Hashimoto T, Kodama M, Ashihara T
First Department of Surgery, Shiga University of Medical Science, Otsu, Japan.
Nihon Geka Gakkai Zasshi. 1991 Nov;92(11):1593-601.
In order to clarify cell proliferation kinetics of human colorectal cancer, 91 cases were investigated by cytofluorometry and clinicopathological findings. The results showed colorectal cancers could be divided into 3 groups according to the ploidy pattern. Group I was the diploid cell population, group II the polyploid cell populations and group II' the aneuploid cell populations. These ploidy patterns were found not to be related both to the histological types and the gross pathological classification. Most of the intramucosal cancers were found in group I, and the cancers of more advanced growth mainly in groups II and II'. The fraction of diploid cells in the groups I and II' did not show the remarkable change, but in the group II decreased with tumor progression. These results indicate the ploidy patterns appear to change with the submucosal invasion, and also that while the ploidy patterns in the groups I and II' are stable, those in the group II increase the extent of polyploidization with the tumor growth. Lymphatic metastases were found to be more frequent in the group II than in the groups I and II'. It is suggested that the mechanism of lymphatic metastasis would be related to the cell polyploidization.
为了阐明人类结直肠癌的细胞增殖动力学,采用细胞荧光测定法和临床病理检查结果对91例患者进行了研究。结果显示,根据倍体模式,结直肠癌可分为3组。第一组为二倍体细胞群,第二组为多倍体细胞群,第二'组为非整倍体细胞群。发现这些倍体模式与组织学类型和大体病理分类均无关。大多数黏膜内癌见于第一组,而进展期生长的癌主要见于第二组和第二'组。第一组和第二'组中二倍体细胞的比例没有明显变化,但第二组中的二倍体细胞比例随肿瘤进展而下降。这些结果表明倍体模式似乎随黏膜下浸润而改变,而且第一组和第二'组中的倍体模式是稳定的,而第二组中的倍体模式随着肿瘤生长而增加多倍体化程度。发现第二组的淋巴转移比第一组和第二'组更频繁。提示淋巴转移机制可能与细胞多倍体化有关。