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用显微荧光测定法测量核DNA含量在恶性黑色素瘤中的预后意义。

Prognostic significance in malignant melanoma of nuclear DNA content measured by a microfluorimetric method.

作者信息

Umebayashi Y, Otsuka F

机构信息

Department of Dermatology, University of Tsukuba, Ibaraki, Japan.

出版信息

Arch Dermatol Res. 1995;287(8):718-22. doi: 10.1007/BF01105795.

DOI:10.1007/BF01105795
PMID:8554382
Abstract

The nuclear DNA content of 47 primary malignant melanomas was measured by 4',6-diamidino-2-phenylindole-DNA (DAPI-DNA) microfluorimetry, and the DNA index, a quantitative measure of nuclear DNA content, was calculated. The DNA index and other clinical and pathological variables were examined and compared with patient survival using univariate and multivariate analyses. The Kaplan-Meier life table method revealed that the DNA index and metastases to regional lymph nodes significantly correlated with patient survival. A Cox proportional hazards multivariate analysis demonstrated that the DNA index, which was not significantly correlated with other variables, was the most reliable and independent factor for predicting patient survival.

摘要

通过4',6-二脒基-2-苯基吲哚-DNA(DAPI-DNA)显微荧光测定法测量了47例原发性恶性黑色素瘤的核DNA含量,并计算了DNA指数,它是核DNA含量的一种定量测量方法。采用单因素和多因素分析,对DNA指数及其他临床和病理变量进行了检测,并与患者生存率进行了比较。Kaplan-Meier生存表法显示,DNA指数和区域淋巴结转移与患者生存率显著相关。Cox比例风险多因素分析表明,DNA指数与其他变量无显著相关性,是预测患者生存率最可靠、最独立的因素。

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本文引用的文献

1
DNA ploidy and S-phase in primary malignant melanoma as prognostic factors for stage III disease.原发性恶性黑色素瘤中的DNA倍体和S期作为III期疾病的预后因素
Br J Cancer. 1993 Jan;67(1):134-8. doi: 10.1038/bjc.1993.23.
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Epithelioid cell melanomas have greater DNA ploidy abnormalities than spindle cell melanomas: cytological evidence for a higher malignant potential of the former.上皮样细胞黑色素瘤比梭形细胞黑色素瘤具有更大的DNA倍体异常:前者具有更高恶性潜能的细胞学证据。
Arch Dermatol Res. 1993;285(7):410-4. doi: 10.1007/BF00372134.
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Successful differentiation of Spitz naevus from malignant melanoma by microfluorometric analysis of cellular DNA content.
通过细胞DNA含量的微量荧光分析成功鉴别Spitz痣与恶性黑色素瘤。
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Virchows Arch B Cell Pathol Incl Mol Pathol. 1983;42(1):43-52. doi: 10.1007/BF02890369.
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The histogenesis and biologic behavior of primary human malignant melanomas of the skin.原发性人类皮肤恶性黑色素瘤的组织发生及生物学行为
Cancer Res. 1969 Mar;29(3):705-27.