ABSTRACT
The monoclonal antibody RL23/36 has been shown to discriminate normal from malignant hepatocytes in man. In frozen sections of liver tissue from 25 Thai patients without hepatocellular carcinomas, the antibody reacted strongly and preferentially with hepatocytes. Reactivity with 7 hepatocellular carcinomas was invariably abnormal, being totally absent in 5 and partially lost in 2. This discrimination was superior to that achieved with Ca1 and 791T/36 monoclonal antibodies. In 2 cases of hepatocellular carcinoma, binding of RL23/36 to associated apparently non-malignant hepatocytes was abnormal, being absent in one and partially lost in the other. These data show that RL23/36 detects an antigenic determinant which is lost during malignant transformation of human hepatocytes, sometimes before the development of frank malignancy.
Subject(s)
Animals , Antibodies, Monoclonal/diagnosis , Biopsy , Carcinoma, Hepatocellular/pathology , Cell Differentiation , Humans , Liver Neoplasms/pathology , Rats , Staining and Labeling , ThailandSubject(s)
Adult , Aged , Female , Humans , Immunoglobulins/analysis , Liver Abscess, Amebic/immunology , Liver Neoplasms/immunology , Male , Middle AgedSubject(s)
Adult , Aged , Female , Humans , Intestinal Absorption , Liver Cirrhosis, Alcoholic/metabolism , Male , Middle Aged , Pancreas/physiopathologySubject(s)
Adult , Aged , Chronic Disease , Duodenal Ulcer/complications , Female , Gastric Mucosa/pathology , Gastritis/complications , Humans , Male , Middle Aged , Stomach Ulcer/complicationsSubject(s)
Adolescent , Adult , Antibodies, Viral/analysis , Child , Child, Preschool , Female , Hepatitis A/epidemiology , Hepatovirus/immunology , Humans , Infant , Infant, Newborn , Middle Aged , Pregnancy , Radioimmunoassay , Socioeconomic Factors , ThailandSubject(s)
Eosinophilic Granuloma/pathology , Female , Gastrectomy , Gastritis/pathology , Humans , Middle AgedSubject(s)
Adolescent , Adult , Aged , Blood Pressure , Child , Child, Preschool , Female , Humans , Hypertension/epidemiology , Infant , Male , Middle Aged , ThailandSubject(s)
Adolescent , Adult , Aged , Cholecystokinin/analysis , Chronic Disease , Duodenum/analysis , Female , Humans , Male , Middle Aged , Pancreatic Diseases/metabolism , Pancreatic Neoplasms/analysis , Secretin/analysis , ThailandSubject(s)
Duodenum , Endoscopes , Fiber Optic Technology/instrumentation , Gastroscopes , Gastroscopy/history , History, 20th Century , Humans , ThailandABSTRACT
Four patients who had obstructing carcinoma of the cystic duct and who presented themselves with enlarged and palpable gall bladders but without jaundice are reported. All patients came from endemic areas of opisthorchiasis and had evidence of Opisthorchis infection by peritoneoscopic and surgical findings. All but one had Opisthorchis eggs in the stool. The pathogenesis and management was discussed.