Nasarek A, Werner M, Nolte M, Klempnauer J, Georgii A
Pathologisches Institut, Medizinische Hochschule Hannover, Germany.
Virchows Arch. 1995;427(4):373-8. doi: 10.1007/BF00199385.
Conventional cytogenetic studies revealed gains and structural aberrations of chromosome 1 to be the most consistent chromosomal aberrations in hepatocellular carcinoma (HCC). We investigated touch preparations of eight HCC, five cholangiocellular carcinomas (CCC), five liver cell adenomas (LCA), four focal nodular hyperplasias (FNH) as well as nine specimens of normal liver tissue using fluorescence in situ hybridization (FISH) with centromere specific probes for chromosomes 1 and 8. Polysomies of chromosome 1, especially trisomy 1, were found in five of eight HCC and four of five CCC but in no normal liver tissue or benign tumour. Only three of seven cases of HCC revealed trisomy 8 whereas the five benign liver tumours and all normal liver tissues examined had disomy 8. Our results confirm conventional cytogenetic findings in terms of chromosome 1 aberrations in HCC although they are not specific for these types of malignant liver tumours. Since alpha-satellite probes were used in our study, only gains or losses including the centromeric regions of the chromosomes 1 and 8 could be detected. Nevertheless, our findings suggest that FISH may help in the differential diagnosis of malignant versus benign neoplasms of the liver.
传统细胞遗传学研究显示,1号染色体的增加和结构畸变是肝细胞癌(HCC)中最常见的染色体畸变。我们使用针对1号和8号染色体着丝粒特异性探针的荧光原位杂交(FISH)技术,对8例HCC、5例胆管细胞癌(CCC)、5例肝细胞腺瘤(LCA)、4例局灶性结节性增生(FNH)以及9例正常肝组织的触片进行了研究。在8例HCC中的5例以及5例CCC中的4例中发现了1号染色体的多体性,尤其是三体1,但在正常肝组织或良性肿瘤中未发现。7例HCC中只有3例显示8号染色体三体,而所检查的5例良性肝肿瘤和所有正常肝组织均为8号染色体二体。我们的结果证实了HCC中1号染色体畸变方面的传统细胞遗传学发现,尽管它们并非这些类型恶性肝肿瘤所特有。由于我们的研究中使用了α卫星探针,因此只能检测到包括1号和8号染色体着丝粒区域在内的增减情况。然而,我们的研究结果表明,FISH可能有助于肝脏恶性肿瘤与良性肿瘤的鉴别诊断。