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[DNA倍体模式作为胃癌恶性程度和预后的指标]

[DNA ploidy pattern as an indicator of degree of malignancy and prognosis in gastric cancer].

作者信息

Kitamura M, Arai K, Miyashita K, Takahashi K, Kato H, Takamoto S, Maeda Y

机构信息

Department of Surgery, Tokyo Metropolitan Komagome Hospital.

出版信息

Nihon Rinsho. 1992 Oct;50(10):2401-7.

PMID:1447810
Abstract

We used fresh materials and paraffin blocks of advanced gastric cancer to examine the relationship of DNA ploidy pattern from flow cytometry (FCM) to degree of malignancy and prognosis. No significant relationship was found between the frequency of DNA aneuploid (DA) and the clinicopathological factors (depth of invasion, degree of progression, histological type, lymph node metastasis, ly, v etc.). FCM examination using fresh materials revealed significant difference in prognosis between the non-DA and DA groups for non-curative stage III or IV cases (p < 0.05). On the other hand, in terms of the relationship between DNA ploidy patterns from paraffin blocks and prognosis for curative resection cases of ss-gastric cancer, prognosis was significantly better in the non-DA group than in the DA (p < 0.01). These results indicate that the clinicopathological prognostic factors for gastric cancer are connected in a complex way and that DNA ploidy patterns alone are not superior to the prognosis determining factors used in the past.

摘要

我们使用进展期胃癌的新鲜材料和石蜡块来研究流式细胞术(FCM)检测的DNA倍体模式与恶性程度及预后之间的关系。未发现DNA非整倍体(DA)频率与临床病理因素(浸润深度、进展程度、组织学类型、淋巴结转移、ly、v等)之间存在显著关系。使用新鲜材料进行的FCM检测显示,非治愈性III期或IV期病例的非DA组和DA组之间在预后方面存在显著差异(p<0.05)。另一方面,就石蜡块的DNA倍体模式与早期胃癌根治性切除病例预后的关系而言,非DA组的预后明显优于DA组(p<0.01)。这些结果表明,胃癌的临床病理预后因素以复杂的方式相互关联,仅DNA倍体模式并不优于过去使用的预后决定因素。

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