Kaiser H E
Department of Pathology, School of Medicine, University of Maryland at Baltimore 21201.
J Neurooncol. 1994;18(2):163-70. doi: 10.1007/BF01050422.
This review of the invasion of the human brain by tumors is based upon a comparative approach. The taxonomic distribution of a structure of the CNS to be considered a brain is present in the following taxonomic groups: Mollusca (Cephalopoda, Pulmonata) Sipunculida, Echiurida, Annelida, Arthropoda and Vertebrata (fishes, amphibians, reptiles, birds and mammals). The comparative approach (inter-, and intraspecies specific) provides a more informative, indicative, understanding of invasion of the human brain; especially in view of the morphological and functional heterogeneity of structures playing a role in the neoplastic invasion to and from the brain. It can be distinguished among primary invasiveness (as cancer in situ) and local recurrence on the one hand and remote spreading, such as metastasis, on the other. A review of the recent literature arranged according to tumor types is provided and comparative conclusions elucidated, especially to underline the tumor specificity of the invasion of brain tumors, especially the second or intra-species specific approach is therapeutically important. This is set forth against a background of epidemiology and species specificity. Due to the lack of bony skull capsule an extensive knowledge of the brain of cephalopod molluscs with its functional and morphological similarity to the human eye, and also that of the pulmonate Helix pomatia, the vineyard snail, could well serve as excellent oncologic models. Some conclusions can be drawn dealing with the theoretical possibility of first appearance of the different and heterogeneous components of the complicated structure known as brain including its supporting accessory organs during phylogeny.
本关于肿瘤侵袭人脑的综述基于一种比较方法。被视为脑的中枢神经系统结构的分类学分布存在于以下分类群中:软体动物(头足纲、肺螺亚纲)、星虫纲、螠虫纲、环节动物门、节肢动物门和脊椎动物亚门(鱼类、两栖类、爬行类、鸟类和哺乳类)。这种比较方法(种间和种内特异性)能更全面、更具指示性地理解肿瘤对人脑的侵袭;特别是考虑到在肿瘤向脑内侵袭和从脑内侵袭过程中起作用的结构在形态和功能上的异质性。一方面可以区分原发性侵袭(原位癌)和局部复发,另一方面可以区分远处扩散,如转移。本文提供了根据肿瘤类型整理的近期文献综述,并阐明了比较结论,尤其强调脑肿瘤侵袭的肿瘤特异性,特别是种内特异性方法在治疗上具有重要意义。这是在流行病学和物种特异性的背景下阐述的。由于缺乏骨性颅腔,对头足纲软体动物的脑及其与人类眼睛在功能和形态上的相似性有广泛了解,以及对葡萄园蜗牛即福寿螺的了解,都可以很好地作为优秀的肿瘤学模型。可以得出一些结论,涉及在系统发育过程中被称为脑的复杂结构及其支持附属器官的不同和异质成分首次出现的理论可能性。