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Journal of Neurology, Neurosurgery, and Psychiatry logoLink to Journal of Neurology, Neurosurgery, and Psychiatry
. 1989 Jul;52(7):881–886. doi: 10.1136/jnnp.52.7.881

Neoplastic meningitis in malignant melanoma: diagnosis with monoclonal antibodies.

R P Moseley 1, A G Davies 1, S P Bourne 1, C Popham 1, S Carrel 1, P Monro 1, H B Coakham 1
PMCID: PMC1031937  PMID: 2671265

Abstract

Six patients with neoplastic melanomatous meningitis were studied. The diagnosis of this complication of malignant disease rests on the demonstration of malignant cells within the CSF. The addition of monoclonal antibody immunocytology to conventional techniques significantly improved the diagnostic sensitivity of CSF cytology, allowing for earlier and therefore more effective palliative treatment.

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Selected References

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  1. Allan P. M., Garson J. A., Harper E. I., Asser U., Coakham H. B., Brownell B., Kemshead J. T. Biological characterization and clinical applications of a monoclonal antibody recognizing an antigen restricted to neuroectodermal tissues. Int J Cancer. 1983 May 15;31(5):591–598. doi: 10.1002/ijc.2910310510. [DOI] [PubMed] [Google Scholar]
  2. Amer M. H., Al-Sarraf M., Baker L. H., Vaitkevicius V. K. Malignant melanoma and central nervous system metastases: incidence, diagnosis, treatment and survival. Cancer. 1978 Aug;42(2):660–668. doi: 10.1002/1097-0142(197808)42:2<660::aid-cncr2820420237>3.0.co;2-e. [DOI] [PubMed] [Google Scholar]
  3. Aroney R. S., Dalley D. N., Chan W. K., Bell D. R., Levi J. A. Meningeal carcinomatosis in small cell carcinoma of the lung. Am J Med. 1981 Jul;71(1):26–32. doi: 10.1016/0002-9343(81)90254-0. [DOI] [PubMed] [Google Scholar]
  4. Bigner S. H., Johnston W. W. The cytopathology of cerebrospinal fluid. II. Metastatic cancer, meningeal carcinomatosis and primary central nervous system neoplasms. Acta Cytol. 1981 Sep-Oct;25(5):461–479. [PubMed] [Google Scholar]
  5. CHASON J. L., WALKER F. B., LANDERS J. W. Metastatic carcinoma in the central nervous system and dorsal root ganglia. A prospective autopsy study. Cancer. 1963 Jun;16:781–787. doi: 10.1002/1097-0142(196306)16:6<781::aid-cncr2820160614>3.0.co;2-m. [DOI] [PubMed] [Google Scholar]
  6. Carrel S., Accolla R. S., Carmagnola A. L., Mach J. P. Common human melanoma-associated antigen(s) detected by monoclonal antibodies. Cancer Res. 1980 Jul;40(7):2523–2528. [PubMed] [Google Scholar]
  7. Coakham H. B., Garson J. A., Brownell B., Allan P. M., Harper E. I., Lane E. B., Kemshead J. T. Use of monoclonal antibody panel to identify malignant cells in cerebrospinal fluid. Lancet. 1984 May 19;1(8386):1095–1098. doi: 10.1016/s0140-6736(84)92508-x. [DOI] [PubMed] [Google Scholar]
  8. Coakham H. B., Kemshead J. T. The present role of monoclonal antibodies in the diagnosis and therapy of brain tumours. Wien Klin Wochenschr. 1987 May 29;99(11):372–378. [PubMed] [Google Scholar]
  9. Coakham H. B., Richardson R. B., Davies A. G., Bourne S. P., Eckert H., Kemshead J. T. Neoplastic meningitis from a pineal tumour treated by antibody-guided irradiation via the intrathecal route. Br J Neurosurg. 1988;2(2):199–209. doi: 10.3109/02688698808992670. [DOI] [PubMed] [Google Scholar]
