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[乳腺肿瘤的脉冲细胞光度测定法与病史记录]

[Impulse cytophotometry and catamnesis in breast neoplasms].

作者信息

Krug H, Schönfelder M

出版信息

Acta Histochem Suppl. 1984;30:117-27.

PMID:6425932
Abstract

CEll suspensions from 62 cancers of breast were investigated by flow cytophotometry after staining with pepsin-Ethidium bromide. In all patients a radical operation was made, followed by radiotherapy. The surviving patients were observed for 5 years. From the DNA-histograms 48% of the tumours were classified as diploid (or peridiploid), 40% as polyploid and 11% as aneuploid. Concerning ploidy a rank with worsening prognosis was found from diploid over polyploid to aneuploid cancers. In this sense bad prognosis means: dead or relapse during 5 years, histologically undifferentiated tumours, great primary tumour, metastasis in lymph nodes. In diploid tumours bad prognosis is indicated by a higher part of S- and G2-phase nuclei in the flow histograms. Most of the findings, but not all, are proved statistically. Now as ever, histological differentiation is still the most easily statement for prognosis.

摘要

用胃蛋白酶-溴化乙锭染色后,通过流式细胞光度术对62例乳腺癌的细胞悬液进行了研究。所有患者均接受了根治性手术,随后进行放疗。对存活患者进行了5年观察。从DNA直方图来看,48%的肿瘤被分类为二倍体(或近二倍体),40%为多倍体,11%为非整倍体。关于倍性,发现从二倍体癌到多倍体癌再到非整倍体癌,预后逐渐恶化。从这个意义上说,预后不良意味着:5年内死亡或复发、组织学上未分化的肿瘤、原发肿瘤较大、淋巴结转移。在二倍体肿瘤中,流式直方图中S期和G2期细胞核比例较高表明预后不良。大多数研究结果,但并非全部,都得到了统计学验证。一如既往,组织学分化仍然是最容易判断预后的指标。

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