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前沿科技及其它

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Analysis of the PML/RAR- Fusion Gene in Acute Promyelocytic Leukemia by Reverse-Transcription Polymerase Chain Reaction: Technical Recommendations, Ad

Perhaps more than any other tumor marker associated with hematological neoplasia, the PMLIRAR-α hybrid gene has been shown to be important in the chinical practice. This aberration is absolutely APL-specific, being found in virtually 100% of cases and in no other tumors. Secondly, it identif ...

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Statistical Considerations in the Analysis of Tumor Markers

In this chapter, we will lay out the basics of experimental design: how to organize a study and determine sample size, what data to use, how to set up the database for analysis, what statistics are necessary for the analysis of the study, and what statistical packages are available to analyze the study. These ...

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Integrating Multiple Clinical Tests to Increase Predictive Power

Clinical tests provide information that can be used by statistical methods to make patient outcome predictions. Outcomes are risk of disease, existence of disease, and prognosis. In this chapter we define and describe predictive factors and clinical prediction and explain how combini ...

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Selection and Development of Biomarkers for Bladder Cancer

Bladder cancer attacked approx 50,500 Americans in 1995 and killed about 11,200 (1). Bladder cancer appears to develop along two mam tracks: a deeply mvasive, high-grade form that rapidly becomes life-threatening, and a much less dangerous low-grade form (2–5). Although low-grade tumors are u ...

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Factors Affecting Immunohistochemical Evaluation of Biomarker Expression in Neoplasia

Archival paraffin blocks frequently are studied to evaluate the expression of biomarkers in tumors and disease states. The identification of biomarkers is becoming increasingly important to identify and characterize early preinvasive neoplastic lesions (1–3), and to correla ...

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Clinical Application of Tissue and Serum Markers in Breast Cancer

How different the practice of oncology would become if physicians could predict which of their patients will develop cancer, and, if the disease does occur, then determine who might remain disease-free. Programs stressing prevention, early detection, and prompt treatment could be armed ...

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Instrumentation, Accuracy, and Quality Control Issues in Development of Quantitative Fluorescence-Image Analysis (QFIA)

Many fundamental questions of biology reduce to a common technical problem, how to assess the phenotype of cells in relation to other cells or in relation to morphology. Traditionally, this problem has been approached by classical biochemical analysis, in which heterogeneous tissue is di ...

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Serum and Tissue Biomarkers in the Prognosis and Treatment of Breast Cancer

Several nuclear and membrane proteins are emerging as important markers of breast-cancer behavior. There is increasing evidence that these markers have potential therapeutic as well as prognostic value in the care of breast-cancer patients.

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The Oncofetal Protein p65 in Breast Cancer Detection

It has been known for some time that steroid and thyroid hormones can regulate cell proliferation (1,2) by stimulating cell division, as in the case of the thyroid hormone; by preventing proliferation, as in the case of the glucocorticoid hormone; or by inducing differentiation, as in the case of ret ...

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Immunodiagnosis of Childhood Malignancies

Diagnosis of childhood malignancies, in particular solid tumors, is an enterprise that can be laden with a variety of uncertainties, inconsistencies, and morphologic subtlety, primarily caused by their tendency to recapitulate early organogenesis This dilemma 1s manifested by t ...

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Determination of Tumor Ferritin Concentration in Breast Cancer

Ferritin is a cellular-storage protein with the main function of sequestering excess ferric iron and thus preventing high concentrations of soluble iron from becoming toxic to the cells. Dividing cells, both normal and neoplastic, have been shown to increase transferrm receptors in res ...

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Immunohistochemical Evaluation of Biomarkers in Prostatic and Colorectal Neoplasia: Principles and Guidelines

In Chapter 10 of thts volume and in prior publications (1,2), the matertals and methods used in immunohtstochemical techniques are described, and factors that affect the immunohistochemtcal detection of biomarker expression are discussed In this chapter, our semtquantbiattve me ...

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Preparation of Metaphase Chromosomes for Cytogenetic Analysis

The in vitro cultivation of cells and tissues forms an integral part of the work of every diagnostic cytogenetics laboratory, since it is from cells undergoing mitosis that metaphase chromosome preparations are obtained. Spontaneously dividing cells suitable for direct chromosome ...

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Chromosome Staining and Banding Techniques

Each chromosome in the somatic-cell complement can be uniquely identified by following a number of different banding procedures. The banding patterns are highly characteristic. The International System for Cytogenetic Nomenclature (ISCN) provides schematic representat ...

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Fluorescence In Situ Hybridization to Chromosomes

Development of the technique of in situ hybridization (ISH) propelled the merger of the fields of molecular genetics and cytogenetics. Refinement of the technique through the use of fluorescence (FISH) produced a remarkably powerful research and diagnostic tool.

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Detection of Rearrangements in the bcl-2 Gene Using the Polymerase Chain Reaction

Described here is a simple polymerase chain reaction (PCR) method for detecting rearrangements involving the bcl-2 gene. Rearrangements in bcl-2 are characteristic of follicular B-cell lymphoma (present in 80% of cases) and can occur in other malignancies (refs. 1–5; see review of bcl-2 in ref. ...

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Applications of Tissue Microdissection in Molecular Pathology: Principles and Guidelines

The study of human disease processes is an evolving field that is closely Intertwined with the development of technology. The advent of the polymerase cham reaction (PCR) allows investigators new opportunities for genetic analysis of pathological processes DNA and RNA analysis of small ...

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p53 Detection in Breast Cancer

p53 1s a nuclear phosphoprotem whose function is classified as a tumor suppressor (1) Mutattons in the p53 gene are currently regarded as the most common genetic alteration in human cancer (2), including breast cancer (reviewed in ref. 3). Most of these are point mutations within highly conserved r ...

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EWS Gene Fusions as Diagnostic Markers in Sarcomas: Principles and Guidelines

Highly specrtic chromosomal translocations are found in several primitive sarcomas (1–3). Biologically, the breakpoints of these translocations involve various putative or confirmed transcription factor genes, some of which appear to participate in normal mesenchymal de ...

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Use of the Polymerase Chain Reaction Technique to Detect the t(14;18) Translocation in Lymphoid Tissue

The t(14;18) (q32;21) chromosomal translocation is characteristic of follicle center cell lymphomas, involving 95% of cases (1,2). In addition, it has been found in a variety of other malignant lymphomas, including 20% of all diffuse B-cell lymphomas (3), diffuse small cleaved-cell lymphom ...

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