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[肾癌恶性程度的定量形态学标准]

[Quantitative morphological criteria of the degree of malignancy of kidney cancer].

作者信息

Dikshteĭn E A, Vlodavskiĭ E A, Svistunov I V

出版信息

Arkh Patol. 1982;44(12):12-7.

PMID:7165528
Abstract

Eighty cases of renal carcinoma were studied by morphological and morphometrical methods. According to the current classification all the cases were divided into three groups: clear-cell, granular-cell, and anaplastic carcinoma. Clear-cell and granular-cell carcinomas may be of three degrees of malignancy: low, moderate, and high. In tumors of low degree of malignancy, the mitotic index, the rate of pathological mitotic figures, and the nucleus-cytoplasm ratio are higher than in tumors of high degree of malignancy. In the former, cytophotometry revealed increasing heterogeneity in DNA distribution. According to the results of the quantitative studies, tumors of moderate degree of malignancy can be divided into two groups: one with the parameters of low, the other of high degree of malignancy. The results of the study will be useful for improving the microscopic diagnosis of renal carcinoma.

摘要

采用形态学和形态计量学方法对80例肾癌进行了研究。根据目前的分类,所有病例分为三组:透明细胞癌、颗粒细胞癌和未分化癌。透明细胞癌和颗粒细胞癌可能有三种恶性程度:低、中、高。在低恶性程度的肿瘤中,有丝分裂指数、病理性有丝分裂象发生率和核质比高于高恶性程度的肿瘤。在前者中,细胞光度测定显示DNA分布的异质性增加。根据定量研究结果,中度恶性肿瘤可分为两组:一组具有低恶性程度的参数,另一组具有高恶性程度的参数。本研究结果将有助于改善肾癌的显微镜诊断。

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