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大肠腺癌中的淋巴网状浸润

Lymphoreticular infiltrates in adenocarcinoma of the large intestine.

作者信息

Horny H P, Horst H A

出版信息

Pathol Res Pract. 1987 Apr;182(2):222-7. doi: 10.1016/s0344-0338(87)80108-5.

Abstract

Twenty-two invasive adenocarcinomas of the large intestine were investigated histologically and immunohistologically to determine the localisation and composition of the tumor-infiltrating lymphoreticular cells: The lymphoreticular cells were consistently more frequent in the intervening stroma than in the tumor foci. Monocytes/macrophages (Mono 1+), helper/inducer cells (Leu-3 a+), and T lymphocytes (Leu-1+) were mostly observed in large numbers, thus constituting the great majority of tumor-infiltrating cells. In most tumors, the suppressor/cytotoxic T lymphocytes (Leu-2a+), plasma cells, eosinophils, and tissue mast cells occurred in moderate numbers. T-accessory cells bearing the CD 1 surface-antigen (Leu-6+) were generally detected in low, or even very low numbers, while B lymphocytes (TO 15+) and natural killer cells (Leu-7+) were nearly, and dendritic reticulum cells (KiM 4+) were totally absent from the lymphoreticular infiltrates. Though an immunohistological in situ analysis of tumor-infiltrating cells allows only limited conclusions concerning their functional properties, the often dense and polymorphic infiltrates might reflect a relatively intensive interaction between the specific and non-specific host defense and the malignant tumor.

摘要

对22例大肠浸润性腺癌进行了组织学和免疫组织学研究,以确定肿瘤浸润性淋巴网状细胞的定位和组成:淋巴网状细胞在间质中始终比在肿瘤灶中更常见。单核细胞/巨噬细胞(Mono 1+)、辅助/诱导细胞(Leu-3 a+)和T淋巴细胞(Leu-1+)大多大量存在,因此构成了肿瘤浸润细胞的绝大多数。在大多数肿瘤中,抑制/细胞毒性T淋巴细胞(Leu-2a+)、浆细胞、嗜酸性粒细胞和组织肥大细胞数量中等。带有CD 1表面抗原的T辅助细胞(Leu-6+)通常数量较少,甚至非常少,而B淋巴细胞(TO 15+)和自然杀伤细胞(Leu-7+)几乎不存在,树突状网状细胞(KiM 4+)在淋巴网状浸润中完全不存在。尽管对肿瘤浸润细胞进行免疫组织学原位分析只能对其功能特性得出有限的结论,但通常密集且多形性的浸润可能反映了特异性和非特异性宿主防御与恶性肿瘤之间相对强烈的相互作用。

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