Dixon B, Bagnall D A
Clin Exp Metastasis. 1986 Apr-Jun;4(2):117-28. doi: 10.1007/BF00119078.
The distribution pattern and latency of lymphatic metastases naturally disseminated by the Leeds Mammary Carcinoma (LMC1) when transplanted subcutaneously in isogeneic Johns' Strain Wistar rats has been determined. After the curative local irradiation and excision of the primary tumour in 210 rats, 55 +/- 3 per cent developed either local (26 +/- 3 per cent), and/or regional (28 +/- 3 per cent) and/or distant (37 +/- 3 per cent) lymph node metastases. Analysis of their pattern of distribution suggests that metastasis to local (inguinal and lumbar) and distant (axillary and mediastinal) nodes results mainly from the radial dissemination, trapping and nodal proliferation of cells released by the primary tumour. Although direct metastasis to the para-aortic node may have occurred, in the main seeding of this site and thence to other, regional, i.e. iliac and/or adrenal nodes, resulted from the dissemination of tumour cells from the local nodes. The latency of metastases appearing at different sites after primary tumour ablation, although highly variable, was site dependent and for local, regional and distant nodes was 30 +/- 14, 48 +/- 16, 56 +/- 17 days respectively. In addition, the latency of metastases at regional and distant nodes was directly correlated with the latency of local metastases. The latency of adrenal and iliac metastases also correlated with para-aortic node metastasis, as did mediastinal with axillary lymph node metastasis. From the data, a semi-quantitative model of lymphatic metastasis has been developed for further evaluation and adjuvant chemotherapy testing.
已确定将利兹乳腺癌(LMC1)皮下移植到同基因约翰氏品系Wistar大鼠体内时自然扩散的淋巴转移的分布模式和潜伏期。在对210只大鼠的原发性肿瘤进行根治性局部照射和切除后,55±3%的大鼠出现了局部(26±3%)、和/或区域(28±3%)和/或远处(37±3%)淋巴结转移。对其分布模式的分析表明,向局部(腹股沟和腰部)和远处(腋窝和纵隔)淋巴结的转移主要是由原发性肿瘤释放的细胞的径向扩散、滞留和淋巴结增殖所致。虽然可能发生了直接转移至主动脉旁淋巴结,但该部位以及由此至其他区域淋巴结,即髂骨和/或肾上腺淋巴结的主要播散是由局部淋巴结的肿瘤细胞播散引起的。原发性肿瘤切除后不同部位出现转移的潜伏期虽然差异很大,但与部位有关,局部、区域和远处淋巴结的潜伏期分别为30±14天、48±16天、56±17天。此外,区域和远处淋巴结转移的潜伏期与局部转移的潜伏期直接相关。肾上腺和髂骨转移的潜伏期也与主动脉旁淋巴结转移相关,纵隔与腋窝淋巴结转移也相关。根据这些数据,已建立了一个淋巴转移的半定量模型,用于进一步评估和辅助化疗测试。