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血清CA_(125)监测子宫内膜腺癌的临床价值 被引量:4
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作者 孙晓光 牛刚 +2 位作者 刘炽明 王恩育 吴爱茹 《实用癌症杂志》 1994年第4期225-227,共3页
作者采用放射免疫测定法监测了100例子宫内膜腺癌的血清CA126水平。结果表明病人的血清CA125水平显著高于健康妇女及子宫内膜不典型增生者。Ⅰ、Ⅱ、Ⅲ、Ⅳ期的阳性率分别为29.4%、54.8%、100;0%及80.... 作者采用放射免疫测定法监测了100例子宫内膜腺癌的血清CA126水平。结果表明病人的血清CA125水平显著高于健康妇女及子宫内膜不典型增生者。Ⅰ、Ⅱ、Ⅲ、Ⅳ期的阳性率分别为29.4%、54.8%、100;0%及80.0%,有显著差异。复发者阳性率为16.6%,未控者阳性率为87.0%。CA12s值随病情变化而变化。阳性组与阴性组的3年生存率分别为69.0%、91.0%,有显著差异。作者认为血清CA125水平主要与肿瘤负荷及播散范围有关,可作为正确估计病期、监测病情变化及指示预后的有效指标。 展开更多
关键词 子宫内膜腺癌 CA125 放射免疫测定 血清
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ROLE OF COLPOSCOPY IN THE DIAGNOSIS OF HUMAN PAPI- LLOMAVIRUS INFECTION OF THE UTERINE CERVIX
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作者 章文华 孙建衡 +6 位作者 吴爱如 刘炽明 孙亚洲 商铭 张伟 刘复生 刘树范 《Chinese Journal of Cancer Research》 SCIE CAS CSCD 1993年第1期77-81,共5页
Among 6706 women screened by cytology, only 9 (0.13%) showed evidence of human pppillomavirus infection (HPVI). In 133 women examined by colposcopy for abnormal cytology or/ and suspected lestions on the cervix, 41.(3... Among 6706 women screened by cytology, only 9 (0.13%) showed evidence of human pppillomavirus infection (HPVI). In 133 women examined by colposcopy for abnormal cytology or/ and suspected lestions on the cervix, 41.(30. 8%) showed subclinical papillomavirus infection (SPI), while 17. 4% and 5. 3% showed HPVI by histopathology and cytology, respectively. The conformation rate between colposcopy and pathology was 69. 6%. Sixty-nine specimens out of 133 colposcopy piled biopaies were assayed by HPV-DNA dot hybridization with 6B/11, 16, 18 probes to detect the presence of HPV-DNA In the cervical specimens. Thirty-nine (56.5%) gave a positive result. The colposcopic predictive value of positive result for HPVI was 76.7%. The difference between colposcopy (59%) and pathology (20. 5%) is statistically significant (P<0. 01). These results suggest that colposcopy is superior to cytology and hjstopathology for the detection of SPI in the cervix. In colposcopy HPV-DNA positive women, aceto while epithelium was most common (28. 2%) . As it is difficult to differentiate SPI from cervical intraepithelial neoplasia especially the Grade Ⅰ lesion by colposcopy, discrimination criteria are proposed together with the chief colposcopic features of SPI. 展开更多
关键词 PAPILLOMAVIRUS DNA hybridization COLPOSCOPY CONDYLOMA Uterine cervix Pathology Tumor virus infection.
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THE INFECTION OF EBV FOR CERVICAL EPITHELIUM-A NEW CAUSITIVE AGENT IN THE DEVELOPMENT OF CERVICAL CARCINOMAS?
