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[正常人喉上皮及鳞状细胞癌的核DNA细胞荧光测定法]

[Nuclear DNA cytofluorometry of normal human laryngeal epithelia and squamous cell carcinoma].

作者信息

Yasuda N, Otsuki T, Goto T, Hisa Y, Murakami Y, Tachibana M

出版信息

Nihon Jibiinkoka Gakkai Kaiho. 1989 Nov;92(11):1876-83. doi: 10.3950/jibiinkoka.92.1876.

Abstract

Normal human laryngeal epithelia and laryngeal squamous cell carcinoma were assayed by Feulgen DNA cytofluorometry using free cell nuclei isolated from carnoy-fixed, paraffin-embedded specimens. In all of the 12 normal specimens, the epithelium showed typical diploid cell clones with low proliferative activity. Polyploid cells were seen in only two specimens from subjects aged 61 and 69 years respectively, and the number of polyploid cells seen in these two specimens was only two. Fifteen cancer cases were divided into three groups: an untreated group (5 cases), a chemotherapy group (5 cases) and a group of cases with recurrence after radiation therapy (5 cases). Among these three groups the DNA ploidy patterns were compared. In the untreated group, all cases showed a two-peak diploid pattern and a high proliferative activity, and polyploid cells were present. In the chemotherapy group, a wide one-peak histogram extending from 2C to about 5C was noted in 4 cases, and an aneuploid pattern in one case. Thus, the DNA ploidy pattern in the chemotherapy group differed from that in the untreated group. Of the 5 cases with recurrence after radiation therapy, one had a tetraploid pattern, but the remaining 4, a two-peak diploid pattern similar to that seen in the untreated group. Polyploid cells were observed in all these cancer cases. However, because they were also seen in some normal subjects, the finding of polyploid cells is not considered to be conclusive of cancer diagnosis.(ABSTRACT TRUNCATED AT 250 WORDS)

摘要

使用从卡诺伊固定、石蜡包埋标本中分离出的游离细胞核,通过福尔根DNA细胞荧光测定法对正常人类喉上皮细胞和喉鳞状细胞癌进行检测。在所有12个正常标本中,上皮细胞显示出具有低增殖活性的典型二倍体细胞克隆。仅在分别来自61岁和69岁受试者的两个标本中观察到多倍体细胞,且这两个标本中所见多倍体细胞的数量仅为两个。15例癌症病例分为三组:未治疗组(5例)、化疗组(5例)和放疗后复发组(5例)。对这三组的DNA倍体模式进行比较。在未治疗组中,所有病例均显示双峰二倍体模式和高增殖活性,并且存在多倍体细胞。在化疗组中,4例观察到从2C延伸至约5C的宽单峰直方图,1例为非整倍体模式。因此,化疗组的DNA倍体模式与未治疗组不同。在放疗后复发的5例病例中,1例为四倍体模式,但其余4例为与未治疗组相似的双峰二倍体模式。在所有这些癌症病例中均观察到多倍体细胞。然而,由于在一些正常受试者中也可见到多倍体细胞,因此多倍体细胞的发现不被认为是癌症诊断的确凿依据。(摘要截短于250字)

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