• 제목/요약/키워드: case markers

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Immunohistochemistry: sole tool in diagnosing a rare case of primary vaginal amelanotic melanoma

  • Garg, Rashi;Gupta, Neelam
    • Obstetrics & gynecology science
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    • 제61권6호
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    • pp.698-701
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    • 2018
  • We report a rare case of vaginal amelanotic melanoma. Malignant melanomas are cutaneous and extracutaneous tumors that arise from embryological remnants of neural crest cells/melanocytes. Amelanotic melanomas at such rare locations can be misdiagnosed both clinically and radiologically. Therefore, histopathological examination and immunohistochemistry are mandatory for the diagnosis of these tumors. We diagnosed this case using histopathology and confirmed the diagnosis based on the presence of immunohistochemical markers human melanoma black 45 (HMB45) and S-100.

Clinical Utility of Haptoglobin in Combination with CEA, NSE and CYFRA21-1 for Diagnosis of Lung Cancer

  • Wang, Bing;He, Yu-Jie;Tian, Ying-Xing;Yang, Rui-Ning;Zhu, Yue-Rong;Qiu, Hong
    • Asian Pacific Journal of Cancer Prevention
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    • 제15권22호
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    • pp.9611-9614
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    • 2014
  • Purpose: To investigate the clinical value in lung cancer of a combination of four serum tumor markers, haptoglobin (Hp), carcinoembryonic antigen (CEA), neuron specific enolase (NSE) as well as the cytokeratin 19 fragment (CYFRA21-1). Materials and Methods: Serum Hp (with immune-turbidimetric method), CEA, NSE, CYFRA21-1 (with chemiluminescence method) level were assessed in 193 patients with lung cancer, 87 patients with benign lung disease and 150 healthy controls. Differences of expression were compared among groups, and joint effects of these tumor markers for the diagnosis of lung cancer were analyzed. Results: Serum tumor marker levels in patients with lung cancer were obviously higher than those with benign lung disease and normal controls (p<0.01). The sensitivities of Hp, CEA, NSE and CYFRA21-1 were 43.5%, 40.9%, 23.3% and 41.5%, with specificities of 90.7%, 99.2%, 97.9% and 97.9%. Four tumor markers combined together could produce a positive detection rate of 85.0%, significantly higher than that of any single test. With squamous carcinomas, the positive detection rates with Hp and CYFRA21-1 were higher than that of other markers. In the adenocarcinoma case, the positive detection rate of CEA was higher than that of other markers. For small cell carcinomas, the positive detection rate of NSE was highest. The area under receiver operating characteristic curve ($AUC^{ROC}$) of Hp in squamous carcinoma (0.805) was higher than in adenocarcinoma (0.664) and small cell carcinoma (0.665). Conclusions: Hp can be used as a new serum tumor marker for lung cancer. Combination detection of Hp, CEA, NSE and CYFRA21-1 could significantly improve the sensitivity and specificity in diagnosis of lung cancer, and could be useful for pathological typing.

Microsatellite DNA형에 의한 더러브렛 말의 친자감정예 (A case of parentage testing in the Thoroughbred horse by microsatellite DNA typing)

  • 조길재;양영진;김봉환
    • 대한수의학회지
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    • 제43권1호
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    • pp.25-29
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    • 2003
  • This study was carried out to investigate a usefulness of the microsatellite DNA markers for parentage verification of Thoroughbred (TB) horses. 9 TB horses samples were genotyped for nine international minimum standard markers (AHT4, 5, ASB2, HMS3, 6, 7, HTG4, 10, and VHL20), and the additional panel of four markers, ASB17, CA425, LEX33, and TKY321. This methods consisted of multiplexing PCR procedures, and it showed reasonable amplification of all PCR products. Genotyping was performed with an ABI 310 genetic analyzer. Foal I was excluded according to principles of Mendelian genetics in AHT4 (H/K), ASB2 (Q/Q), HMS3 (I/P), HTG4 (M/O), HTG1O (K/R), VHL20 (M/P), ASB17 (F/N), LEX33 (M/O), and TKY321 (G/I) markets. Foal II was excluded with markers AHT5 (K/M), ASB2 (M/N), HMS7 (N/N), HTG1O (K/K), VHL20 (I/I), ASB17 (F/F) and TKY321 (G/I). Foal III was excluded with markers AHT4 (O/O), AHT5 (K/K), ASB2 (M/R), HMS6 (M/P), HMS7 (O/O), HTG10 (R/S), VHL20 (L/M), and ASB17 (N/O). These results suggest that the present DNA typing is so useful for parentage verification of TB horses.

