Ninomiya T, Mori M
Int J Oral Surg. 1985 Aug;14(4):362-70. doi: 10.1016/s0300-9785(85)80026-0.
Histologic and histochemical changes in experimental SCCs following cryosurgery were reported. Effects of cryosurgery on SCCs of hamster cheek pouch were classified into 3 zones; the superficial zone was the cryodestructive layer on which the cryoprobe had been attached directly to the SCC; the zone beneath this layer was the indirect cryodestructive layer; the 3rd zone was unaffected tissue in which the critical low temperature was never reached. In the superficial cryodestructive layer, tumor cells were destroyed completely and bleeding was found in the stroma. In the zone beneath it, neoplastic cells also showed morphologic and enzymatic changes indicating incomplete cellular destruction; dilatation of capillary vessels was also found. LDH isozyme pattern displayed a high level of LDH 5 in the non-treated SCC, and following cryosurgery, the high level of LDH 5 decreased and revealed an approximately normal LDH 5 pattern.
报告了冷冻手术后实验性鳞状细胞癌的组织学和组织化学变化。冷冻手术对仓鼠颊囊鳞状细胞癌的影响分为3个区域;表层区域是冷冻破坏层,冷冻探头直接附着于鳞状细胞癌上;该层下方的区域是间接冷冻破坏层;第3个区域是未受影响的组织,其中从未达到临界低温。在表层冷冻破坏层,肿瘤细胞被完全破坏,基质中出现出血。在其下方区域,肿瘤细胞也表现出形态学和酶学变化,表明细胞破坏不完全;还发现毛细血管扩张。乳酸脱氢酶同工酶模式在未治疗的鳞状细胞癌中显示高水平的乳酸脱氢酶5,冷冻手术后,高水平的乳酸脱氢酶5降低,并呈现出大致正常的乳酸脱氢酶5模式。