Zusammenfassung
Mithilfe hoch-auflösender DNA-Durchflusszytophotometrie wurden DNA-Ploidie und S-Phasenfraktion (SPF) bei 279 Speicheldrüsentumoren bestimmt. Alle 229 benignen Neoplasien waren diploid; 12 von 50 malignen Tumoren wiesen Zellpopulationen mit aneuploidem DNA-Gehalt auf. Die SPF-Werte der diploiden Malignome waren signifikant höher als bei pleomorphen Adenomen, unterschieden sich jedoch nicht von denen der Zystadenolymphome (Warthin-Tumoren). Während Aneuploidie ein Malignitätsmerkmal darstellt, ist der SPF-Wert für die Dignitätsdiagnostik bei Speicheldrüsentumoren nur von eingeschränktem Nutzen.
Abstract
DNA ploidy and S-Phase fraction (SPF) of 279 salivary gland tumours were analysed using high-resolution DNA flow cytometry. All 229 benign neoplasms were diploid while 12 of 50 malignant tumours showed cell populations with aneuploid DNA content. The SPF values of diploid malignancies were significantly higher if compared with pleomorphic adenomas but did not differ from that of the zystadenolymphoma (Warthin tumour) group. While aneuploidy represents a distinct indicator of malignancy SPF values are of minor relevance for dignity assessment in salivary gland tumours.
Literatur
Atula T, Grenman R, Laippala P, Klemi PJ (1995) Aneuploidy in salivary gland adenomas. Eur Arch Otorhinolaryngol 252:395–400
Bang G, Donath K, Thoresen S, Clausen OP (1994) DNA flow cytometry of reclassified subtypes of malignant salivary gland tumors. J Oral Pathol Med 23:291–297
Barnes L, Eveson JW, Reichart P, Sidransky D (2005) World Health Organization classification of tumours. Pathology and genetics of head and neck tumours. Salivary glands. IARC, Lyon, pp 209–281
Brandwein M, Huvos AG, Dardick I, Thomas MJ, Theise ND (1996) Noninvasive and minimally invasive carcinoma ex mixed tumor: a clinicopathologic and ploidy study of 12 patients with major salivary tumors of low (or no?) malignant potential. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 81:655–664
Cho KJ, el-Naggar AK, Ordonez NG, Luna MA, Austin J, Batsakis JG (1995) Epithelial-myoepithelial carcinoma of salivary glands. A clinicopathologic, DNA flow cytometric, and immunohistochemical study of Ki-67 and HER-2/neu oncogene. Am J Clin Pathol 103:432–437
Daniele E, Tralongo V, Morello V, Nagar C, Russo A, Bazan V, Dardanoni G, Ciotta S, Nuara R, Tomasino RM (1996) Pleomorphic adenoma and adenoid-cystic carcinoma of salivary glands: immunohistochemical assessment of proliferative activity in comparison with flow-cytometric study. Cell Prolif 29:153–162
Desinan L, Scott CA, Pizzolitto S, Avellini C, Bardus P, Rimondi G, Rizzi V, Beltrami CA (1996) DNA flow cytometry and glial fibrillary acidic protein reactivity in pleomorphic adenomas of the salivary glands. Anal Quant Cytol Histol 18:355–360
Dey P (2004) Aneuploidy and malignancy: an unsolved equation. J Clin Pathol 57:1245–1249
Driemel O, Maier H, Kraft K, Haase S, Hemmer J (2005) Flow cytometric DNA ploidy in salivary gland tumours. Oncol Rep 13:161–165
Driemel O, Kraft K, Hemmer J (2006) Flow cytometric S-phase fraction contributes to diagnosis of diploid malignant salivary gland tumours. Int J Oral Maxillofac Surg 35:947–950
Eibling DE, Johnson JT, McCoy JP Jr., Barnes EL, Syms CA, Wagner RL, Campbell J (1991) Flow cytometric evaluation of adenoid cystic carcinoma: correlation with histologic subtype and survival. Am J Surg 162:367–372
Franzen G, Nordgard S, Boysen M, Larsen PL, Halvorsen TB, Clausen OP (1995) DNA content in adenoid cystic carcinomas. Head Neck 17:49–55
