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Title: Choriocarcinoma: blocking factor and monoclonal antibody iodine 131 imaging

Journal Article · · Am. J. Obstet. Gynecol.; (United States)

Postoperative iodine 131 monoclonal antibody localization in metastatic choriocarcinoma was accomplished in this study. The monoclonal antibody was prepared to male choriocarcinoma which cross reacted with gestational choriocarcinoma. The antibody was raised against whole choriocarcinoma cells and human chorionic gonadotropin (hCG) cross reactivity was excluded. The purified antibody was iodinated with /sup 131/I and successfully imaged BeWo choriocarcinoma transplanted in nude mice; however, imaging of choriocarcinoma in a patient was verified only after resection. It is our belief that failure to sufficiently concentrate the antibody in the tumor before operation was due to blocking factor in the serum of the patient. Blocking factor and hCG dropped postoperatively. Blocking factor activity in 15 patients with metastatic trophoblastic disease was monitored and, like hCG, was found to be a sensitive indicator of the presence of disease. Its efficacy may be in the small number of patients without hCG but with persistent disease.

Research Organization:
Department of Gynecology and Obstetrics, Medical College of Wisconsin, Milwaukee
OSTI ID:
6974914
Journal Information:
Am. J. Obstet. Gynecol.; (United States), Vol. 148:7
Country of Publication:
United States
Language:
English