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[肺癌恶性程度的临床指标]

[Clinical indicators of malignancy of lung cancer].

作者信息

Abe S, Sukoh N, Ogura S, Isobe H

机构信息

Third Department of Medicine, School of Medicine, Sapporo Medical University, Japan.

出版信息

Hokkaido Igaku Zasshi. 1994 May;69(3):391-5.

PMID:7927167
Abstract

To evaluate the malignancy of lung cancer, nuclear DNA content, AgNORs counts and cathepsin B activity were examined. The survival time of small cell carcinoma patients with limited disease of near diploid is longer than that with limited disease of hyperdiploid pattern. By flow cytometric technique, the proportion of DNA aneuploid pattern were higher in adenocarcinoma than in squamous cell carcinoma. In squamous cell carcinoma, the prognosis of patients with DNA aneuploid pattern was worse. However, there was no significant difference in survival time of adenocarcinoma patients. A good correlation between the AgNORs counts and tumor volume doubling time of non-small cell carcinoma of lung was observed. However, the AgNORs counts were an independent prognostic factor for survival time of patients with lung cancer. The survival time of lung cancer patients with the marked intensity of cathepsin B was significantly shorter than that of patients with negative and/or weak positive staining pattern. The AgNORs value and cathepsin B activity can serve as a pertinent marker for clinical assessment of malignancy of lung cancer.

摘要

为评估肺癌的恶性程度,检测了核DNA含量、核仁组成区嗜银蛋白(AgNORs)计数和组织蛋白酶B活性。近二倍体模式的局限性小细胞癌患者的生存时间长于超二倍体模式的局限性小细胞癌患者。通过流式细胞术检测,腺癌中DNA非整倍体模式的比例高于鳞状细胞癌。在鳞状细胞癌中,DNA非整倍体模式患者的预后较差。然而,腺癌患者的生存时间无显著差异。观察到肺非小细胞癌的AgNORs计数与肿瘤体积倍增时间之间存在良好的相关性。然而,AgNORs计数是肺癌患者生存时间的独立预后因素。组织蛋白酶B染色强度明显的肺癌患者的生存时间显著短于染色为阴性和/或弱阳性模式的患者。AgNORs值和组织蛋白酶B活性可作为临床评估肺癌恶性程度的相关标志物。

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