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胃粘膜上皮异型增生表现类型及其癌前意义的实验研究 被引量:11

AN EXPERIMENTAL STUDY ON HISTOPATHOLOGICAL TYPES OF GASTRIC DYSPLASIA AND THEIR PRECANCEROUS SIGNIFICANCE
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摘要 以胃粘膜的反复损伤作为发病条件,结合致癌剂(MNNG),在大白鼠上引发癌前病变和胃腺癌。结果,胃粘膜上皮异型增生表现类型可为腺瘤型、隐窝型、再生型和囊型。DNA定量显示,异型增生上皮与正常胃粘膜存在显著性差异,重度异型增生与高分化腺癌间没有截然界限。从异型增生与胃癌发生关系来分析,胃粘膜异型增生为重要的癌前病变,各类型均有重要的癌前意义。其中再生型异型增生的癌前意义应被重新认识和重视。 or producing precancerous lesions and gastric cancer,227 inbred Wistar rats were giventraumatic factor(40%alcohol)and carcinogen(100 μg/ml MNNG)for 20 weeks.The resultsshowed that gastric dysplasia is the apparent form of precancerous lesion of gastric cance.The histopathological types of gastric dysplasia might be classified as follows: adenomatousdysplasia,crytal dysplasia,regenerative dysplasia and cystiform dysplasia.The nuclear DNAcontents didn’t show significant statistical differences between each of the phenotypes ofgastric dysplasia,but increased steadily as the degree of dysplasia advances from mild,moderate and severe up to differentiated adenocarcinoma.It was found that there was asignificant statistical difference between the nuclear DNA content of mild dysplasia and thatof normal gastric mucosa(P<0.05).It means that an analysis of DNA content can be used fordifferentiating a normal mucosa from dysplasia,but there isn’t a sharp boardline between thedysplasia of severe degree and differentiated adenocarcinoma.The morphogenesis of 33 casesof gastric adenocarcinoma was analyzed.The results suggest that various phenotypes ofgastric dysplasia have similar precancerous significance and the precancerous significance ofregenerative dysplasia should again be considered seriously.
出处 《中华消化杂志》 CAS CSCD 北大核心 1994年第4期216-219,共4页 Chinese Journal of Digestion
基金 上海市青年自然科学基金
关键词 胃粘膜 异型增生 动物实验 胃肿瘤 Stomach Dysplasia Histopathological type Carcinoma Animal experi- ment.
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参考文献7

  • 1李吉友,中华消化杂志,1989年,9卷,230页 被引量:1
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