Ramsridhar Saranya, Narasimhan Malathi
Former Postgraduate, Department of Oral Pathology, Faculty of Dental Sciences, Sri Ramachandra University , Porur, Chennai, India .
Professor and Head, Department of Oral Pathology, Faculty of Dental Sciences, Sri Ramachandra University , Porur, Chennai, India .
J Clin Diagn Res. 2016 Aug;10(8):ZC100-3. doi: 10.7860/JCDR/2016/19297.8334. Epub 2016 Aug 1.
More than 90% of oral cancers are squamous cell carcinomas with oral leukoplakia being the most common potentially malignant disorder. Among the cell types in the stroma, mast cells play an important role in tumourigenesis through various mechanisms.
The present study was aimed at comparing the mast cell count among normal oral mucosa, leukoplakia and Oral squamous cell carcinoma (OSSC) and to evaluate the possible role of mast cells in carcinogenesis.
Mast cell count was assessed immunohistochemically using anti-mast cell tryptase amongst 20 cases of leukoplakia and OSSC each and 10 normal gingival samples. Overall comparison was done using Kruskal Wallis test and intergroup comparison was done using Mann-Whitney U test.
The results of the present study showed an increase in mast cell count from normal oral mucosa (Mean: 7.73) to leukoplakia (Mean: 15.11) to squamous cell carcinoma (Mean: 22.73). Comparison of mean number of mast cells amongst three groups (p-value: 0.001) and intergroup comparisons showed statistical significance.
Mast cells favour malignant transformation and can be used as indicators of disease progression.
超过90%的口腔癌为鳞状细胞癌,口腔白斑是最常见的潜在恶性疾病。在基质中的细胞类型中,肥大细胞通过多种机制在肿瘤发生中起重要作用。
本研究旨在比较正常口腔黏膜、白斑和口腔鳞状细胞癌(OSSC)中的肥大细胞计数,并评估肥大细胞在致癌过程中的可能作用。
使用抗肥大细胞类胰蛋白酶通过免疫组织化学方法评估20例白斑和20例OSSC以及10例正常牙龈样本中的肥大细胞计数。总体比较采用Kruskal Wallis检验,组间比较采用Mann-Whitney U检验。
本研究结果显示,肥大细胞计数从正常口腔黏膜(平均值:7.73)到白斑(平均值:15.11)再到鳞状细胞癌(平均值:22.73)呈增加趋势。三组间肥大细胞平均数量的比较(p值:0.001)以及组间比较均具有统计学意义。
肥大细胞促进恶性转化,可作为疾病进展的指标。