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食管鳞癌DNA含量与临床病理及预后的关系

DNA Content and Its Relationship to Clinico-Pathological Feature and Prognosis in Esophageal Squamous Cell Carcinoma

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【作者】 杨国涛王善政孙鸿钺李青

【Author】 Guo-tao Yang; Shon-zheng Wang; Hong-yue Sun;et al.(Department of Cardiothoracic Surgery, Affiliated Hospital,Shandong Medical University, Jinan 250012)

【机构】 山东医科大学附属医院胸外科

【摘要】 应用自动化图像分析仪对50例食管鳞癌进行细胞DNA定量分析,结合临床资料,发现肿瘤分化越差、外侵越严重,DNA含量越高。淋巴结转移组DNA含量高于非转移组。二倍体或近二倍体组1、3、5年生存率明显高于异倍体组(P<0.01)。表明DNA含量的测定可从核酸代谢的分子水平揭示食管癌恶性生物学行为,同时可作为估计手术预后的客观定量指标。

【Abstract】 DNA content in surgical samples from 50 patients with esophageal squamous cell carcinoma was determined by automatic image analysis technology. The result showed that the DNA index (DI) correlated significantly with both histologic grading(P <0. 01) and the extent of wall penetration by the tumor (P<0. 05).DI in the group with lymph node metastases is higher than that in the group without lymph node metastasis, but there was no statistic significance.(P>0. 05). The 1 year,3 year and 5 year survival rate of the diploidy patients with squamous cell carcinoma was markedly higher than those of the aneuploidy patients with same kind of tumors respectively.The determination of the content of DNA in esophageal squamous cell carcinoma can explore the malignant biological behavior of the carcinomatous squamous cells through the changes of the metabolism of the neucleic acid at the molecular level.Therefore,the tumor DNA content is an important prognostic variable.

  • 【文献出处】 中华胸心血管外科杂志 ,CHINESE JOURNAL OF THORACIC AND CARDIOVAESCULAR SURGERY , 编辑部邮箱 ,1995年02期
  • 【分类号】R735.102
  • 【被引频次】3
  • 【下载频次】25
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