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[神经鞘瘤的DNA细胞荧光分析]

[DNA cytofluorometric analysis of nerve sheath tumors].

作者信息

Takeshita H, Kusuzaki K, Kuzuhara A, Ban S, Yamashita F, Sakakida K, Kamachi M, Ashihara T

出版信息

Nihon Seikeigeka Gakkai Zasshi. 1985 Aug;59(8):763-72.

PMID:4086924
Abstract

The present study was undertaken to clarify the ploidy patterns of peripheral nerve sheath tumors by determining nuclear DNA content of the individual tumor cells using PI-DNA cytofluorometry (NIKON SPM-RF1-D), and to investigate the relation between the ploidy patterns and histopathological findings. Most of the solitary neurilemmomas and neurofibromas studied were found to be associated with euploid-polyploidization, almost without DNA synthetic cells. It was also shown that the number of polyploid cells increased in accordance with an increase in the frequency of cells having large, atypical nuclei in histological picture, regardless of the natures of cellular arrangements. Malignant schwannomas, however, were composed of many polyploid and aneuploid cells with an increase of DNA synthetic cells, indicating their active cell proliferation. Thus, the ploidy patterns of nerve sheath tumors were remarkably different between benign and malignant ones. Furthermore, a case of multiple schwannoma suspected to be a variant of von Recklinghausen's disease, showed euploid-polyploidization with many DNA synthetic cells, indicating a ploidy pattern intermediate between benign and malignant tumors. This tumor thus appears to be a premalignant tumor or in the early stages of malignancy.

摘要

本研究旨在通过使用PI-DNA细胞荧光测定法(尼康SPM-RF1-D)测定单个肿瘤细胞的核DNA含量,以阐明周围神经鞘瘤的倍性模式,并研究倍性模式与组织病理学发现之间的关系。研究发现,大多数孤立性神经鞘瘤和神经纤维瘤与整倍体-多倍体化相关,几乎没有DNA合成细胞。还表明,无论细胞排列性质如何,在组织学图像中,多倍体细胞的数量随着具有大的、非典型核的细胞频率增加而增加。然而,恶性神经鞘瘤由许多多倍体和非整倍体细胞组成,且DNA合成细胞增加,表明其细胞增殖活跃。因此,神经鞘瘤的倍性模式在良性和恶性肿瘤之间存在显著差异。此外,一例疑似冯·雷克林豪森病变体的多发性神经鞘瘤,显示出整倍体-多倍体化且有许多DNA合成细胞,表明其倍性模式介于良性和恶性肿瘤之间。因此,这种肿瘤似乎是一种癌前肿瘤或处于恶性肿瘤的早期阶段。

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