폐경 후 여성의 영양소섭취수준에 따른 골대사 지표물질의 관련성 분석 (Relationship between Nutrient Intake and Biochemical Markers of Bone Metabolism in Korean Postmenopausal Women)

  • 이행신;이다홍;이다홍
    • 대한지역사회영양학회지
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    • 제6권5호
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    • pp.765-772
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    • 2001
  • To delineate the relationship between the nutrient intake from diet and the serum biochemical markers of bone metabolism, 56 postmenopausal women of 50 to 77 years of age were recruited. The biochemical markers including osteocalcin, calcium, phosphorus, estradiol and free testosterone were measured in fasting blood. Bone mineral density(BMD) was measured also by dual energy X-ray absorptiometry, and the nutrient intake of earth individual subject was estimated by 24-hour recall of 3 days. The age of the subjects was 64.8 $\pm$ 7.7 years, and the BMDs of the subject were 0.86 $\pm$ 0.26g/$cm^2$(Lumbar spine), 0.60 $\pm$ 0.10g/$cm^2$ (Femoral neck), 0.49 $\pm$ 0.10g/$cm^2$(Trochanter), and 0.41 $\pm$ 0.14g/$cm^2$(Ward's triangle). There were no significant differences among age and nutrient intake level groups due to the small sample size. The biochemical markers showed certain degree of relationship with nutrient intake levels. The results were compared among 3 groups with different nutrient intake level classified by the percentage of Recommended Daily Allowances(RDA) for Koreans as follows low < 75% RDA, 75% RDA $\leq$ adequate < 125% RDA, high $\geq$ 125% RDA. The low energy and low riboflavin groups showed significantly higher serum osteocalcin levels than those of the high intake groups(p < 0.05). On the other hand, there was a trend for serum Ca level to be higher with high nutrient intake. In this case, protein and thiamin were the only nutrients that reached a statistical significance(p < 0.05). And the groups with low intake for protein and Ca showed significantly lower serum free testosterone levels than that of other intake groups(p < 0.05). This study suggests an important role of nutrient intake levels on blood biochemical markers of bone metabolism.

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Challenging a Single-Factor Analysis of Case Drop in Korean

  • Chung, Eun Seon
    • 한국언어정보학회지:언어와정보
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    • 제19권1호
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    • pp.1-18
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    • 2015
  • Korean marks case for subjects and objects, but it is well known that case-markers can be dropped in certain contexts. Kwon and Zribi-Hertz (2008) establishes the phenomenon of Korean case drop on a single factor of f(ocus)-structure visibility and claims that both subject and object case drop can fall under a single linguistic generalization of information structure. However, the supporting data is not empirically substantiated and the tenability of the f-structure analysis is still under question. In this paper, an experiment was conducted to show that the specific claims of Kwon and Zribi-Hertz's analysis that places exclusive importance on information structure cannot be adequately supported by empirical evidence. In addition, the present study examines H. Lee's (2006a, 2006c) multi-factor analysis of object case drop and investigates whether this approach can subsume both subject and object case drop under a unified analysis. The present findings indicate that the multi-factor analysis that involves the interaction of independent factors (Focus, Animacy, and Definiteness) is also compatible with subject case drop, and that judgments on case drop are not categorical but form gradient statistical preferences.

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Focus Types and Gradients in Korean Case Ellipsis

  • Lee, Han-Jung
    • 한국언어정보학회지:언어와정보
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    • 제12권2호
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    • pp.1-20
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    • 2008
  • This paper examines the effects of focus types on case ellipsis in Korean. A number of previous studies have suggested that accusative case markers in Korean and Japanese cannot be dropped when the object they mark is contrastively focused (Masunaga, 1988; Yatabe, 1999; Ko, 2000; Lee, 2002). Using experimental evidence, we argue against the view that case ellipsis in Korean is sensitive to the distinction between contrastive vs. non-contrastive focus. An alternative analysis is proposed which accounts for the phenomenon of variable case marking in terms of the interaction between the contrastive strength and the discourse accessibility of focused object NPs. By viewing patterns of case ellipsis as the result of balancing between these two forces, such an analysis can correctly predict the gradient pattern of case ellipsis shown by the three types of focused objects tested in the experiment (contrastive replacing focus, contrastive selecting focus and non-contrastive, informational focus), while at the same time offering an explanation for why subtypes of focus exert distinct influences on case ellipsis.

