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[胰腺肿瘤中核DNA含量测量的临床意义及其Kaplan-Meier生存分析]

[The clinical significance of nuclear DNA content measurements in pancreatic neoplasms and their Kaplan-Meier survival analysis].

作者信息

Sun C Y, Zhang Y L, Chao S L

机构信息

Huashan Hospital, Shanghai Medical University.

出版信息

Zhonghua Wai Ke Za Zhi. 1994 Jun;32(6):364-6.

PMID:7842963
Abstract

Between 1979 and 1991, 48 cases of pancreatic paraffin-embedded specimens, ie 32 carcinomas and 16 islet cell tumors, confirmed by operative and pathological examination, were studied by flow cytometric nuclear DNA content measurements. 10 specimens taken from the normal pancreatic tissue nearby the tumor transection margin and another 8 specimens in pancreatitis were compared as controls. The results demonstrated that the aneuploid rate and DNA index in pancreatic carcinoma was obviously higher than that of non-pancreatic tumor (P < 0.01). In the field of pancreatic carcinoma, the S-phase fraction was much higher in aneuploid specimens (P < 0.05). Then the nuclear DNA content was a relatively independent factor to evaluate the cancerous biological behavior. The surgical resectability of pancreatic tumors with diploid DNA was significantly higher than aneuploid ones (P < 0.05), and the later carried a shorter survival time proved by Kaplan-Meier survival analysis (P < 0.05). Finally, the clinical significance of DNA content measurements in islet cell tumor was also discussed.

摘要

1979年至1991年间,对48例经手术及病理检查确诊的胰腺石蜡包埋标本进行了研究,其中包括32例胰腺癌和16例胰岛细胞瘤。取肿瘤切除边缘附近的正常胰腺组织10份标本以及胰腺炎患者的8份标本作为对照。结果显示,胰腺癌的非整倍体率和DNA指数明显高于非胰腺肿瘤(P<0.01)。在胰腺癌领域,非整倍体标本的S期分数明显更高(P<0.05)。因此,核DNA含量是评估癌生物学行为的一个相对独立的因素。二倍体DNA的胰腺肿瘤手术切除率明显高于非整倍体肿瘤(P<0.05),Kaplan-Meier生存分析表明,后者的生存时间较短(P<0.05)。最后,还讨论了DNA含量测定在胰岛细胞瘤中的临床意义。

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