Dundar E, Oner U, Peker B Cengiz, Metintas M, Isiksoy S, Ak G
Department of Pathology, Eskisehir Osmangazi University Faculty of Medicine, Eskisehir, Turkey.
J Int Med Res. 2008 Jan-Feb;36(1):88-95. doi: 10.1177/147323000803600112.
This study investigated whether microvessel density (MVD) and mast cell infiltration are related to prognosis in non-small cell lung carcinoma (NSCLC), and examined the possible role of mast cells in NSCLC angiogenesis. MVD and mast cell infiltration were analysed retrospectively in tumour specimens from 50 patients with primary NSCLC. Immunohistochemistry with monoclonal antibody anti-CD34 was used to delineate the microvessels and routine Giemsa blue staining was used to assess the number of mast cells. Significant correlations were found between MVD and mast cell infiltration and between MVD and both lymph node metastasis and tumour, node, metastases (TNM) stage. No significant correlations were found with respect to survival for MVD or mast cell infiltration. Multivariate analysis showed that TNM stage and tumour size were independent predictors of survival, suggesting that the TNM staging system remains the most important tool for the estimation of prognosis in NSCLC patients.
本研究调查了微血管密度(MVD)和肥大细胞浸润是否与非小细胞肺癌(NSCLC)的预后相关,并探讨了肥大细胞在NSCLC血管生成中的可能作用。对50例原发性NSCLC患者的肿瘤标本进行回顾性分析,以分析MVD和肥大细胞浸润情况。采用抗CD34单克隆抗体免疫组织化学法描绘微血管,并采用常规吉姆萨蓝染色法评估肥大细胞数量。发现MVD与肥大细胞浸润之间、MVD与淋巴结转移及肿瘤-淋巴结-转移(TNM)分期之间均存在显著相关性。未发现MVD或肥大细胞浸润与生存率之间存在显著相关性。多变量分析显示,TNM分期和肿瘤大小是生存的独立预测因素,这表明TNM分期系统仍然是评估NSCLC患者预后的最重要工具。