Abe Z
Nihon Sanka Fujinka Gakkai Zasshi. 1982 Apr;34(4):521-8.
A correlation between the stromal reaction to the primary lesion and the clinical immunoparameters, such as, the depth of primary lesion, regional lymph node metastasis, delayed hypersensitivity reactions (DNCB, PPD and PHA skin reaction), peripheral lymphocyte count, peripheral monocyte count, peripheral lymphocyte blastogenesis to PHA and prognosis were studied in patients with cervical cancer (stage Ib, II). All patients were treated with curative operation. The degree of stromal reaction was classified to 3 groups, that is, marked stromal reaction group, moderate stromal reaction group and slight stromal reaction group and the following results were obtained. 1) There was a significant correlation between the degree of stromal reaction and the depth of primary lesion, regional lymph node metastasis (p less than 0.05). 2) The degree of stromal reaction was correlated with the positive rate of DNCB skin reaction (p less than 0.05), but there was no significant correlation between the degree of stromal reaction and the positive rate of PPD and PHA skin reaction. 3) The degree of stromal reaction was not correlated with the count of peripheral lymphocyte, monocyte and the ability of lymphocyte blastoid transformation. 4) The recurrence rate in marked stromal reaction group was 13.6%; 22.2% in moderate group and 28. 6% in slight group. There was no significant correlation in the group. 5) Five-years-survival rate in marked stromal reaction group ws 86.4%; 81.5% in moderate group and 71.4% in slight group. There was also no significant correlation in the group.
对宫颈癌(Ib期、II期)患者的原发灶间质反应与临床免疫参数之间的相关性进行了研究,这些临床免疫参数包括原发灶深度、区域淋巴结转移、迟发型超敏反应(二硝基氯苯、结核菌素纯蛋白衍生物和植物血凝素皮肤反应)、外周血淋巴细胞计数、外周血单核细胞计数、外周血淋巴细胞对植物血凝素的增殖反应以及预后。所有患者均接受了根治性手术。将间质反应程度分为3组,即明显间质反应组、中度间质反应组和轻度间质反应组,并得出以下结果。1)间质反应程度与原发灶深度、区域淋巴结转移之间存在显著相关性(p<0.05)。2)间质反应程度与二硝基氯苯皮肤反应阳性率相关(p<0.05),但间质反应程度与结核菌素纯蛋白衍生物和植物血凝素皮肤反应阳性率之间无显著相关性。3)间质反应程度与外周血淋巴细胞、单核细胞计数及淋巴细胞成胚转化能力无关。4)明显间质反应组的复发率为13.6%;中度组为22.2%,轻度组为28.6%。该组内无显著相关性。5)明显间质反应组的5年生存率为86.4%;中度组为81.5%,轻度组为71.4%。该组内也无显著相关性。