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论文摘要

口腔颌面部非何杰金氏淋巴瘤流式细胞DNA分析及意义探讨

Flowcytometry DNA Analysis of Oral and Maxillofacial Non-Hodgkincs Lymphoma

作者:马莉,何志秀,吴兰雁,蔡益新,黄河长,雷松

Author:Ma Li, He Zhixiu, Wu Lanyan et al

收稿日期:2002-06-25          年卷(期)页码:2002,20(03):193-

期刊名称:华西口腔医学杂志

Journal Name:West China Journal of Stomatology

关键字:流式细胞学,非何杰金氏淋巴瘤,反应性增生淋巴结,

Key words:flowcytometry,non-Hodgkin&prime,slymphoma,reactivelymphnodes,

基金项目:

中文摘要

目的:探讨流式细胞学各项指标与非何杰金氏淋巴瘤(NHL)发病部位、临床分期、病理分级、细胞类型及预后的关系和流式细胞学对NHL的诊断价值。方法:采用流式细胞仪测定50例口腔颌面部NHL及10例反应性增生淋巴结(RLN)石蜡包埋组织的DNA倍体、细胞周期各参数,并分析各参数及其与预后的关系。结果:10例RLN皆为二倍体,而NHL二倍体率为54%,异倍体率为46%,二者有显著性差异。SPF值、S+G2/M值与非何杰金氏淋巴瘤恶性程度密切相关,SPF值、S+G2/M值随肿瘤的恶性程度增大而增大。结论:口腔颌面部淋巴瘤流式细胞学检测具有一定诊断学价值,但其运用一定要与形态学相结合。同时SPF、S+G2/M等指标可以反映其细胞增殖状况及病理学恶性程度。

英文摘要

Objective:The purpose of this studywas to investigate the relationship between the results of flowcytometry analyses of differ- ent clinical stage, location, pathologic grade and cell origin of oral and maxillofacial non-Hodgkincs lymphoma (NHL), and the diagnostic value of flowcytometry analysis in lymphoma.Method:This study analyzed 50 oral and maxillofacial NHL cases and 10 reactive lymph nodes (formalin fixed and paraffin embedded) by flowcytometry (FCM).Results:Reactive lymph nodes were all diploid. The diploid rate of NHLwas 54%, and aneuploidy rate was 46%. There was statistically significant difference between reactive lymph nodes and NHLin the DNA ploidy status and cell cycle data (SPF, CV, S+G2/M, DI). The S phase fraction (SPF) and S+G2/M had close relationshipwith the grade of NHL. SPF value and DNA ploidy status had no obvious relationship with the prognosis.Conclusion:The results suggested that the FCMhad diagnostic value inNHL, especiallywhen the morphologi- cal diagnosis was difficult. Although the cell cycle data had no prognostic value, SPF and SPF+G2/M can show the proliferative status of NHL, which can help clinical doctor select therapeutic method.

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