early diagnosis of gastrointestinal carcinoma.

     

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