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[增生性子宫内膜癌组织上皮细胞中核仁组织区活性的研究]

[Investigation of nucleolar organizer region activity in epithelial cells of hyperplastic endometrial carcinoma tissue].

作者信息

Ellinidi V N, Novik V I, Pozharisskiĭ K M

机构信息

N.N. Petrov Research Institute of Oncology, Ministry of Health of the RF, St. Petersburg.

出版信息

Vopr Onkol. 2000;46(2):187-90.

Abstract

Such characteristics of nucleolar organizer regions (NORs) as nucleolar and intra-nucleolar grain counts, NOR mean area, mean total NOR area in nucleus, nuclear area and nucleolus/nucleus ratio were identified using vaginal aspirate-smears from 34 patients with histologically verified diagnosis (adenocarcinoma--10, atypical hyperplasia (ATH)--10, glandular endometrial hyperplasia (GEH)--4); silver-staining and micro-imaging analyzer techniques were employed. Atypical hyperplasia and nucleolar count in nucleus progressively and significantly increased in the following sequence: proliferative phase--GEH--adenocarcinoma. Mean and total area of NORs showed a significant rise in ATH and adenocarcinoma. Those indices of endometrial cell proliferation and GEH were identical. Nuclear area and nucleolus/nucleus ratio offered most information for differentiating GEH, ATH and carcinoma. A highly reliable correlation was established between intra-nucleolar grain count and microscopically-assayed silver concentration, on the one hand, and NOR area, on the other.

摘要

利用34例经组织学确诊的患者(腺癌10例、非典型增生(ATH)10例、子宫内膜腺体增生(GEH)4例)的阴道吸出物涂片,通过银染和显微成像分析仪技术,确定了核仁组织区(NORs)的以下特征:核仁及核仁内颗粒计数、NOR平均面积、细胞核内NOR总面积、细胞核面积以及核仁/细胞核比值。非典型增生和细胞核内核仁计数按以下顺序逐渐显著增加:增殖期 - GEH - 腺癌。NORs的平均面积和总面积在ATH和腺癌中显著增加。子宫内膜细胞增殖和GEH的这些指标相同。细胞核面积和核仁/细胞核比值为区分GEH、ATH和癌提供了最多信息。一方面,核仁内颗粒计数与显微镜下测定的银浓度之间,另一方面,与NOR面积之间建立了高度可靠的相关性。

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