[Histochemical analysis of uterine cervical adenocarcinoma with reference to mucosubstances and distribution of CEA, CA125 and CA19-9]

Nihon Sanka Fujinka Gakkai Zasshi. 1988 Apr;40(4):429-36.
[Article in Japanese]

Abstract

Epithelial mucin and immunohistochemical localization of carbohydrate antigens (CA125, CA19-9) in normal endocervical glands and adenocarcinoma of uterine cervix were examined histochemically. The materials were obtained from 33 surgical cases with adenocarcinoma and 9 control cases. Serial sections were examined by the following procedures: 1) Digestive PAS reaction, 2) High iron diamine-Alcian blue pH 2.5 staining, 3) Modification PAS and Thionin Schiff reaction to differentiate sialic acid, 4) Immuno-peroxidase method. Histologically, these adenocarcinomas were classified into four subtypes, endocervical, intestinal, endometrioid and serous adenocarcinoma. Endocervical adenocarcinomas were differentiated into the endocervical-intestinal group and serous-endometrioid group by mucin profiles and distribution of carbohydrate antigens. In endocervical and intestinal types, sialomucin was predominant, this mucin being characterized by O-acetylated sialic acid. Immunohistochemically, CA19-9, CA125 and CEA were localized in this group. The latter group of tumors were serous and endometrioid adenocarcinomas, characterized by surface coat type sulphomucin and non-acetylated sialic acid, but CA19-9 and CA125 were not detected in these cases. Adenoma malignum was classified in endocervical type adenocarcinoma.

Publication types

  • English Abstract

MeSH terms

  • Adenocarcinoma / analysis
  • Adenocarcinoma / classification
  • Adenocarcinoma / immunology*
  • Adult
  • Aged
  • Antigens, Neoplasm / analysis*
  • Antigens, Tumor-Associated, Carbohydrate
  • Carcinoembryonic Antigen / analysis*
  • Female
  • Humans
  • Immunohistochemistry
  • Middle Aged
  • Mucins / analysis*
  • Uterine Cervical Neoplasms / analysis
  • Uterine Cervical Neoplasms / classification
  • Uterine Cervical Neoplasms / immunology*

Substances

  • Antigens, Neoplasm
  • Antigens, Tumor-Associated, Carbohydrate
  • Carcinoembryonic Antigen
  • Mucins