Coutinho V, Bottura C, Falcao R P
Br J Cancer. 1971 Dec;25(4):789-801. doi: 10.1038/bjc.1971.93.
Chromosome studies were carried out, by a direct method, in 28 subjects with malignant lymphomas. Lymph node cells were analysed in 24, ascitic fluid sediments in 3 and bone marrow cells in 1. Chromosome abnormalities, both numerical and structural, were found in 12 of 14 cases of well differentiated and poorly differentiated lymphocytic lymphomas, and reticulum cell sarcomas, and in 8 of 14 cases with Hodgkin's disease. The karyotypes were different from case to case and there was no correlation with the histology. In individual cases the abnormalities followed a clonal pattern indicating a common precursor for the abnormal cells. The modal number of chromosomes was near-diploid in the lymphocytic lymphomas and reticulum cell sarcomas.Hodgkin's disease showed two main features; a predominant population of cells with normal karyotype accompanied by a small number of cells of an abnormal clone with a predominantly hypertriploid number of chromosomes. It is suggested that the first population represents mitoses in the surrounding lymphocytes. Its cytogenetic normality is an argument against its neoplastic origin, and they could be components of an inflammatory reaction, the true neoplastic cells being the abnormal reticulum cells.
采用直接法对28例恶性淋巴瘤患者进行了染色体研究。对24例患者的淋巴结细胞、3例患者的腹水沉积物细胞及1例患者的骨髓细胞进行了分析。在14例高分化和低分化淋巴细胞淋巴瘤、网状细胞肉瘤患者中,有12例发现了染色体数目和结构异常;在14例霍奇金病患者中,有8例发现异常。各病例的核型各不相同,与组织学无相关性。个别病例中,异常呈现克隆模式,表明异常细胞有共同的前体。淋巴细胞淋巴瘤和网状细胞肉瘤的染色体众数接近二倍体。霍奇金病有两个主要特征:一个主要群体的细胞核型正常,同时伴有少量异常克隆的细胞,其染色体数目主要为超三倍体。有人认为,第一个群体代表周围淋巴细胞的有丝分裂。其细胞遗传学正常说明其并非肿瘤起源,它们可能是炎症反应的组成部分,真正的肿瘤细胞是异常的网状细胞。