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[流式细胞术(FCM)在人子宫颈正常及恶性上皮细胞DNA含量测定中的应用及DNA含量的预后意义——II. 结果]

[Flow cytometry (FCM) in DNA content assay of normal and malignant epithelial cells of human uterine cervix and the prognostic significance of DNA content--II. Results].

作者信息

Wu A R

机构信息

Cancer Hospital, Chinese Academy of Medical Sciences, Beijing.

出版信息

Zhonghua Zhong Liu Za Zhi. 1988 May;10(3):194-6.

PMID:3219979
Abstract

Previous studies on cervical cancer using microspectrophotometric technique to measure DNA content of the cancer cells had indicated that the tumor ploidy is an important prognostic variable and that tumors with a DNA index less than 1.55 have a worse prognosis than those with higher DNA index. But there are conflicting results in the other studies using flow cytometer. In this paper, a retrospective analysis on the tumor ploidy of paraffin-embedded tissues using flow cytometer before treatment in 88 patients with cervical cancer was carried out. The results indicate that tumors with a DNA index over 1.5 have a higher recurrence rate and lower survival rate in stage I patients as compared with tumors having a lower DNA index (P less than 0.05). No correlation is found between clinical stage, tumor size, lymph node metastasis, histopathology and DNA index. However, prognosis is related to many factors, such as tumor differentiation, treatment modality etc., a multiple regression analysis of the different prognostic variables and further studies in this aspect are necessary.

摘要

以往利用显微分光光度测定技术测量宫颈癌细胞DNA含量的研究表明,肿瘤倍体是一个重要的预后变量,DNA指数小于1.55的肿瘤比DNA指数较高的肿瘤预后更差。但其他使用流式细胞仪的研究结果却相互矛盾。本文对88例宫颈癌患者治疗前石蜡包埋组织的肿瘤倍体进行了回顾性分析,采用流式细胞仪检测。结果表明,与DNA指数较低的肿瘤相比,DNA指数超过1.5的肿瘤在I期患者中具有更高的复发率和更低的生存率(P小于0.05)。临床分期、肿瘤大小、淋巴结转移、组织病理学与DNA指数之间未发现相关性。然而,预后与许多因素有关,如肿瘤分化、治疗方式等,有必要对不同的预后变量进行多元回归分析并在这方面做进一步研究。

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