Kodama K, Doi O, Higashiyama M, Yokouchi H, Kabuto T
Department of Surgery, Center for Adult Diseases, Osaka, Japan.
Nihon Kyobu Geka Gakkai Zasshi. 1992 Jun;40(6):891-5.
In order to elucidate the influence of surgical intervention on cell kinetics, we investigated the DNA ploidy pattern and mitotic index in two patients with metastatic pulmonary meningioma more than 10 years after the first operation for primary brain lesions. The first patient, with hemangiopericytomatous meningioma, showed a diploid pattern in all resected specimens and intrathoracic metastases obtained at autopsy, and also showed a constant mitotic indices throughout the clinical course. The second patient, with meningothelial meningioma, also showed a diploid pattern and constant mitotic indices throughout the clinical course. There was no difference in the two parameters between this second patient and 5 non-metastatic control cases. In conclusion, there was no positive correlation between these two parameters and the acceleration of tumor growth detected at every surgical intervention.
为了阐明手术干预对细胞动力学的影响,我们对两名原发性脑病变首次手术后10多年发生转移性肺脑膜瘤的患者,研究了其DNA倍体模式和有丝分裂指数。首例患者为血管外皮细胞瘤性脑膜瘤,所有切除标本及尸检时获取的胸内转移灶均显示二倍体模式,且在整个临床病程中有丝分裂指数保持恒定。第二例患者为脑膜皮型脑膜瘤,在整个临床病程中也显示二倍体模式和恒定的有丝分裂指数。该第二例患者与5例非转移性对照病例在这两个参数上无差异。总之,这两个参数与每次手术干预时检测到的肿瘤生长加速之间无正相关。