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[应用DNA细胞计量术诊断宫颈发育异常的潜在恶性病变]

[Diagnosis of prospective malignancy of cervix dysplasia using DNA cytometry].

作者信息

Bollmann R

机构信息

Institut für Pathologie, Bonn.

出版信息

Geburtshilfe Frauenheilkd. 1990 Feb;50(2):113-7. doi: 10.1055/s-2007-1026446.

Abstract

134 borderline lesions of the cervix uteri (CIN I/II) were investigated by using the newly developed diagnostic method DNA-image cytometry (MIAMED-DNA, Wild-Leitz, Wetzlar). The demonstration of aneuploid cells served as a marker for prospective malignancy. 18 out of 35 cases, which proved to be CIN III in the follow-up, had a malignant DNA diagnosis. The sensitivity of the diagnostic DNA cytometry for prospective malignancy was therefore 51.4%. All 43 cases with a negative DNA diagnosis proved to be negative in the follow-up, so that the specificity of DNA cytometry was 100%. Suspicious DNA diagnosis in 26% of the cases proved to be CIN III in the follow-up. DNA cytometry seems to be a reliable method to predict the biological behaviour of borderline lesions of the cervix uteri in everyday practice.

摘要

采用新开发的诊断方法——DNA图像细胞术(MIAMED-DNA,德国维茨拉尔的威尔德-莱茨公司)对134例子宫颈交界性病变(CIN I/II)进行了研究。非整倍体细胞的检测作为潜在恶性肿瘤的标志物。在随访中被证实为CIN III的35例病例中,有18例DNA诊断为恶性。因此,诊断性DNA细胞术对潜在恶性肿瘤的敏感性为51.4%。所有43例DNA诊断为阴性的病例在随访中均被证实为阴性,因此DNA细胞术的特异性为100%。26%的病例中可疑的DNA诊断在随访中被证实为CIN III。在日常实践中,DNA细胞术似乎是预测子宫颈交界性病变生物学行为的可靠方法。

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