Yoshihiro S, Yamamoto M, Shimabukuro T, Matsuyama H, Yamamoto N, Sakatoku J
Department of Urology, Yamaguchi University School of Medicine.
Hinyokika Kiyo. 1991 Jun;37(6):601-5.
The DNA content of paraffin-embedded materials was determined retrospectively using flow cytometry (FCM) in 36 germ cell tumors, and related to histological type, clinical staging and tumor marker. These histograms were classified from the basis of mode and variance into a diploid and an aneuploid pattern. We could evaluate the DNA histograms in 20 of 36 specimens (56%). Aneuploid patterns were found in 11 of 20 evaluated cases, but there was no correlation between ploidy patterns and histological types. Aneuploid patterns were demonstrated in 2 of 6 stage I cases (33%), and 4 of 5 stage II cases (80%) in seminomas. The difference between stage I and II cases was not statistically significant. There was no correlation between clinical staging and DNA content in non-seminomas. Of the seminomas with elevated human chorionic gonadotropin (HCG) titers, 3 of 4 cases showed aneuploid patterns. These findings indicate that the determination of DNA ploidy in seminomas may prove to be of prognostic value.
采用流式细胞术(FCM)对36例生殖细胞肿瘤石蜡包埋材料的DNA含量进行回顾性测定,并与组织学类型、临床分期和肿瘤标志物进行相关性分析。这些直方图根据峰型和变异度分为二倍体和非整倍体模式。36例标本中有20例(56%)的DNA直方图可进行评估。在20例评估病例中,11例呈现非整倍体模式,但倍体模式与组织学类型之间无相关性。在精原细胞瘤中,6例I期病例中有2例(33%)呈现非整倍体模式,5例II期病例中有4例(80%)呈现非整倍体模式。I期和II期病例之间的差异无统计学意义。在非精原细胞瘤中,临床分期与DNA含量之间无相关性。在人绒毛膜促性腺激素(HCG)水平升高的精原细胞瘤中,4例中有3例呈现非整倍体模式。这些结果表明,精原细胞瘤中DNA倍体的测定可能具有预后价值。