Kuda T, Tomoda H, Hara N, Ichinose Y, Furusawa M, Ota M
National Okinawa Hospital, Japan.
Nihon Geka Gakkai Zasshi. 1995 Jan;96(1):31-5.
We analyzed DNA content of resected primary colorectal carcinoma and lung metastasis by flow cytometry. Of the 14 primary lesions, 5 cases showed diploid pattern, 9 cases aneuploid pattern. In contrast, 12 metastatic lung lesions of 19 showed diploid pattern and 7 lesions aneuploid pattern. DNA index of primary and metastatic lesions was 1.4 +/- 0.4 and 1.2 +/- 0.2, respectively (p = 0.08). In combination of DNA ploidy pattern between primary and metastatic lesions, there were 11 in which ploidy pattern was identical, 1 in which metastasis was aneuploid and primary was diploid, 7 in which metastasis was diploid and primary was aneuploid. Four year, survival rate from operation of metastasis was better in diploid pattern than in aneuploid pattern, but it was not significant. These results indicate that patients who have operative indication of metastasis from colorectal carcinoma have metastatic tumor which shows relatively good biological behavior (diploid tumors) and that there are heterogeneity of ploidy pattern between primary and metastatic lesions.
我们通过流式细胞术分析了切除的原发性结直肠癌及其肺转移灶的DNA含量。在14个原发性病灶中,5例呈二倍体模式,9例呈非整倍体模式。相比之下,19个肺转移灶中有12个呈二倍体模式,7个呈非整倍体模式。原发性和转移灶的DNA指数分别为1.4±0.4和1.2±0.2(p = 0.08)。原发性和转移灶之间的DNA倍体模式组合中,有11例倍体模式相同,1例转移灶为非整倍体而原发性为二倍体,7例转移灶为二倍体而原发性为非整倍体。转移灶手术后的四年生存率,二倍体模式优于非整倍体模式,但差异无统计学意义。这些结果表明,有手术指征的结直肠癌转移患者,其转移瘤表现出相对较好的生物学行为(二倍体肿瘤),且原发性和转移灶之间存在倍体模式的异质性。