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Application of Tumor Markers SCC-Ag, CEA, and TPA in Patients with Cervical Precancerous Lesions

  • Farzaneh, Farah;Shahghassempour, Shapour;Noshine, Bahram;Arab, Maliheh;Yaseri, Mehdi;Rafizadeh, Mitra;Alizadeh, Kamyab
    • Asian Pacific Journal of Cancer Prevention
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    • 제15권9호
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    • pp.3911-3914
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    • 2014
  • Background: To determine the potential clinical utility of tumor markers CEA, TPA, and SCC-Ag for early detection of cervical precancerous lesions. Materials and Methods: A case-control study was carried out on 120 women (46 patients with histologically confirmed cervical precancerous lesions and 74 healthy controls). The significance of serum selected tumor markers in early detection of cervical intraepithelial neoplasia (CIN) were assessed. Results: Of the case group, the rates of CIN I, II, III, was 69.6%, 23.9%, and 6.5%, respectively. According to the manufacturer's cut-off values of 2ng/ml, 5ng/ml, and 70 U/ml for SCC-Ag, CEA and TPA tests, in that order, SCC-Ag test had a sensitivity of 13%, but CEA and TPA tests could not distinguish between case and control groups. The diagnostic sensitivities were highest at cut-off values of 0.55 ng/ml for SCC-Ag, 2.6ng/ml for CEA, and 25.5 U/ml for TPA which were 93%, 61%, and 50%, respectively. However, the area under the receiver operating characteristic curve was the largest for SCC-Ag (0.95 vs. 0.61 and 0.60 for CEA and TPA, respectively). Moreover, there was a highly significant direct correlation between SCC-Ag concentration and the degree of cervical precancerous lesions (r=0.847, p<0.001). Conclusions: The new cutoff of 0.5 for SCC-Ag test might be useful as a tumor marker in Iranian patients with CIN and it needs to be more evaluated by studies with larger populationa.

Validation of 17 Microsatellite Markers for Parentage Verification and Identity Test in Chinese Holstein Cattle

  • Zhang, Yi;Wang, Yachun;Sun, Dongxiao;Yu, Ying;Zhang, Yuan
    • Asian-Australasian Journal of Animal Sciences
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    • 제23권4호
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    • pp.425-429
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    • 2010
  • To develop an efficient DNA typing system for Chinese Holstein cattle, 17 microsatellites, which were amplified in four fluorescent multiplex reactions and genotyped by two capillary electrophoresis injections, were evaluated for parentage verification and identity test. These markers were highly polymorphic with a mean of 8.35 alleles per locus and an average expected heterozygosity of 0.711 in 371 individuals. Parentage exclusion probability with only one sampled parent was approximately 0.999. Parentage exclusion probability when another parent' genotype was known was over 0.99999. Overall probability of identity, i.e. the probability that two animals share a common genotype by chance, was $1.52{\times}10^{-16}$. In a test case of parentage assignment, the 17 loci assigned 31 out of 33 cows to the pedigree sires with 95% confidence, while 2 cows were excluded from the paternity relationship with candidate sires. The results demonstrated the high efficacy of the 17 markers in parentage analysis and individual identification for Chinese Holstein cattle.

