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  • Analytical Chemistry and Spectroscopy  (1)
  • Keywords: Germ cell tumor; syncytiotrophoblastic giant cell; human chorionic gonadotropin (hCG); outcome.  (1)
  • 1
    ISSN: 0942-0940
    Keywords: Keywords: Germ cell tumor; syncytiotrophoblastic giant cell; human chorionic gonadotropin (hCG); outcome.
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Summary  As the biological behaviour of germinoma with syncytiotrophoblastic giant cells (STGC) is not well established, the present study was undertaken to ascertain the prognostic significance of serum hCG level in affected patients. Of a total of 23 cases studied, 12 patients were regarded as pure germinomas and 11 were germinomas with STGC. All but one of the former demonstrated an excellent outcome. The exception developed subarachnoid metastases, but the tumour disappeared on radiation therapy and the patient is enjoying a normal social life 13 years after the initial treatment. With the germinoma complicated by STGC, 3 cases showed local recurrence which were followed by a poor outcome. Their pretreatment hCG levels were 15.0, 26.0 and 29.6 mIU/ml respectively. The study showed a tendency, in germinomas with STGC, for a positive association between serum hCG, and the likelihood of a poor outcome. Germinomas with STGC and serum hCG levels higher than 15 mIU/ml thus have a high recurrence rate, and more aggressive treatment is indicated for the affected patients.
    Type of Medium: Electronic Resource
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  • 2
    Electronic Resource
    Electronic Resource
    Chichester : Wiley-Blackwell
    Biological Mass Spectrometry 21 (1992), S. 285-291 
    ISSN: 1052-9306
    Keywords: Chemistry ; Analytical Chemistry and Spectroscopy
    Source: Wiley InterScience Backfile Collection 1832-2000
    Topics: Chemistry and Pharmacology
    Notes: A strategy for thermospray liquid chromatography/tandem mass spectrometry (TSP LC/MS/MS) of very thermally labile xenobiotic conjugates, such as acetaminophen (AA) conjugates, selected as model compounds in biological fluid, was examined. The vaporizer temperature as well as collision energy were optimized using authentic AA-glutathione conjugate without modification of any analytical conditions, including mobile-phase composition, ion source temperature and repeller voltage. The [MH]+ ion intensities in the parent ion mass spectrum of m/z 182 from the conjugate at a collision energy of -25 eV were improved and maximized with a lowering of the vaporizer temperature from 115°C, corresponding to the optimal vaporization temperature of the mobile phase, to 80°C. Bile obtained from rats was treated with an equimolar mixture of AA and (2H3)AA was directly injected into the TSP LC/MS/MS system to perform the metabolic mapping of AA. The glucuronic acid, sulphuric acid, glutathione and cysteinylglycine conjugates of AA, in addition to the parent drug, were detectable by the parent ion scan mode, and confirmation of each structure could be obtained by the daughter ion scan mode. These conjugates appeared to show a marked temperature effect on the quality of TSP tandem mass spectra and sensitivity.
    Additional Material: 10 Ill.
    Type of Medium: Electronic Resource
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