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[子宫内膜癌中DNA定量参数的变异性]

[Variability of quantitative DNA parameters in endometrial carcinoma].

作者信息

Köhler U, Naumann G, Nenning A, Taubert G, Bilek K

机构信息

Universitäts-Frauenklinik, Universität Leipzig.

出版信息

Zentralbl Gynakol. 1994;116(11):609-13.

PMID:7871910
Abstract

We performed image analysis examinations of 20 cases of endometrial carcinoma and the compared quantitative DNA parameters within each carcinoma. Specimens were taken from each carcinoma, at standardised, pre-defined sites. Six smear preparations were made from each case and DNA parameters were determined after Feulgen staining. 17 of the 20 cases of endometrial carcinoma (85%) showed in all the examined preparations a uniform diploid or aneuploid (n = 1) DNA distribution. Only 3 carcinomas showed diploid as well as non-diploid DNA distributions. For each carcinoma the mean values of DNA-MG were found to be between 0.37 +/- 0.12 and 2.16 +/- 0.11 and those of the 5cER between 0.91 +/- 0.78 and 15.37 +/- 4.17. Relationships were shown between DNA distribution, DNA-MG, 5cER and morphological prognostic factors while a reliable diagnostic of dignity based on DNA distribution and 5cER as a marker of single cell ploidy seems not possible. With an increase in DNA-MG, the coefficient of variation of this parameter decreased within the individual cases. Concluding, quantitative DNA parameters, owing to their relatively small variability within specific cases of endometrial carcinomas seem to be suitable objective indicators of prognosis to plan a risk-adapted therapy.

摘要

我们对20例子宫内膜癌进行了图像分析检查,并比较了每例癌组织内的定量DNA参数。样本取自每例癌组织的标准化、预先确定的部位。每例制作6张涂片标本,经福尔根染色后测定DNA参数。20例子宫内膜癌中有17例(85%)在所有检查的标本中均显示出一致的二倍体或非整倍体(n = 1)DNA分布。只有3例癌组织显示出二倍体和非二倍体DNA分布。每例癌组织的DNA-MG平均值在0.37±0.12至2.16±0.11之间,5cER平均值在0.91±0.78至15.37±4.17之间。DNA分布、DNA-MG、5cER与形态学预后因素之间存在相关性,而基于DNA分布和5cER作为单细胞倍性标志物进行可靠的尊严诊断似乎不太可能。随着DNA-MG的增加,该参数在个体病例中的变异系数降低。总之,定量DNA参数由于在特定子宫内膜癌病例中的变异性相对较小,似乎是规划风险适应性治疗的合适预后客观指标。

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