각종(各種) 간질환(肝疾患)에서의 B형(型) 간염(肝炎) Virus 표식자(標識子) 발현(發顯)에 대한 임상적(臨床的) 고찰(考察) (Clinical Significance on the Serologic Profiles of HBV Markers in Various Liver Diseases)

  • 유병희;이충규;김종화;김광일;이종석
    • 대한핵의학회지
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    • 제17권2호
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    • pp.49-55
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    • 1983
  • By radioimmunoassay, serologic markers of Hepatitis B Virus were studied in 44 patients with acute viral hepatitis, 10 patients with chronic persistent hepatitis, 10 patients with chronic active hepatitis, 44 patients with liver cirrhosis and 25 patients with primary hepato cellular carcinoma. The results were follows: 1) HBsAg was present in 77.2% of AVH, 40% of CPH, 80% of CAH, 55.1% of LC and 68 % of PHC. In this HBsAg positive groups, all but one in liver cirrhosis had Anti-HBc. 2) Anti-HBs was most commonly detected in CPR and accompanied by Anti-HBc except one case in AVH. 3) Anti-HBc was the only marker detected in 11.4% of AVH, 20% of CPH, 20% of CAH, 16.3% of LC and 8% of PHC. 4) HBeAg was most commonly found in HBsAg-positive CPH but Anti-HBe was most frequently detected in PHC. 5) The absence of HBV markers was noted in 2.3% of AVH, 10% of CPH, 8% of PHC except CAH and LC.

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근치적 절제술을 시행한 위암 환자에서 종양 표지자의 임상적 의미 (Clinical Significance of Tumor Markers in Gastric Cancer Patients after Curative Resection)

  • 김사영;하태경;권성준
    • Journal of Gastric Cancer
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    • 제9권3호
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    • pp.136-142
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    • 2009
  • 목적: 위암으로 진단받고 근치적 절제술을 시행받은 환자를 대상으로 수술 전 및 수술 후에 정기적으로 시행한 종양표지자(AFP, CEA, CA19-9, CA125)의 추적검사 결과를 분석하고 위암 재발의 조기진단과 관련한 임상적 의미를 판정하였다. 또한 종양 표지자의 위양성률과 비종양성 만성질환과의 연관성을 알아보았다. 대상 및 방법: 2003년 11월부터 2006년 11월까지 한양대학교병원에 위암으로 입원하여 근치적 절제술을 시행받은 환자 290명을 대상으로 후향적 연구를 시행하였다. CEA (정상 참고치: 5 ng/ml), CA19-9 (39 U/ml), AFP (7.0 ng/ml), CA125 (35 U/ml) 네 가지 종양표지자값을 측정하였다. 종양표지자값의 변화와 내시경적 검사를 통한 조직 검사나 방사선학적 검사를 통한 재발 여부와의 연관성을 분석하였다. 수술 후 종양의 재발은 없으나 종양표지자값이 정상 이상으로 상승한 위양성 환자에서 비종양성 만성 질환과의 연관성을 분석하였다. 결과: 재발과 관련하여 종양표지자 검사의 민감도, 특이도, 양성예측도, 음성예측도는 각각 75.0%, 64.6%, 23.1%, 94.8%였다. 재발이 발생한 36예 중 10예(27.8%)의 경우에서는 영상의학검사에서 재발이 발견되기 전 종양표지자의 상승이 먼저 나타났으며, 13예(36.1%)의 경우에서는 영상의학검사와 동시에 종양표지자의 상승이 나타났다 추적 기간 동안 재발이 발생하지 않은 254명 중 90명의 환자에서 적어도 한 가지 이상의 종양표지자가 상승하여 35.4%의 위양성를을 나타내었다. 재발의 증거가 없으나 종양표지자가 상승했던 90명의 환자 중에 70명의 환자는 추적 검사 상 수치가 정상화 되었으나(기간: $9.08\pm7.2$개월), 20명의 환자는 지속적으로 정상 수치 이상 유지되었다. 두 군 간의 성별, 나이, 성별, 림프절 전이 여부, 조직형, 병기 등의 차이는 없었으나 비종양성 만성 질환(폐질환, 간담도계 질환, 고혈압 당뇨, 흡연, 민간요법) 유무의 차이가 있었다. 만성 질환이 있는 군이 없는 군에 비해 종양표지자가 지속적으로 상승되어 있는 양상을 나타내었다(P=0.007). 결론: 위암 근치적 절제술 후 재발 진단의 목적으로 종양 표지자는 영상의학검사 등의 다른 검사와 병합하여 활용할 수 있을 것이다. 또한 비종양성 만성 질환이 있는 경우 종양표지자가 상승하는 경우도 있으므로 이에 대한 고려가 필요할 것이다.

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