  10. Garson J. A., Coakham H. B., Kemshead J. T., Brownell B., Harper E. I., Allan P., Bourne S. The role of monoclonal antibodies in brain tumour diagnosis and cerebrospinal fluid (CSF) cytology. J Neurooncol. 1985;3(2):165–171. doi: 10.1007/BF02228893. [DOI] [PubMed] [Google Scholar]
  11. Lane E. B. Monoclonal antibodies provide specific intramolecular markers for the study of epithelial tonofilament organization. J Cell Biol. 1982 Mar;92(3):665–673. doi: 10.1083/jcb.92.3.665. [DOI] [PMC free article] [PubMed] [Google Scholar]
  12. Leader M., Collins M., Patel J., Henry K. Vimentin: an evaluation of its role as a tumour marker. Histopathology. 1987 Jan;11(1):63–72. doi: 10.1111/j.1365-2559.1987.tb02609.x. [DOI] [PubMed] [Google Scholar]
  13. Little J. R., Dale A. J., Okazaki H. Meningeal carcinomatosis. Clinical manifestations. Arch Neurol. 1974 Feb;30(2):138–143. doi: 10.1001/archneur.1974.00490320026003. [DOI] [PubMed] [Google Scholar]
  14. Mackie R. M., Campbell I., Turbitt M. L. Use of NK1 C3 monoclonal antibody in the assessment of benign and malignant melanocytic lesions. J Clin Pathol. 1984 Apr;37(4):367–372. doi: 10.1136/jcp.37.4.367. [DOI] [PMC free article] [PubMed] [Google Scholar]
  15. Morgan A. C., Jr, Galloway D. R., Reisfeld R. A. Production and characterization of monoclonal antibody to a melanoma specific glycoprotein. Hybridoma. 1981;1(1):27–36. doi: 10.1089/hyb.1.1981.1.27. [DOI] [PubMed] [Google Scholar]
  16. Nakajima T., Watanabe S., Sato Y., Kameya T., Shimosato Y., Ishihara K. Immunohistochemical demonstration of S100 protein in malignant melanoma and pigmented nevus, and its diagnostic application. Cancer. 1982 Sep 1;50(5):912–918. doi: 10.1002/1097-0142(19820901)50:5<912::aid-cncr2820500519>3.0.co;2-u. [DOI] [PubMed] [Google Scholar]
  17. Olson M. E., Chernik N. L., Posner J. B. Infiltration of the leptomeninges by systemic cancer. A clinical and pathologic study. Arch Neurol. 1974 Feb;30(2):122–137. doi: 10.1001/archneur.1974.00490320010002. [DOI] [PubMed] [Google Scholar]
  18. Patel J. K., Didolkar M. S., Pickren J. W., Moore R. H. Metastatic pattern of malignant melanoma. A study of 216 autopsy cases. Am J Surg. 1978 Jun;135(6):807–810. doi: 10.1016/0002-9610(78)90171-x. [DOI] [PubMed] [Google Scholar]
  19. Schiffer D., Giordana M. T., Mauro A., Migheli A., Germano I., Giaccone G. Immunohistochemical demonstration of vimentin in human cerebral tumors. Acta Neuropathol. 1986;70(3-4):209–219. doi: 10.1007/BF00686074. [DOI] [PubMed] [Google Scholar]
  20. Vennegoor C., Calafat J., Hageman P., van Buitenen F., Janssen H., Kolk A., Rümke P. Biochemical characterization and cellular localization of a formalin-resistant melanoma-associated antigen reacting with monoclonal antibody NKI/C-3. Int J Cancer. 1985 Mar 15;35(3):287–295. doi: 10.1002/ijc.2910350302. [DOI] [PubMed] [Google Scholar]
  21. Vick W. W., Wikstrand C. J., Bullard D. E., Kemshead J., Coakham H. B., Schlom J., Johnston W. W., Bigner D. D., Bigner S. H. The use of a panel of monoclonal antibodies in the evaluation of cytologic specimens from the central nervous system. Acta Cytol. 1987 Nov-Dec;31(6):815–824. [PubMed] [Google Scholar]
  22. Yap H. Y., Yap B. S., Tashima C. K., DiStefano A., Blumenschein G. R. Meningeal carcinomatosis in breast cancer. Cancer. 1978 Jul;42(1):283–286. doi: 10.1002/1097-0142(197807)42:1<283::aid-cncr2820420142>3.0.co;2-#. [DOI] [PubMed] [Google Scholar]

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