32-192

Sarcomas primarios de hueso. Estudio por citometría estática mediante análisis digital de imagen

PRIMARY BONE SARCOMAS. ASSESSMENT BY STATIC IMAGE CYTOMETRY

P. HERNÁNDEZ CORTÉS**, J. ANEIROS CACHAZA*, C. RAMÍREZ TORTOSA*, F. O'VALLE TARRASA*, M. ANDÚJAR SÁNCHEZ*, F. ACOSTA GONZÁLEZ**, M. PEREGRINA PALOMARES** y R. G. DEL MORAL* Departamento de Anatomía Patológica* y Servicio de Cirugía Ortopédica y Traumatología**. Hospital Universitario «San Cecilio», Granada.
Recepción:
07/11/2008
Aceptación:
07/11/2008
Publicación:
12/11/2008


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Resumen (ES)

A densitometry and morphometric assessment by static image cytometry of 50 malignant bone tumors (32 osteosarcomas, 12 chondrosarcomas, and 6 malignant fibrous histiocytomas of bone) was performed in order to assess the validity of the technic in the pathobiological and prognostic evaluation of these neoplasms. A strong correlation between the morphometric features, cromatine distribution and histologic grade was found (Spearman; p < 0.05). These parameters are also statistically different for hight and low grade tumors in clinical staging. The stimation of DNA ploidy by optic densitometry is a significant prognostic factor in the multivariant analysis for the high grade tumors (COX; p < 0.001). Although Flow cytometry is a better procedure to evaluate DNA ploidy peaks, our study reveals static image cytometry as a useful technic for determine the cromatine model and objective assessment of the biological grade of bone neoplasms.

Palabras clave (ES):

Hueso
Citometría
Estática
Análisis
Digital
Imagen
Óseo
Tumor
Maligno
Osteosarcoma
Diagnóstico
Sarcoma
Primario

Resumen (EN)

A densitometry and morphometric assessment by static image cytometry of 50 malignant bone tumors (32 osteosarcomas, 12 chondrosarcomas, and 6 malignant fibrous histiocytomas of bone) was performed in order to assess the validity of the technic in the pathobiological and prognostic evaluation of these neoplasms. A strong correlation between the morphometric features, cromatine distribution and histologic grade was found (Spearman; p < 0.05). These parameters are also statistically different for hight and low grade tumors in clinical staging. The stimation of DNA ploidy by optic densitometry is a significant prognostic factor in the multivariant analysis for the high grade tumors (COX; p < 0.001). Although Flow cytometry is a better procedure to evaluate DNA ploidy peaks, our study reveals static image cytometry as a useful technic for determine the cromatine model and objective assessment of the biological grade of bone neoplasms.

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