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DNA-flow-cytometric measurements on the normal, atrophic, hyperplastic and neoplastic human endometrium

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DNA distribution patterns and the fractions of the cell cycle phases were determined by means of flow-through cytometry in 87 samples of normal, atrophic, hyperplastic and carcinomatous human endometrium. The S-phase fractions vary during the normal menstrual cycle between 1 and 3% and reach a periovulatory maximum between 4.4 and 4.7%. Atrophic endometrium and regressive-glandular cystic hyperplasia have little DNA synthesis (1.01% and 1.68% S-phase fractions respectively). Proliferating glandular cystic hyperplasia reveals 3.38% S-phase fraction, whereas adenomatous hyperplasia has an increased number of DNA-synthesizing cells (4.81%). The well-differentiated endometrial carcinoma shows no cytophotometrically detectable differences in comparison to adenomatous hyperplasia. All endometrial samples except for poorly differentiated endometrial carcinoma showed a diploid to tetraploid DNA distribution pattern. The poorly differentiated endometrial carcinoma displays two different types: one rapidly growing diploid-tetraploid tumor with 8.0 to 9.6% S-phase fractions, and another type with stemline deviations, polyploid nuclei and less pronounced synthetic activity.

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Correspondence to G. E. Feichter.

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Dedicated to Professor Volker Becker at the occasion of his 60th anniversary

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Feichter, G.E., Höffken, H., Heep, J. et al. DNA-flow-cytometric measurements on the normal, atrophic, hyperplastic and neoplastic human endometrium. Vichows Archiv A Pathol Anat 398, 53–65 (1982). https://doi.org/10.1007/BF00585613

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Key words

  • DNA synthesis
  • Cell cycle
  • Flow cytometry
  • Endometrium