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基于1465例病例探讨恶性肿瘤中DNA含量众数及其他因素的预后意义。

Prognostic significance of modal DNA value and other factors in malignant tumours, based on 1465 cases.

作者信息

Atkin N B, Kay R

出版信息

Br J Cancer. 1979 Aug;40(2):210-21. doi: 10.1038/bjc.1979.168.

Abstract

The modal DNA values of 1465 tumours, together with other factors of possible prognostic importance, were related to the survival of the patients, using regression models (Kay, 1977). For most tumour sites except the testis, the distributions of modal DNA values were bimodal, with peaks at the diploid level and in the triploid-tetraploid range. For all tumour sites except the cervix uteri, patients in the low (near-diploid) range showed better survival; the reverse was true for squamous-cell carcinoma of the cervix uteri. Other variables showed the following effects: for all sites except the testis, younger patients showed a better survival; for the cervix and corpus uteri, breast and ovary, increasing clinical stage was associated with poorer survival. Where evaluated, histological grade appeared to be associated with survival rate, the less well differentiated tumours having a worse prognosis, except for the breast, where the reverse correlation was noted. For carcinoma of the bladder, females and a poorer survival rate than males.

摘要

运用回归模型(凯,1977年),对1465例肿瘤的众数DNA值以及其他可能具有预后重要性的因素与患者的生存率进行了关联分析。除睾丸外,大多数肿瘤部位的众数DNA值分布呈双峰状,在二倍体水平以及三倍体 - 四倍体范围内出现峰值。除子宫颈外,所有肿瘤部位中,处于低(接近二倍体)范围的患者生存率更高;子宫颈鳞状细胞癌情况则相反。其他变量显示出以下影响:除睾丸外,所有部位中,年轻患者生存率更高;子宫颈和子宫体、乳腺和卵巢,临床分期增加与生存率降低相关。在进行评估的情况下,组织学分级似乎与生存率相关,除乳腺外,分化较差的肿瘤预后更差,而乳腺呈现相反的相关性。对于膀胱癌,女性的生存率低于男性。

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