Friedlander ML, Hedley DW, Taylor IW (1984) Clinical and biological significance of aneuploidy in human tumours. J Clin Pathol 37:961–974
Gemryd P, Lundquist PG, Tytor M, Hellquist HB, Nordenskjold B (1997) Prognostic significance of DNA ploidy in mucoepidermoid carcinoma. Eur Arch Otorhinolaryngol 254:180–185
Gerstner AO, Muller AK, Machlitt J, Tarnok A, Tannapfel A, Weber A, Bootz F (2003) Slide-based cytometry for predicting malignancy in solid salivary gland tumors by fine needle aspirate biopsies. Cytometry 53B:20–25
Greiner TC, Robinson RA, Maves MD (1989) Adenoid cystic carcinoma. A clinicopathologic study with flow cytometric analysis. Am J Clin Pathol 92:711–720
Hamper K, Mausch HE, Caselitz J, Arps H, Berger J, Askensten U, Auer G, Seifert G (1990) Acinic cell carcinoma of the salivary glands: the prognostic relevance of DNA cytophotometry in a retrospective study of long duration (1965–1987). Oral Surg Oral Med Oral Pathol 69:68–75
Hemmer J, Schön E (1993) Cytogenetic progression in oral carcinoma: a DNA flow cytometric study on 317 cases. International Journal of Oncology 3:635–640
Hemmer J, Kreidler J, van Heerden WFP, Raubenheimer EJ, Schön E (1995) Flow cytometric cellular DNA content and lymph node metastasis in squamous cell carcinoma of the oral cavity. Int J of Oncol 6:1237–1242
Hemmer J, van Heerden WFP, Raubenheimer EJ, Kreidler J, Schön E (1996) Flow cytometric DNA ploidy and recurrence development in squamous cell carcinoma of the oral cavity. Int J Oncol 8:113–116
Hemmer J, Thein T, van Heerden WF (1997) The value of DNA flow cytometry in predicting the development of lymph node metastasis and survival in patients with locally recurrent oral squamous cell carcinoma. Cancer 79:2309–2313
Hemmer J, Kraft K, Kreidler J (1998a) The significance of DNA flow cytometry in predicting survival and delayed clinical manifestation of occult lymph node metastasis to the untreated neck in patients with oral squamous cell carcinoma. J Craniomaxillofac Surg 26:405–410
Hemmer J, van Heerden WF, Polackova J, Kraft K (1998b) High-resolution DNA flow cytometry in papillary cystadenoma lymphomatosum (Warthin's tumour). J Oral Pathol Med 27:405–406
Hemmer J, Nagel E, Kraft K (1999) DNA aneuploidy by flow cytometry is an independent prognostic factor in squamous cell carcinoma of the oral cavity. Anticancer Res 19:1419–1422
Hemmer J, Hauser C (2000) Chromosomal composition of aneuploid clones with different DNA contents in head and neck squamous cell carcinomas as determined by combined flow cytometry and fluorescence in situ hybridization. Anal Cell Pathol 20:197–203
Hemmer J, Kraft K (2001) Stability of aneuploid clones during oral squamous cell carcinoma metastasis. Anticancer Res 21:1459–1464
Hemmer J, Kraft K, van Heerden WF (2006) Correlation between DNA ploidy by flow cytometry and chromosome 3 aberration in oral squamous cell carcinoma. Oncol Rep 15:243–246
Kelsch RD, Bhuiya T, Fuchs A, Gentile P, Kahn MA, Fantasia JE (1997) Polymorphous low-grade adenocarcinoma: flow cytometric, p53, and PCNA analysis. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 84:391–399
Kumar D, Kumar S, Lyon D (1994) Comparison of flow cytometric DNA content analysis of fresh and formalin-fixed paraffin-embedded solid neoplasms. Mod Pathol 7:354–360
Lewis JE, McKinney BC, Weiland LH, Ferreiro JA, Olsen KD (1996) Salivary duct carcinoma. Clinicopathologic and immunohistochemical review of 26 cases. Cancer 77:223–230
Lindberg JO, Stenling RB, Rutegard JN (1999) DNA aneuploidy as a marker of premalignancy in surveillance of patients with ulcerative colitis. Br J Surg 86:947–950
