Ferraraccio F, Accardo M
Istituto di Anatomia ed Istologia Patologica, Facoltà di Medicina e Chirurgia, II Università di Napoli.
Pathologica. 1994 Aug;86(4):360-5.
Ependymomas are neoplasms which, on the one hand, supply useful morphological findings that help to make the diagnosis, and, on the other, do not provide certain elements for a reliable prognosis. The difficulties related to the neoplasm topography, the type of surgery and other clinical-operational problems can be overcome, whereas those arising from the limitations of descriptive morphology remain insurmountable since the latter does not supply precise predictive information concerning such a histotype. The Authors have re-examined the issue by studying 31 cases of benign ependymomas and by applying to them static cytometry on Feulgen stained samples. The results obtained (see the histograms enclosed) have revealed the presence of heterogeneous cell clones with polyploid and hyperploid cell populations. These cell populations, though a minority and often also marginal, represent the starting point not only of real recurrence, but also of malignant transformations. The cytometric method has analytically revealed a composite cytologic reality of which the common histological methods can only provide approximate, unreliable and subjective evaluations.
室管膜瘤是一种肿瘤,一方面,它能提供有助于诊断的有用形态学发现;另一方面,它不能为可靠的预后提供某些要素。与肿瘤位置、手术类型及其他临床操作问题相关的困难可以克服,而描述性形态学的局限性所产生的困难仍然无法克服,因为后者无法提供关于这种组织类型的精确预测信息。作者通过研究31例良性室管膜瘤病例并对福尔根染色样本进行静态细胞计数,重新审视了这个问题。所获得的结果(见所附直方图)显示存在具有多倍体和超倍体细胞群的异质细胞克隆。这些细胞群虽然占少数,而且往往也处于边缘位置,但不仅是真正复发的起点,也是恶性转化的起点。细胞计数法已经分析揭示了一种复合细胞学现实,而常见的组织学方法只能提供近似、不可靠和主观的评估。