Stock C, Ambros I M, Strehl S, Zoubek A, Fink F M, Gadner H, Ambros P F
CCRI, Forschungsinstitut für krebskranke Kinder, Vienna, Austria.
Klin Padiatr. 1995 Jul-Aug;207(4):235-41. doi: 10.1055/s-2008-1046547.
We have performed in situ hybridization (ISH) studies predominantly on paraffin sections and on isolated nuclei of 22 pediatric germ cell tumors (GCTs) from 18 patients including 4 recurrences from three patients. In addition, we performed conventional cytogenetic analyses in three tumor samples. Because reports on cytogenetic studies in pediatric GCTs are scarce we focused our studies on those chromosome abnormalities frequently observed in adult GCTs. These included numeric and structural abnormalities of chromosomes 1 and 12 (e.g. isochromosome 12p) and numeric deviations of chromosomes 8, 10, X and Y. The histological subsets of the tumors investigated included two dysgerminomas (DGE), one seminoma (SE), one combined seminoma, two embryonal carcinomas (EC), two recurrent ECs, six pure yolk sac tumors (YST), five combined teratomas, one immature teratoma (IT) and two recurrences of IT, and three differentiated teratomas (TD). Similar to the GCTs in adults, additional copies of chromosome 12 were the most frequently observed numeric abnormalities. The analysis of two paraffin-embedded tumors suggested that changes in the size of the pericentromeric hybridization signals of chromosome 12 may be attributed to the presence of i(12)(p10). This was confirmed following the karyotype analysis of one EC which unequivocally revealed the presence of two i(12)(p10). Interestingly, using these probes, no chromosomal abnormalities were found in the pure TD or in the TD cells of mixed tumors containing a YST component. In the YST portion, however, the 1p deletions and/or numeric chromosome changes were present. Surprisingly, deletions at the short arm of chromosome 1, del(1)(p36.3), were frequently observed in malignant pediatric GCTs and were the sole abnormality detected in one case.(ABSTRACT TRUNCATED AT 250 WORDS)
我们主要对18例患者的22例儿童生殖细胞肿瘤(GCT)的石蜡切片和分离细胞核进行了原位杂交(ISH)研究,其中包括3例患者的4次复发肿瘤。此外,我们对3个肿瘤样本进行了常规细胞遗传学分析。由于关于儿童GCT细胞遗传学研究的报道较少,我们将研究重点集中在成人GCT中常见的那些染色体异常上。这些异常包括1号和12号染色体的数目和结构异常(如12号染色体短臂等臂染色体)以及8号、10号、X和Y染色体的数目偏差。所研究肿瘤的组织学亚类包括2例无性细胞瘤(DGE)、1例精原细胞瘤(SE)、1例混合性精原细胞瘤、2例胚胎癌(EC)、2例复发性EC、6例单纯卵黄囊瘤(YST)、5例混合性畸胎瘤、1例未成熟畸胎瘤(IT)和2例IT复发肿瘤,以及3例成熟畸胎瘤(TD)。与成人GCT相似,12号染色体额外拷贝是最常观察到的数目异常。对两个石蜡包埋肿瘤的分析表明,12号染色体着丝粒周围杂交信号大小的变化可能归因于i(12)(p10)的存在。对1例EC的核型分析明确显示存在两个i(12)(p10),证实了这一点。有趣的是,使用这些探针,在单纯TD或含有YST成分的混合肿瘤的TD细胞中未发现染色体异常。然而,在YST部分存在1p缺失和/或染色体数目变化。令人惊讶的是,1号染色体短臂缺失del(1)(p36.3)在儿童恶性GCT中经常观察到,并且在1例中是唯一检测到的异常。(摘要截短至250字)