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食管癌切除标本断端组织的流式细胞分析及其临床意义[J]. 肿瘤防治研究, 1994, 21(2): 86-88.
引用本文: 食管癌切除标本断端组织的流式细胞分析及其临床意义[J]. 肿瘤防治研究, 1994, 21(2): 86-88.
Flow Cytometric Analysis and Clinical Significance of the Resected Margins of the Esophagus for Squamous Cell Carcinoma[J]. Cancer Research on Prevention and Treatment, 1994, 21(2): 86-88.
Citation: Flow Cytometric Analysis and Clinical Significance of the Resected Margins of the Esophagus for Squamous Cell Carcinoma[J]. Cancer Research on Prevention and Treatment, 1994, 21(2): 86-88.

食管癌切除标本断端组织的流式细胞分析及其临床意义

Flow Cytometric Analysis and Clinical Significance of the Resected Margins of the Esophagus for Squamous Cell Carcinoma

  • 摘要: 为探讨食管癌切除标本断端组织的细胞生物学特性与术后复发的关系,本文应用流式细胞术(flow,cytometry,FCM),对33例食管癌术后标本的断端组织的DNA含量(DNAindex,DI)、倍体类型和细胞增殖指数(proliferativeindex,PI)进行了定量研究.结果发现,切距(主体癌上缘与上切缘之间的距离)<5厘米的断端,不典型增生性断端及癌残留断端的PI值显著高于切距≥5厘米断端和正常食管粘膜;随访资料表明,上述三类断端患者的术后五年生存率也显著低于切距≥5厘米切除的患者.尤其有意义的是,12例切距<5厘米断端样品中,9例PI>20%,占75%;且有2例异倍体DNA含量出现.提示切距<5厘米切除者(尤其是术后FCM检测,高PI和高DNA含量者),断端不典型增生者及断端癌残留者,都可能成为术后复发的高危人群,应密切随防.文中对残癌与其主体癌之间的FCM参数也进行比较研究,从而为残癌的术后放、化疗提供了细胞生物学依据.

     

    Abstract: cases of the resected margins of the esophagectomy specimens for cancer have been analyzed by flow cytometry(FcM) in an attempt to measure DNA content (DNA Index, DT) and prolifreative index(PI). The results indicated that PI in CD (cut distance, from main tumor margin to cut line)5cm group without residual tumor was higher than that in5cm group and normal group and similars to the group with atypical hyperplasia and the residual tumor group, and 2 aneuploid DNA content were found in5cm group. It is belived that measuring of the resected margins of the esophaus after operation with FCM will aid doctor in determining the objects to be followed-up and assessing patient's prognosis. Another finding was DI and PI in residual tumor were obviously lower than those in the corresponding main tumor (P0. 01).The results showed that residual tumor has a relative lower proliferative activity. The article suggests that residual tumor should be treated immidiately after operation so as to prevent local recrrence.

     

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