Falkvoll K H
Institute for Surgical Research, University of Oslo, Rikshospitalet, Norway.
APMIS. 1990 Aug;98(8):758-64. doi: 10.1111/j.1699-0463.1990.tb04997.x.
The aim of this investigation was to find the location and the histological characteristics of cells that were the source of tumour regrowth after single dose irradiation. A human melanoma xenograft was irradiated with a single dose of 25.0 Gy which gives local tumour control in nearly 50% of treated animals. Serial histological sections were made from tumours removed during the first two weeks after irradiation. During the first week the perivascular organization of tumour parenchyma disappeared and the central part of the tumour became necrotic. The occurrence of vascular stasis, thrombosis and endothelial cell changes indicated that radiation injury to the vascular system was involved in the disappearance of the tumour cords. Tumour cells that remained histologically intact were located in subcapsular areas. The incidence of normal mitotic figures increased, and the fraction of abnormal mitoses and the incidence of micronuclei decreased 5 to 7 days before macroscopical regrowth was usually detected. It is concluded that cells which are the source of tumour regrowth were located in the subcapsular areas at the time of irradiation. Radiation injury to the tumour vascular system was an important factor in the necrotization of the tumour centre after treatment.
本研究的目的是确定单次照射后肿瘤再生长的细胞来源位置及其组织学特征。用25.0 Gy的单次剂量照射人黑色素瘤异种移植瘤,该剂量可使近50%的受试动物实现局部肿瘤控制。对照射后前两周内切除的肿瘤制作连续组织切片。在第一周,肿瘤实质的血管周围结构消失,肿瘤中央部分坏死。血管淤滞、血栓形成和内皮细胞变化的出现表明,对血管系统的辐射损伤与肿瘤条索的消失有关。组织学上保持完整的肿瘤细胞位于包膜下区域。在通常检测到肉眼可见的肿瘤再生长前5至7天,正常有丝分裂象的发生率增加,异常有丝分裂的比例和微核的发生率降低。得出的结论是,照射时肿瘤再生长的细胞来源位于包膜下区域。治疗后对肿瘤血管系统的辐射损伤是肿瘤中心坏死的一个重要因素。