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作者 张伟 金顺钱 +9 位作者 黎钧跃 梁肖 明利华 王晓红 商铭 吴爱如 孙健衡 王希霞 章文华 刘炽明 《Chinese Journal of Cancer Research》 SCIE CAS CSCD 1992年第4期26-32,共7页
Epstein-Barr virus was considered as a caustive agent for Burrkitt' s lymphoma and non-malignant B lymphocytes proliferation. The recent studies revealed the striking association of the Infection of EBV with the d... Epstein-Barr virus was considered as a caustive agent for Burrkitt' s lymphoma and non-malignant B lymphocytes proliferation. The recent studies revealed the striking association of the Infection of EBV with the development of human epithelial tumors. 43 specimens of normal exfoliated cervical epithelial cells, 47 biopsies of chronic cervlcitis and 80 tissue samples of cervical carcinomas were tested for the presences of EBV W fragments by using dot blot hybridization method. The results showed that the detectable rates of EBV DNA sequences In the normal exfoliated epithelium, the chronic cervlcitis and cervical carcinomas were 44.16%, 12.77% and 13.75%, respectively. Eleven EBV positive DNA samples from cervical cancers were also examined for the presence of HPV DNA. The result showed 9 out of 11 were HPV DNA positive, the cultanious infectious rate of both viruses was about 81.81%.In this paper, the EBV genomes existed In the part of biopsies of cervical carcinomas were first reported. The results Implied that the development of cervical cancer might be associated with asymptomatic EBV Infection In early stage and might be the result from the synergistic carcinogenesis of EBV with other cervical oncovinises, especially with HPV. 展开更多
关键词 Epstein-Barr virus (EBV) herpes simplex virus type 2 (HSV-2) human papilloma virus (HPV) cervical carcinomas.
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子宫内膜癌的治疗及预后──418例回顾性研究
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作者 李慎仪 王恩育 刘炽明 《肿瘤防治研究》 CAS CSCD 北大核心 1989年第2期65-69,共5页
本文对自1958~1981年底中国医学科学院肿瘤医院治疗的418例宫内膜患者进行回顾性研究。其中Ⅰ期228例,Ⅱ期105例、Ⅲ期76例,Ⅳ期9例,复发共75例。在Ⅰ、Ⅱ期患者,影响预后的因素有:(1)宫颈管受累,(2)肌层侵犯,(3)治疗方式。手术或手术... 本文对自1958~1981年底中国医学科学院肿瘤医院治疗的418例宫内膜患者进行回顾性研究。其中Ⅰ期228例,Ⅱ期105例、Ⅲ期76例,Ⅳ期9例,复发共75例。在Ⅰ、Ⅱ期患者,影响预后的因素有:(1)宫颈管受累,(2)肌层侵犯,(3)治疗方式。手术或手术与放射综合治疗是最宜的治疗方式。Ⅱ期颈管受累的假阳性率较高(56.1%),因而靠分段诊刮取材而做出诊断的弊端有待解决。对Ⅲ、Ⅳ期患者如有可能也应尽量切除原发病灶,不能手术者放射治疗是主要治疗手段,并应辅以激素或化疗。复发患者虽预后不佳但不应轻易放弃治疗。作者在总结我院418例患者治疗和预后的基础上结合已开展的雌、孕激素受体测定,重新整理和制定了包括手术、放射、激素和化疗在内的宫内膜癌的综合治疗方案。 展开更多
关键词 子宫内膜癌 预后 子宫肿瘤
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THE CERVIX MULTI-VIRUSES INFECTION AND THE DEVELOPMENT OF CERVICAL CARCINOMAS
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作者 张伟 金顺钱 +10 位作者 刘伯齐 梁肖 明利华 王晓红 商铭 孙建衡 王希霞 章文华 吴爱如 刘炽明 黎钧耀 《Chinese Journal of Cancer Research》 SCIE CAS CSCD 1994年第4期241-247,共7页
The infections of human papilloma virus (HPV),herpes simplex virus type 2 (HSV-2) and Epstein-Barr virus (EBV) to human cervical epithelium are universal and some of them are associated with the development of cervica... The infections of human papilloma virus (HPV),herpes simplex virus type 2 (HSV-2) and Epstein-Barr virus (EBV) to human cervical epithelium are universal and some of them are associated with the development of cervical carcinomas. One hundred and eleven cervical cancer biopsies taken from Beijing area and Xiangyuan county in Shanxi province of China were examined for the presence of DNA sequences of HPV, HSV-2 and EBV by means of Dot blot hybridization. The experiment results showed that the total infectious rates of HPV, HSV-2 and EBV