Mark J, Dahlenfors R, Stenman G, Nordquist A (1990) Chromosomal patterns in Warthin's tumor. A second type of human benign salivary gland neoplasm. Cancer Genet Cytogenet 46:35–39
Martin AR, Mantravadi J, Kotylo PK, Mullins R, Walker S, Roth LM (1994) Proliferative activity and aneuploidy in pleomorphic adenomas of the salivary glands. Arch Pathol Lab Med 118:252–259
Matturri L, Lavezzi AM, Biondo B, Mantovani M (1996) Cell kinetics of pleomorphic adenomas of the parotid gland. Eur J Cancer B Oral Oncol 32B:154–157
Merkel DE, McGuire WL (1990) Ploidy, proliferative activity and prognosis. DNA flow cytometry of solid tumors. Cancer 65:1194–1205
Morio T, Morimitsu Y, Hisaoka M, Makishima K, Hashimoto H (2002) DNA copy number changes in carcinoma in pleomorphic adenoma of the salivary gland: a comparative genomic hybridization study. Pathol Int 52:501–507
el-Naggar AK, Lovell M, Callender DL, Ordonez NG, Killary AM (1998) Concurrent cytogenetic, interphase fluorescence in situ hybridization and DNA flow cytometric analyses of a carcinoma ex-pleomorphic adenoma of parotid gland. Cancer Genet Cytogenet 107:132–136
Pinto AE, Fonseca I, Soares J (1999) The clinical relevance of ploidy and S-phase fraction determination in salivary gland tumors: a flow cytometric study of 97 cases. Cancer 85:273–281
Safali M, Celasun B, Gunhan O (2002) DNA cytometry in pleomorphic adenomas with cytologic atypia. Anal Quant Cytol Histol 24:325–330
Saka T, Yamamoto Y, Takahashi H (1991) Comparative cytofluorometric DNA analysis of pleomorphic adenoma and adenoid cystic carcinoma of the salivary glands. Virchows Arch B Cell Pathol Incl Mol Pathol 61:255–261
Sen S (2000) Aneuploidy and cancer. Curr Opin Oncol 12:82–88
Speight PM, Barrett AW (2002) Salivary gland tumours. Oral Dis 8:229–240
Takashima S, Sone S, Horii A, Okamoto S, Yoshida J (1996) Major salivary gland lesions: correlation of MR findings with flow cytometric DNA analysis and prognosis. AJR Am J Roentgenol 167:1297–1304
Teodori L, Gohde W, Persiani M, Persiani M, Ferrario F, Tirindelli Danesi D, Scarpignato C, Di Tondo U, Alo P, Capurso L (1998) DNA/protein flow cytometry as a predictive marker of malignancy in dysplasia-free Barrett's esophagus: thirteen-year follow-up study on a cohort of patients. Cytometry 34:257–263
Timon CI, Dardick I, Panzarella T, Patterson B, Thomas MJ, Ellis GL, Gullane PJ (1994) Acinic cell carcinoma of salivary glands. Prognostic relevance of DNA flow cytometry and nucleolar organizer regions. Arch Otolaryngol Head Neck Surg 120:727–733
Tytor M, Gemryd P, Wingren S, Grenko RT, Lundgren J, Lundquist PG, Nordenskjold B (1993) Heterogeneity of salivary gland tumors studied by flow cytometry. Head Neck 15:514–521
Anmerkung
Weitere Informationen zur Durchflusszytophotometrie und DNA-Ploidie bei Kopf-Hals-Tumoren unter http://www. aneuploidy.info.
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Vortrag gehalten bei der 36. Jahrestagung des Deutsch-Österreichisch-Schweizerischen Arbeitskreises für Tumoren im Kiefer- und Gesichtsbereich (DÖSAK) innerhalb der Deutschen Gesellschaft für Mund-, Kiefer- und Gesichtschirurgie in Bochum, 14.–15.November 2005.
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Driemel, O., Kraft, K. & Hemmer, J. DNA-Ploidie und proliferative Aktivität bei Speicheldrüsentumoren. Mund Kiefer GesichtsChir 11, 139–144 (2007). https://doi.org/10.1007/s10006-007-0060-x
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DOI: https://doi.org/10.1007/s10006-007-0060-x