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Biomedical subjects

K Helander

Publications and source records attributed to K Helander.

4 recordsLinked to original sources

Characterization of bladder tumours by multiparameter flow cytometry with special reference to grade II tumours.

Sixty-three human transitional cell carcinomas of the urinary bladder were studied by multiparameter flow cytometry (FCM). The cellular DNA content, the cellular protein content, the fraction of cells in S phase, and the nuclear size were registered and correlated to histological grade (WHO) and histologically determined infiltration through the basement membrane. Aneuploidy was found in the great majority of grade III tumours, but in only 24% of grade II tumours. A new, combined variable, viz. the cellular DNA to protein ratio, indicated a possibility for further subdivision of the tumours. Grade II tumours, which constitute a rather heterogeneous group with regard to prognosis, could be classified in two subgroups: One group of diploid tumours with the FCM characteristics of grade I tumours, and another group of diploid and aneuploid tumours with the characteristics of grade III tumours. Infiltration was most frequently seen in the latter subgroup. The putative prognostic relevance of such a subdivision will be the subject of a future study. Compared to FCM measurement of DNA alone, multiparameter FCM, including measurement of the total cellular protein content, has given additional information that may be of prognostic value.

Carcinoma, Transitional Cell↗

Studies on urinary bladder carcinoma by morphometry, flow cytometry, and light microscopic malignancy grading with special reference to grade II tumours.

Biopsies from 28 patients with urinary bladder carcinoma were investigated by flow cytometry and morphometry. Histopathological grading on 1.5 microns thick glycol methacrylate sections was also performed. Nuclear profile areas, nuclear volume densities and mitotic indices were usually larger in the higher grades of malignancy. All grade I tumours were diploid and all grade III tumours were aneuploid. Out of 13 grade II tumours 8 were diploid and 5 aneuploid. In these latter five cases nuclear profile areas were at the high end of the spectrum. The data show that flow cytometry and morphometry could be a valuable tool in the diagnosis of urinary bladder carcinoma. Our data also suggest that a subdivision of the grade II tumours might be possible and meaningful in the assessment of prognosis.

Adult↗

Karyometric investigations on urinary bladder carcinoma, correlated to histopathological grading.

The aim of this study is to provide karyometric data which may be of value in the grading of urinary bladder tumours. For this purpose 27 biopsies were studied: four from normal bladder mucosae, eleven from grade I tumours, six from grade II tumours and another six from grade III tumours, according to a I-IV scale. After standardized fixation and plastic embedding, semithin sections were used for light microscopic stereology. Mean profile areas and mean volume densities of the nuclei tended to be higher in the more malignant cases. The nuclear volume densities were significantly higher in grade II than in grade I. The most important finding relates to the large nuclear profiles (greater than 90 microns 2), which were found almost exclusively in grade III tumours. Simple measurements of nuclear size can thus provide objective data to aid in the diagnostic procedure.

Aged↗