Tagawa Y, Sawai T, Nakagoe T, Morinaga M, Yasutake T, Ayabe H, Tomita M
First Department of Surgery, Nagasaki University School of Medicine, Japan.
Surg Today. 1996;26(11):869-74. doi: 10.1007/BF00311787.
Fluorescence in situ hybridization (FISH) is an easy and efficient means of measuring numerical chromosome aberrations in the interphase nuclei of solid tumors; however, the correlation between numerical chromosome aberrations and the clinical stage of solid tumors remains unknown. Thus, in the present study, we investigated the relationship between numerical chromosome aberrations and clinicopathologic features in colorectal adenocarcinomas. FISH was applied to surgically resected colorectal cancer samples from 45 patients to evaluate the numerical aberrations of chromosomes 11 and 17. The mean age of the patients was 65.1 years, and they comprised 13 women and 32 men. According to Dukes' classification, 5 patients were categorized as stage A, 21 as stage B, 10 as stage C, and 9 as stage D. Histologically, 18 of the samples were lymph node metastasis-positive. FISH revealed numerical aberrations of chromosome 11 in 27 out of the 45 patients (60%), and those with a lower chromosome 11 number had a significantly lower incidence of lymph node metastasis (P < 0.05). Chromosome 17 proved to have numerical abnormalities in 33 of the 45 patients (73%), and those with a higher chromosome 17 number had more DNA aneuploidy (P < 0.005). This is the first report to reveal the relationship between monosomy 11 and lymph node metastasis in colorectal adenocarcinomas.
荧光原位杂交(FISH)是一种简便高效的方法,用于检测实体瘤间期细胞核中的染色体数目畸变;然而,染色体数目畸变与实体瘤临床分期之间的相关性尚不清楚。因此,在本研究中,我们调查了大肠腺癌中染色体数目畸变与临床病理特征之间的关系。应用FISH技术检测45例手术切除的大肠癌样本中11号和17号染色体的数目畸变情况。患者的平均年龄为65.1岁,其中女性13例,男性32例。根据Dukes分期,5例为A期,21例为B期,10例为C期,9例为D期。组织学检查显示,18例样本存在淋巴结转移阳性。FISH检测发现,45例患者中有27例(60%)存在11号染色体数目畸变,11号染色体数目较低的患者淋巴结转移发生率显著较低(P<0.05)。45例患者中有33例(73%)存在17号染色体数目异常,17号染色体数目较高的患者DNA非整倍体更多(P<0.005)。这是首次揭示大肠腺癌中11号染色体单体性与淋巴结转移之间关系的报告。