浸润性导管性乳腺癌肿瘤细胞浸润的形态学特征

L. Naleskina, T. Zadvornyi, L. Kunska, N. Lukianova
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摘要

背景。目前已经证明,随着单个肿瘤细胞的侵袭,它们的群体迁移发生在肿瘤的侵袭前部,这是肿瘤进展的重要因素。目的:探讨无特殊特征性的浸润性导管性乳腺癌(invasive ductal breast cancer, BCa)浸润前沿(invasive front, IF)肿瘤细胞浸润的特征,并建立其与疾病临床病理特征的关联联系。方法。本研究对120例浸润性导管BCa I-II期、肿瘤分化为G2级、未接受新辅助化疗的BCa样本(苏木精和伊红染色后)进行研究。结果。将肿瘤分为以实质成分(PC)为主、结缔组织成分较多、比例相对相当3组。在肿瘤进程ІІ期患者所研究肿瘤的IF范围内,主要确定肿瘤结构的群体侵袭,有单独的,也有联合的。特别是,在以PC为主的肿瘤中,以及在结缔组织中表达结缔组织改变的肿瘤中,实体结构的增加及其优势-肺泡,管状,离散。结论。在浸润性导管BCa患者的肿瘤中,浸润前沿以肿瘤细胞的集体迁移为主,这是肿瘤进展的起始机制,也是转移过程的第一步。BCa患者肿瘤细胞侵袭特征与肿瘤过程的临床和病理特征之间明确的关联关系可用于预测这种类型的癌症。
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Morphological features of invasion of tumor cells of invasive ductal breast cancer
Background. Nowadays, it has been proven that along with the invasion of individual tumor cells, their group migration occurs in the invasive front of the tumor, and this is an important factor in tumor progression. Objective: to determine the features of tumor cell invasion in the invasive front (IF) of invasive ductal breast cancer (BCa) without special specific features (IC NST) and to establish associative links between them and the clinical and pathological characteristics of the disease. Methods. The study was performed on BCa samples (after hematoxylin and eosin stained) from 120 patients with invasive ductal BCa I-II stage with G2 grade of tumor differentiation that didn’t receive neoadjuvant chemotherapy. Results. Tumors were divided into 3 groups: with predominance of parenchymal component (PC), with the larger component of connective tissue, and relatively equivalent ratio of these components. Within the IF of the studied tumors of patients with ІІ stage of the tumor process, group invasion of tumor structures was mainly determined, both separately and in combination. In particular, an increase in solid structures in tumors with a predominance of the PC, and in neoplasms with expressed desmoplastic changes in connective tissue and their advantage, - alveolar, tubular, discrete. Conclusion. In tumors of patients with invasive ductal BCa in the invasive front is dominated by collective migration of tumor cells, which is the starting mechanism of tumor progression and the first step of the metastatic process. Defined associative links between the features of tumor cell invasion and the clinical and pathological characteristics of the tumor process in BCa patients can be used in predicting this form of cancer.
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