Vago P, Aguilar V, Pignodel C, Daures J P, Mares P, Bureau J P
Laboratoire de Cytologie Clinique et de Cytogénétique, Faculté de Médecine, Nimes.
Ann Biol Clin (Paris). 1990;48(10):722-5.
The cervical cytologic screening is responsible for the overall decline in the incidence of cervical cancer. Despite this apparent success, the cytologic assessment by light microscopy of cervical smear has recently been shown to have deficiencies particularly in cervical intraepithelial neoplasia (CIN). Now, this pathology of the uterine cervix is increasingly becoming recognized as a major health problem in young women because of its high frequency and its association with the development of cervical carcinoma. Flow cytometry (FCM) is widely used as a rapid method to analyse DNA content of a great number of cells on a cell by cell basis. The authors have applied FCM to CIN in order to reinforce the cytologic screening of cervical smears. Three abnormal DNA patterns have been observed: increased and heterogeneous DNA pattern; increased S and G2+M phases; abnormal DNA content. The statistical calculation has emphasized the significant relation linking these DNA patterns with the cytologic diagnosis and the severity of CIN. Therefore, FCM is a powerful complementary tool in cervical pathology.
宫颈细胞学筛查对宫颈癌发病率的整体下降起到了作用。尽管取得了这一明显成效,但最近研究表明,通过光学显微镜对宫颈涂片进行细胞学评估存在缺陷,尤其是在宫颈上皮内瘤变(CIN)方面。如今,由于子宫颈病变的高发性及其与宫颈癌发生的关联,这种子宫颈病理状况日益被视为年轻女性的一个主要健康问题。流式细胞术(FCM)作为一种快速方法被广泛应用,可逐个细胞地分析大量细胞的DNA含量。作者将FCM应用于CIN,以加强宫颈涂片的细胞学筛查。观察到三种异常DNA模式:DNA含量增加且不均一;S期和G2+M期增加;DNA含量异常。统计计算强调了这些DNA模式与细胞学诊断及CIN严重程度之间的显著关联。因此,FCM是宫颈病理学中一种强大的辅助工具。