Leicher H
Laryngol Rhinol Otol (Stuttg). 1978 Mar;57(3):162-76.
Carcinomas of the nose, the trachea, the mouth, the esophagus and the middle ear are rarely observed. Those of the larynx and of the bronchial system are more often found. The reason for this cannot be related to differing contacts with carcinogenic substances. The differences in frequence ar dependent on the varied resistance and disposition of the organs involved (Organotrophy, Histotropy). This is comparable to the incidence of epithelial and mesenchymal tumors. The tissues do not only vary in their structure. The differences are found in 1. the velocity of cell regeneration, 2. the ability to repair nucleic acids, 3. the concentration of tissue specific proteins (chalones) inhibiting cell proliferation and tumor growth, 4. the increase of metabolism before and during cancerization, 5. the unspecific mesenchymal reaction, 6. the immunologic response against tumor cells, 7. the reactions on radiotherapy, 8. the affinity of tissue to chemical carcinogenic substances.
鼻、气管、口腔、食管和中耳的癌很少见。而喉和支气管系统的癌则更常见。其原因与接触致癌物质的差异无关。频率差异取决于所涉器官的不同抵抗力和易感性(器官营养性、组织亲和性)。这与上皮性和间叶性肿瘤的发病率类似。组织不仅在结构上有所不同。差异还体现在以下方面:1. 细胞再生速度;2. 修复核酸的能力;3. 抑制细胞增殖和肿瘤生长的组织特异性蛋白质(抑素)浓度;4. 癌变前和癌变过程中的代谢增加;5. 非特异性间叶反应;6. 对肿瘤细胞的免疫反应;7. 对放疗的反应;8. 组织对化学致癌物质的亲和力。