Immunohistochemical assessment of splenic lymphocyte and macrophage subpopulations in patients with gastric cancer
✍ Scribed by Stephan Falk; Gernot Seipelt; Hartmut Müller; Hans Jochen Stutte
- Publisher
- John Wiley and Sons
- Year
- 1989
- Tongue
- English
- Weight
- 733 KB
- Volume
- 64
- Category
- Article
- ISSN
- 0008-543X
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✦ Synopsis
In order to assess the effects of malignant tumors on the immune system, 25 spleens from patients with gastric carcinoma were studied by in situ immunohistochemical methods for lymphocyte subsets and cells of the mononuclear phagocyte system. Highly significant reductions of CD4+ T cells (P < 0.001), Ki M2+ and Ki M-3+ MPS cells ( P < 0.02 and P < 0.05), and a stage-dependent reduction of Ki 67+ B cell proliferation activity ( P < 0.05) were seen in spleens of patients with gastric cancer. These results, which were obtained by morphologic methods in a noninvolved lymphatic organ, reflect the systemic immunosuppressive and immunodepleting effects of malignant tumors that are probably mediated by tumor-associated cytokines.
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## Abstract ## Background Preservation or removal of the spleen during total gastrectomy for proximal gastric cancer is a matter of debate. ## Methods A randomized clinical trial included patients with gastric adenocarcinoma who underwent total gastrectomy either with (104 patients) or without (