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恶性纤维组织细胞瘤间质肥大细胞与AgNOR定量检测及其预后意义
摘    要:为探讨恶性纤维组织细胞瘤间质肥大细胞及肿瘤细胞核仁组成区嗜银蛋白(AgNOR)定量检测与肿瘤恶性度及预后的关系,应用甲苯胺蓝染色法及AgNOR染色法对41例资料完整有随访结果的恶性纤维组织细胞瘤手术切除标本进行染色以显示肥大细胞及Agxon,常规及体视学方法定量检测。结果:肿瘤与正常组织交界区肥大细胞定量明显高于肿瘤中,C及正常组织中的肥大细胞定量,并与生存期正相关(r=0.7353,P<0.001),肥大细胞定量高值组较之肥大细胞定量低值组患者生存期长(P<0.01),肿瘤无转移组肥大细胞定量高于有转移组(P<0.05),肿瘤位置浅在组肥大细胞定量高于肿瘤位置深在组(P<0.05)。肿瘤细胞核AgNOR定量与生存期负相关(r=-0.6107,P<0.001),AgNOR定量高值组患者生存期短,肿瘤恶性度高(P<0.01);肿瘤转移组较光转移组AgNOR定量高(P<0.05);肿瘤位置深在组较浅表组AgNOR定量高(P<0.05)。肥大细胞定量与AgNOR定量负相关(r=-0.3514,P<0.05)。结论:肿瘤与正常组织交界区肥大细胞及肿瘤细胞核AgNOR定量与患者生存期密切相关,与肿瘤转移及位置深浅等反?

关 键 词:肥大细胞  AgNOR  恶性纤维组织细胞瘤  定量  预后  恶性度

THE PROGNOSTIC SIGNIFICANCE OF QUANTITATIVE OBSERVATION OF MAST CELL AND AgNOR IN MALIGNANT FIBROUS HISTIOCYTOMA
Abstract:To disclose between the prognosticsignificance and quantitative observation of mast celland AgNOR in malignant fibrous histiocytoma(MFH), toluidine blue and AgNOR staining methods were used to detect the mast cell and silverbinding nucleolar organizer regions in 41 cases ofMFH with complete data and following-up results,with stereology and routine methods. The mast cellquantitative in the peripheral area was higher thanthat in the center area and the normal tissue (P <0. 001), and positive relation could be seen betweenthe mast cell quantitative in the peripheral area andsurvival term of the patients (r=0. 7353,P <0. 001), the survival term of high mast cell quantitaive group was longer. The mast cell quantitiativeof no metastasis group and superficial tumor groupwas higher than that of metastasis group (P<0. 05), and deep tumor group (P < 0. 05). A negative relation (r=-0. 6107,P < 0. 001) betweenquantitative AgNOR and survival term of the patients was seen. The more AgNOR quantity, theshoter survival period, and the higher malignant degree of the tumor (P < 0. 01), AgNOR quantity inmetastasis group and deep tumor group was higherthan in no metastasis group and superficial tumorgroup (P < 0. 05). The closely relation betweenthe variable quantities of mast cell around the MFHalong with AgNOR and survival term of the patientsare seen. The variable quantities of mast cell andAgNOR are closely related to the metastasis and superficial or deep site of the MFH, which are aboutmalignant degree of the tumor. Therefore, it shouldbe attached importance to the significance of themast cell quantity in the peripheral area of the tumor and the AgNOR quantity in the tumor cell nucleus, which infers malignant degree and prognosisof MFH.
Keywords:mast cell  AgNOR  quantity  MFH  prognosis  malignant degree
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