Taniguchi K, Hamazaki M
Department of Pathology, Shizuoka Children's Hospital.
Rinsho Byori. 1990 Sep;38(9):1059-66.
Ninety nine case of various solid tumors in children were clinically and histologically investigated and the findings were compared with the data obtained by flow-cytometric DNA analysis using paraffin-embedded tumor tissue. Most of the embryonal tumors such as neuroblastoma, nephroblastoma, or medulloblastoma tended to show a diploid DNA stemline (65.2%) in comparison with non-embryonal tumors (45.2%) (p less than 0.025). Aneuploid cases of embryonal tumors in children disclosed histologically rather differentiated appearances, and with a favorable clinical outcome. On the other hand, non-embryonal tumors in children revealed in general an aneuploid DNA stemline and higher rate in high grade malignancy, resembling that of the malignant neoplasms in adult. These prominent features of the flow-cytometric DNA analysis of the embryonal tumors in children suggest that there are some differences in the tumor cytogenetics or histogenesis between the embryonal tumors and the non-embryonal tumors.
对99例儿童各种实体瘤进行了临床和组织学研究,并将结果与使用石蜡包埋肿瘤组织进行流式细胞术DNA分析所获得的数据进行了比较。与非胚胎性肿瘤(45.2%)相比,大多数胚胎性肿瘤如神经母细胞瘤、肾母细胞瘤或髓母细胞瘤倾向于显示二倍体DNA干系(65.2%)(p<0.025)。儿童胚胎性肿瘤的非整倍体病例在组织学上表现为分化较好,临床预后良好。另一方面,儿童非胚胎性肿瘤总体上显示非整倍体DNA干系,且高级别恶性肿瘤的发生率较高,类似于成人恶性肿瘤。儿童胚胎性肿瘤流式细胞术DNA分析的这些突出特征表明,胚胎性肿瘤与非胚胎性肿瘤在肿瘤细胞遗传学或组织发生学上存在一些差异。