were 71.17% (79/111), 14.44%(16/111) and 15.63% (15/96), respectively. Seventy-nine samples positive for HPV were further analysed for the viral types distribution, the result indicated that the positive specimens of HPV type 16 accounted for 72.15%, otherwise, the biopsies positive for HPV type 18and 6B/11 only accounted for 16-46% and 11.39%,respectively. The data suggested that HPV infection,especially HPV type 16, may play an important role in the development of cervical carcinomas- 16 specimens positive for HSV-2 were examined for HPV DNAsequences and the result uncovered that 13 out of them were HPV16 positive (81.25%), 11 samples containing EBV genomes were also examined for HPV DNA sequences and the result indicated that 9 of 11 were detectable for HPV DNA. The experiment results proved a direct evtidence of multi-virus infection in cervix and of the synergistic interaction among viruses in the process of cervical epithelial carcinogenesis.Comparing of the viruses' infection of two areas, the frequencies of HPV infection in Beijing and Xiangyuan areas were 72.84% (59/ 81) and 66.67% (20/30) , the infectious rates of HSV-2 in the two areas were 8.64%(7/81) and 30% (9/30) (P<0.05), the rates of EBV infection in the two areas were 12.5% (10/80) and 31.25% (5/16)(0.1>P>0.05). The results proved another strong evidence that the high incidence of cervical cancer in Xiangyuan county may be closely correlated with multiviruses infection and with multi-virus synergistic interaction. 展开更多
关键词 Human papilloma virus (HPV) Cervical carcinomas Herpes simplex virus type 2 (HSV-2) Epstein-Barr Virus (EBV).
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SEARCH FOR HERPES SIMPLEX VIRUS TYPE2(HSV-2)AND HUMAN PAPILLOMAVIRUS(HPV)IN THE NORMAL AND ABNORMAL CERVICAL SAMPLES
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作者 张伟 金顺钱 +8 位作者 刘伯奇 梁肖 商铭 孙建衡 王希霞 章文华 刘炽明 吴爱如 黎钧耀 《Chinese Journal of Cancer Research》 SCIE CAS CSCD 1994年第2期119-121,123-125,共6页
The specimens of 111 cervical carcinomas. 68 chronic cervicitis and 43 normal cervical exfoliated epithelial cells were examined for the presence of HSV2 DNA sequences with DNA hybridization using HSV2 BgL Ⅱ N fragm... The specimens of 111 cervical carcinomas. 68 chronic cervicitis and 43 normal cervical exfoliated epithelial cells were examined for the presence of HSV2 DNA sequences with DNA hybridization using HSV2 BgL Ⅱ N fragment probe labelled by 32PdCTP. The result showed that the infection rates of HSV2 in the samples of cervical cancer.chronic cervicitis and normal epithelial cells were 1 4. 41 %(16/111). 27.94%( 19/68) and 25.58% ( 11/43),respectively. It was implied that early stages carcinogenesis of cervical epithelial cells might be correlated with the HSV2 infection.Sixteen HSV 2 positive samples of cervical carcinomas were also examined for the presence of the sequences homologous to human papillomavirus (HPV) type 6B/11. 16 and 18 DNA using dot blot hybridization (Tm17℃). The result indicated that 13 out of 16 were HPV 16 DNA hybridization positive accounting for 81. 2% of all HSV-2 positive samples and none of them were positive for HPV type 6B/11 and 18. The result indicated that double infection of HSV 2 and HPV16 in the same cervical carcinoma tissues may provide a strong evidence of the viral synergistic interaction in the induction of female cervical 展开更多
关键词 Human papillomavirus (HPV) Herps simplex virus type 2 (HSV2) Cervical cancer.
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