Zhao S
First Hospital of Hunan Medical University, Changsha.
Zhonghua Er Bi Yan Hou Ke Za Zhi. 1992;27(2):105-8, 126.
The nuclear DNA content was measured by flow cytometry (FCM) in 167 specimens with normal nasopharyngeal epithelium, paracarcinoma tissue and nasopharyngeal carcinoma (NPC). Thirty eight (38%) of 101 NPC, seven (58%) of 12 recurrent and six (30%) of 20 paracarcinoma tissues were nondiploid. There was no nondiploid at all in 20 specimens of normal nasopharyngeal epithelium. Two of six patients with VCA-IGA(+) were nondiploid. Cellular proliferation index (PI) of NPC was increased significantly as compared with that of the normal epithelium (P < 0.01). However there was no marked difference in PI. between NPC and paracarcinoma tissues. The rate of cervical metastasis in nondiploid NPC was significantly higher than that in diploid NPC (P < 0.025). But there was no correlation of DNA content between the stage of the tumor and the titer of VCA-IGA. These data show that FCM may prove useful in the diagnosis and predication of prognosis in NPC.
采用流式细胞术(FCM)检测了167例具有正常鼻咽上皮、癌旁组织及鼻咽癌(NPC)标本的核DNA含量。101例NPC中38例(38%)、12例复发病例中7例(58%)以及20例癌旁组织中6例(30%)为非二倍体。20例正常鼻咽上皮标本中无一例为非二倍体。6例VCA - IGA(+)患者中有2例为非二倍体。NPC的细胞增殖指数(PI)与正常上皮相比显著升高(P < 0.01)。然而,NPC与癌旁组织之间的PI无明显差异。非二倍体NPC的颈部转移率显著高于二倍体NPC(P < 0.025)。但肿瘤分期与VCA - IGA滴度之间的DNA含量无相关性。这些数据表明,FCM可能在NPC的诊断和预后预测中具有重要作用。