Fietkau R, Langer E, Iro H, Spitzer W, Pfau R, Bilek P, Thiel H J, Herbst M, Sauer R
Strahlentherapeutische Klinik, Universität Erlangen.
Strahlenther Onkol. 1989 Jan;165(1):34-42.
The DNA index and proliferation activities were determined by flow cytophotometry in 59 tumors of the head and neck area. 35 tumors (59%) were aneuploid, 24 (41%) were diploid. Aneuploid tumors showed a tendency to increased formation of lymph node metastases, an increased risk of relapse as well as a shorter relapse-free interval. No correlation was found between the primary tumor stage and the incidence of aneuploid tumors. Whereas aneuploid tumors developed frequently regional recurrences, only local recurrences were observed in diploid tumors. A number of biopsies was additionally performed during radiotherapy in twelve tumors. After 10 or 20 Gy, aneuploid tumors showed a considerably increased number of S and S2 + M phase cells. In diploid tumors, substantial modifications of the cell cycle phases were not found, because it is not possible in these cases to distinguish between normal cells and tumor cells.
通过流式细胞光度术对59例头颈部肿瘤的DNA指数和增殖活性进行了测定。35例肿瘤(59%)为非整倍体,24例(41%)为二倍体。非整倍体肿瘤显示出淋巴结转移形成增加的趋势、复发风险增加以及无复发生存期缩短。在原发肿瘤分期与非整倍体肿瘤发生率之间未发现相关性。非整倍体肿瘤经常发生局部复发,而在二倍体肿瘤中仅观察到局部复发。另外对12例肿瘤在放疗期间进行了多次活检。在给予10或20 Gy照射后,非整倍体肿瘤的S期和S2+M期细胞数量显著增加。在二倍体肿瘤中,未发现细胞周期各时相有实质性改变,因为在这些情况下无法区分正常细胞和肿瘤细胞。