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題 名 | Transitional Cell and Uncommon Urothelial Carcinoma of Renal Pelvis/Ureter and Bladder: Low Incidence of Human Papilloma Virus=膀胱及腎盂/輸尿管移形上皮癌及少見惡性腫瘤:低人類乳突病毒發生率 |
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作 者 | 王志生; 曾暉華; 林秀玲; 謝時鵬; | 書刊名 | 中華醫學雜誌 |
卷 期 | 59:3 1997.03[民86.03] |
頁 次 | 頁151-157 |
分類號 | 414.84 |
關鍵詞 | 膀胱; 腎盂; 輸尿管; 腫瘤; 人類乳突病毒; Bladder; Human papilloma virus; Neoplasm; Pelvis/ureter; |
語 文 | 英文(English) |
中文摘要 | 背景: 近年來有些文獻報導人類乳突病毒(human papilloma virus)與膀胱移形上皮癌有關。但眾說紛云。雖然利用相同的原位雜交法 (in situ hybridization)或聚合(脢)連鎖反應 (polymerase chain reaction)去探討,卻有正反不同的結果。至於腎盂及輸尿管移形上皮癌與人類乳突病毒之關係則未見文獻報導。本研究乃針對118例膀胱及腎盂╱輸尿管移形上皮癌與少見惡性腫瘤,探討其與人類乳突病毒之關係。 方法:利用非放射性原位雜交法,針對51例膀胱移形上皮癌,48例腎盂╱輸尿管移形上皮癌,5例膀胱腺癌,3例膀胱小細胞上皮癌,2例膀胱未分化性上皮癌,1例多發性腎盂及輸尿管鱗狀上皮癌,及8例膀胱鱗狀上皮癌之蠟塊標本作分析研究。先利用FITC連接之廣泛型HPV探針篩檢,再以HPV 6/11, 16, 18, 31, 33型探針決定其次型。 結果:所有病例中,只有3例膀胱鱗狀上皮癌呈HPV陽性。而且經臨床資料分析,發現其中2例為子宮頸鱗狀上皮癌侵犯到膀胱;只有1例HPV陽性者為原發性膀胱鱗狀上皮癌。此例膀胱鱗狀上皮癌發生於接受類固醇及cyclophosphamide治療之全身性紅斑性狼瘡病人。其餘分別為膀胱移形上皮癌51例,腎盂╱輸尿管移形上皮癌48例,膀胱腺癌5例,膀胱小細胞上皮癌3例,及膀胱未分化性上皮癌2例皆呈HPV陰性。 結論:本研究顯示膀胱及腎盂╱輸尿管移形上皮癌或少見惡性腫瘤似乎與人類乳突病毒無關。但膀胱鱗狀上皮癌若發生在免疫系統有缺陷的病人身上,則可能與人類乳突病毒有關。 |
英文摘要 | Background: Recently, it has been proposed that human papilloma virus (HPV) infection may play a role in the carcinogenesis of bladder urothelial malignancy. However, there is still controversy about the prevalence of HPV in such malignancies. With similar techniques of in situ hybridization (ISH) or polymerase chain reaction (PCR), either high or rare frequency have been detected. To evaluate the prevalence of HPV in the urothelial malignancies based on presentations here, 118 cases of urothelial malignancies were analysed, including those of the renal pelvis and ureter which have rarely been reported before. Methods: Non-isotopic ISH technique was used to detect HPV on paraffin sections, including 51 bladder transitional cell carcinoma (TCC), 48 renal pelvic/ureter TCC, 5 bladder adenocarcinoma, 3 bladder small cell carcinoma, 2 bladder undifferentiated carcinoma, 1 multiple synchronous pelvic and ureteric squamous cell carcinoma (SCC), and 8 bladder SCC. An FITC-labelled probe of wide spectrum HPV was used for screening, and probes of HPV 6/11, 16, 18, 31, 33 were used for typing. Results: By the technique of ISH, wide spectrum HPV was detected in only three of the eight cases of bladder SCC. Of the three positive cases, two were subsequently shown to be uterine cervical SCC with bladder invasion. Therefore, HPV was positive in only one case of primary bladder SCC, occurring in a patient with systemic lupus erythema-tosus under steroid and cyclophosphamide therapy. Further subtyping was negative for HPV 6/11, 16, 18, 31, and 33. The result indicated that the positive staining by wide spectrum probe was caused by types 30, 35, 45, 51, and/ or 52. HPV was not detected in any of the 51 bladder TCC, 48 renal pelvic/ureter TCC, 5 bladder adenocarcinoma, 3 bladder small cell carcinoma, and 2 bladder undifferentiated carcinoma. Conclusions: The results are in agree-ment with the majority of recent reports which suggest that HPV is unlikely to be involved in the etiology of urothelial malign-ancies; however, it seems probable that immunosuppressed patients are at greater risk for HPV-associated bladder SCC. |
本系統中英文摘要資訊取自各篇刊載內容。