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131例非霍奇金淋巴瘤(NHL)按国际工作分类分低、中、高度恶性(LG、MG、HG)3组。对NHL和14例反应性增生淋巴组织(RLH)作核分裂计数(MF),银染核仁组成区(AgNORs)计数,并用MBC法检测部分病例的增殖细胞核抗原(PCNA)和Ki_67抗原。MF、AgNORs、PCNA及Ki_67检测结果有较好相关性(r值0.612,P<0.01),均和NHL恶性度呈正相关,LG、MG、HG及RLH组间有显著性差异(P<0.01,但LG和RLH组P>0.05),表明细胞增殖活性的检测有助于了解NHL恶性度,但不能区分LG和RLH。MG中弥漫小裂细胞型(DSC)细胞增殖活性低于同组其它类型(P<0.05),但与LG无显著性差异(P>0.05),预后相对较好,拟属LG。MF、AgNORs和PCNA值越高,生存期越短,表明细胞增殖活性有助于预测NHL预后。MF和AgNORs经济易行;Ki67全面反映增殖细胞的数量,仅用于冰冻切片;PCNA可用于石蜡切片,便于回顾性研究。
131 cases of non-Hodgkin’s lymphoma (NHL) were classified into 3 groups according to international work, including low, medium and high grade (LG, MG, HG). Nuclear fission count (MF) and AgNORs were counted in NHL and 14 cases of reactive hyperplasia lymphoid tissue (RLH). PCNA and Ki_67 in some cases were detected by MBC method. MF, AgNORs, PCNA and Ki_67 were significantly correlated (r = 0.612, P <0.01), and were positively correlated with malignancy of NHL. There was significant difference between LG, MG, HG and RLH groups P <0.01, but P <0.05 in LG and RLH groups), indicating that the detection of cell proliferation activity can help to understand the NHL malignancy, but can not differentiate between LG and RLH. The proliferative activity of diffuse small cell type (DSC) cells in MG group was lower than that in other groups (P <0.05), but it was not significantly different from that in LG group (P> 0.05) . The higher MF, AgNORs, and PCNA values, the shorter survival, suggesting that cell proliferative activity is helpful in predicting NHL prognosis. MF and AgNORs are economical; Ki67 fully reflects the number of proliferating cells and is only used for frozen section; PCNA can be used for paraffin section for retrospective study.