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浸润性导管癌中细胞周期参数的预后意义

Prognostic significance of cell cycle parameters in infiltrative ductal breast carcinoma.

作者信息

Uzarević B, Petrovecki M, Marusić M, Jakić-Razumović J, Hutinec Z, Sabioncello A, Gamulin S

机构信息

Department of Clinical Laboratory Diagnosis, Zagreb University School of Medicine and University Hospital Center, Croatia.

出版信息

J Clin Lab Anal. 1998;12(3):131-6. doi: 10.1002/(SICI)1098-2825(1998)12:3<131::AID-JCLA1>3.0.CO;2-C.

Abstract

Flow-cytometric DNA analysis was performed retrospectively from paraffin-embedded blocks in 158 consecutive ductal infiltrative breast carcinoma patients grades I-III. Normal breast tissue was used as control. Tumor proliferative activity, cell ploidy, and DNA index (DI) were related to age of patients, histological grade of tumor, tumor size, axillary lymph node status, estrogen and progesterone receptor status, menopausal status,TNM clinical classification, and survival. There was a significant association between DNA aneuploidy and a high cellular proliferative activity, increased DI, poor differentiation of tumor, primary tumor size, number of positive lymph nodes, and postmenopausal state. Increased proportion of cells in S-phase was associated with positive lymph node status and higher number of positive lymph nodes. The cell cycle parameters had no prognostic value either for overall survival of disease-free survival of the patients.

摘要

对158例I - III级连续的导管浸润性乳腺癌患者的石蜡包埋组织块进行回顾性流式细胞术DNA分析。正常乳腺组织用作对照。肿瘤增殖活性、细胞倍体和DNA指数(DI)与患者年龄、肿瘤组织学分级、肿瘤大小、腋窝淋巴结状态、雌激素和孕激素受体状态、绝经状态、TNM临床分期及生存情况相关。DNA非整倍体与高细胞增殖活性、DI增加、肿瘤分化差、原发肿瘤大小、阳性淋巴结数量及绝经后状态之间存在显著关联。S期细胞比例增加与阳性淋巴结状态及更多的阳性淋巴结数量相关。细胞周期参数对患者的总生存或无病生存均无预后价值。

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