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Journal of Clinical Pathology logoLink to Journal of Clinical Pathology
. 1986 Apr;39(4):387–392. doi: 10.1136/jcp.39.4.387

DNA content and the adenoma-carcinoma sequence in the colorectum.

H S Goh, J R Jass
PMCID: PMC499834  PMID: 3700672

Abstract

DNA content was measured in 269 benign adenomas and 203 adenocarcinomas of the large bowel by flow cytometry. Nuclear suspensions were prepared by pepsin digestion of paraffin sections, and an adjacent section was graded histologically by one observer. Aneuploid adenomas included five of 134 (4%) showing mild dysplasia, 19 of 107 (18%) showing moderate dysplasia, and 10 of 28 (36%) showing severe dysplasia. The association between aneuploidy and grade of epithelial dysplasia was highly significant. This gives support to the adenoma (dysplasia)-carcinoma hypothesis. Carcinomas showing aneuploidy included 18 of 29 (62%) well differentiated, 92 of 144 (64%) moderately differentiated, and 19 of 30 (63%) poorly differentiated cases. There was no relation between aneuploidy and grade of carcinoma. These findings indicate an important biological difference between adenoma and carcinoma.

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Selected References

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  1. Clark J. C., Collan Y., Eide T. J., Estève J., Ewen S., Gibbs N. M., Jensen O. M., Koskela E., MacLennan R., Simpson J. G. Prevalence of polyps in an autopsy series from areas with varying incidence of large-bowel cancer. Int J Cancer. 1985 Aug 15;36(2):179–186. doi: 10.1002/ijc.2910360209. [DOI] [PubMed] [Google Scholar]
  2. Forsslund G., Cedermark B., Ohman U., Erhardt K., Zetterberg A., Auer G. The significance of DNA distribution pattern in rectal carcinoma. A preliminary study. Dis Colon Rectum. 1984 Sep;27(9):579–584. doi: 10.1007/BF02553840. [DOI] [PubMed] [Google Scholar]
  3. Goelz S. E., Vogelstein B., Hamilton S. R., Feinberg A. P. Hypomethylation of DNA from benign and malignant human colon neoplasms. Science. 1985 Apr 12;228(4696):187–190. doi: 10.1126/science.2579435. [DOI] [PubMed] [Google Scholar]
  4. Hedley D. W., Friedlander M. L., Taylor I. W., Rugg C. A., Musgrove E. A. Method for analysis of cellular DNA content of paraffin-embedded pathological material using flow cytometry. J Histochem Cytochem. 1983 Nov;31(11):1333–1335. doi: 10.1177/31.11.6619538. [DOI] [PubMed] [Google Scholar]
  5. Isaacson P. Immunoperoxidase study of the secretory immunoglobulin system in colonic neoplasia. J Clin Pathol. 1982 Jan;35(1):14–25. doi: 10.1136/jcp.35.1.14. [DOI] [PMC free article] [PubMed] [Google Scholar]
  6. Jass J. R., Strudley I., Faludy J. Histochemistry of epithelial metaplasia and dysplasia in human stomach and colorectum. Scand J Gastroenterol Suppl. 1984;104:109–130. [PubMed] [Google Scholar]
  7. Konishi F., Morson B. C. Pathology of colorectal adenomas: a colonoscopic survey. J Clin Pathol. 1982 Aug;35(8):830–841. doi: 10.1136/jcp.35.8.830. [DOI] [PMC free article] [PubMed] [Google Scholar]
  8. McKinley M., Budman D., Caccese W., Weissman G., Scheidt N., Kahn E., Bronzo R. Evaluation of colonic neoplasia by flow cytometry of endoscopic biopsies. Am J Gastroenterol. 1985 Jan;80(1):47–49. [PubMed] [Google Scholar]
  9. Messinetti S., Zelli G. P., Marcellino L. R., Alcini E. Benign and malignant epithelial tumors of the gastroenteric tract. Chromosome analysis in study and diagnosis. Cancer. 1968 May;21(5):1000–1010. doi: 10.1002/1097-0142(196805)21:5<1000::aid-cncr2820210525>3.0.co;2-q. [DOI] [PubMed] [Google Scholar]
  10. Paraskeva C., Buckle B. G., Sheer D., Wigley C. B. The isolation and characterization of colorectal epithelial cell lines at different stages in malignant transformation from familial polyposis coli patients. Int J Cancer. 1984 Jul 15;34(1):49–56. doi: 10.1002/ijc.2910340109. [DOI] [PubMed] [Google Scholar]
  11. Quirke P., Dyson J. E., Dixon M. F., Bird C. C., Joslin C. A. Heterogeneity of colorectal adenocarcinomas evaluated by flow cytometry and histopathology. Br J Cancer. 1985 Jan;51(1):99–106. doi: 10.1038/bjc.1985.14. [DOI] [PMC free article] [PubMed] [Google Scholar]
  12. Riddell R. H. Dysplasia and cancer in ulcerative colitis: a soluble problem? Scand J Gastroenterol Suppl. 1984;104:137–149. [PubMed] [Google Scholar]
  13. Rognum T. O., Brandtzaeg P., Thorud E. Is heterogeneous expression of HLA-dr antigens and CEA along with DNA-profile variations evidence of phenotypic instability and clonal proliferation in human large bowel carcinomas? Br J Cancer. 1983 Oct;48(4):543–551. doi: 10.1038/bjc.1983.227. [DOI] [PMC free article] [PubMed] [Google Scholar]
  14. Spandidos D. A., Kerr I. B. Elevated expression of the human ras oncogene family in premalignant and malignant tumours of the colorectum. Br J Cancer. 1984 Jun;49(6):681–688. doi: 10.1038/bjc.1984.108. [DOI] [PMC free article] [PubMed] [Google Scholar]
  15. Vatn M. H., Stalsberg H. The prevalence of polyps of the large intestine in Oslo: an autopsy study. Cancer. 1982 Feb 15;49(4):819–825. doi: 10.1002/1097-0142(19820215)49:4<819::aid-cncr2820490435>3.0.co;2-d. [DOI] [PubMed] [Google Scholar]
  16. Weiss H., Wildner G. P., Jacobasch K. H., Heinz U., Schaelicke W. Characterization of human adenomatous polyps of the colorectal bowel by means of DNA distribution patterns. Oncology. 1985;42(1):33–41. doi: 10.1159/000225996. [DOI] [PubMed] [Google Scholar]
  17. Wolley R. C., Schreiber K., Koss L. G., Karas M., Sherman A. DNA distribution in human colon carcinomas and its relationship to clinical behavior. J Natl Cancer Inst. 1982 Jul;69(1):15–22. [PubMed] [Google Scholar]
  18. van den Ingh H. F., Griffioen G., Cornelisse C. J. Flow cytometric detection of aneuploidy in colorectal adenomas. Cancer Res. 1985 Jul;45(7):3392–3397. [PubMed] [Google Scholar]

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