Szíjjártó L, Méhes K, Kajtár P
Pécsi Orvostudományi Egyetem, Gyermekklinika.
Orv Hetil. 1993 Mar 21;134(12):629-33.
Earlier studies suggested an increased prevalence of minor morphological aberrations and variants, also termed informative morphogenetic variants (IMVs) in children with acute lymphoblastic leukaemia (ALL) and possibly in their siblings, however, family investigations have not been performed in this field. In the present survey the occurrence of 54 well-defined IMVs was determined in 50 children with ALL, in their 53 siblings, 49 mothers, and 41 fathers. 170 children examined for acute infections served as controls. A significantly increased prevalence on IMVs was found in the ALL-patients and in their siblings: their IMV/subject ratios were 1.32 and 1.38, respectively, whereas the same parameter was 0.75 in the mothers, 0.66 in the fathers, and 0.76 in the controls. The same tendency was observed when familial cases and/or age-dependent IMVs were excluded. No association of ALL with given specific IMVs or combinations was found. On the basis of an increased prevalence of minor morphological aberrations no conclusion concerning predisposition to ALL or any other malignancy can be drawn at the moment. However, further investigation of the problem is justified, since the research of such association may reveal new details of prenatal origin and predisposition of childhood malignancy.
早期研究表明,急性淋巴细胞白血病(ALL)患儿及其兄弟姐妹中,微小形态学畸变和变异(也称为信息性形态发生变异,IMV)的患病率有所增加,然而,该领域尚未进行家庭调查。在本次调查中,确定了50名ALL患儿、53名其兄弟姐妹、49名母亲和41名父亲中54种明确的IMV的发生情况。170名接受急性感染检查的儿童作为对照。在ALL患者及其兄弟姐妹中发现IMV的患病率显著增加:他们的IMV/个体比率分别为1.32和1.38,而母亲中的同一参数为0.75,父亲中为0.66,对照组中为0.76。排除家族性病例和/或年龄依赖性IMV时,观察到相同趋势。未发现ALL与特定IMV或组合之间的关联。基于微小形态学畸变患病率的增加,目前无法得出关于ALL或任何其他恶性肿瘤易感性的结论。然而,对该问题进行进一步研究是合理的,因为对这种关联的研究可能揭示儿童恶性肿瘤产前起源和易感性的新细节。