Sun X J, Song Z L, Wu D C
Peking Union Medical College Hospital, Beijing.
Zhonghua Wai Ke Za Zhi. 1994 Mar;32(3):178-80.
The cellular DNA contents of 139 bladder irrigations from 52 cases of bladder tumors were determined by flow cytometry. The results were compared with those of pathological grading and exfoliative cytology. It is suggested that cytological results were less accurate than DNA contents. High aneuploid DNA contents in tumor cells were marked by low grade and deep penetration of the bladder tumor. Total cystectomy was needed for bladder tumor with high aneuploid DNA, and partial cystectomy and TURBT for that tumor showed high recurrence with instillation of BCG. The results showed that DNA content of tumor is correlated with the nuclear grade, especially in poorly differentiated neoplasms, but flow cytometry can not replace cystoscopy examination.
采用流式细胞术测定了52例膀胱肿瘤患者139次膀胱冲洗液中的细胞DNA含量,并将结果与病理分级和脱落细胞学检查结果进行了比较。结果表明,细胞学检查结果不如DNA含量准确。肿瘤细胞中高非整倍体DNA含量与膀胱肿瘤的低分级和深层浸润有关。高非整倍体DNA的膀胱肿瘤需要行全膀胱切除术,而该肿瘤行部分膀胱切除术和经尿道膀胱肿瘤电切术并膀胱灌注卡介苗后复发率较高。结果显示,肿瘤的DNA含量与核分级相关,尤其是在低分化肿瘤中,但流式细胞术不能取代膀胱镜检查。