DNA Aneuploidy in Ulcerative Colitis and in Colorectal Carcinoma – A Comparative Study

DNA aneuploidy is of interest as an additive marker for carcinoma risk in ulcerative colitis. It is known that colorectal carcinomas often are aneuploid with DNA indices centered around a median value of 1.5, corresponding to triploidy, and that adenomas, if aneuploid, have DNA indices closer to 2.0...

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Main Authors: Roger Stenling, Bernt O. Jonsson, Richard Palmqvist, Jörgen N. Rutegård
Format: Article
Language:English
Published: Wiley 1999-01-01
Series:Analytical Cellular Pathology
Online Access:http://dx.doi.org/10.1155/1999/658189
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author Roger Stenling
Bernt O. Jonsson
Richard Palmqvist
Jörgen N. Rutegård
author_facet Roger Stenling
Bernt O. Jonsson
Richard Palmqvist
Jörgen N. Rutegård
author_sort Roger Stenling
collection DOAJ
description DNA aneuploidy is of interest as an additive marker for carcinoma risk in ulcerative colitis. It is known that colorectal carcinomas often are aneuploid with DNA indices centered around a median value of 1.5, corresponding to triploidy, and that adenomas, if aneuploid, have DNA indices closer to 2.0, the tetraploid region. In a colonoscopic surveillance programme, colorectal mucosal biopsies from 104 patients with ulcerative colitis were examined by flow cytometry, and the DNA indices determined and compared with findings of cellular dysplasia. In 17 patients, DNA aneuploidy was diagnosed, with DNA indices ranging from 1.2 to 2.0, median 1.9. Three patients with high grade dysplasia all had DNA indices within the triploid region. These results were compared with the DNA indices from a group of 49 patients with non‐colitis‐associated aneuploid colorectal carcinomas, in which the levels ranged from 1.1 to 2.0 with a median value of 1.5. Accordingly, the DNA index in the colitis patients with aneuploidy was more often within the tetraploid region. These results, obtained in patients with ulcerative colitis, indicate a possible precancerous progress from diploidy over tetraploidy to triploidy also in patients with long‐standing ulcerative colitis. In addition, the results speak in favour of a connection between DNA indices in the triploid region and more profound premalignant alterations.
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spelling doaj-art-4880dbcba9cc4ed4a46572b7609656ad2025-08-20T03:36:01ZengWileyAnalytical Cellular Pathology0921-89121878-36511999-01-01182697210.1155/1999/658189DNA Aneuploidy in Ulcerative Colitis and in Colorectal Carcinoma – A Comparative StudyRoger Stenling0Bernt O. Jonsson1Richard Palmqvist2Jörgen N. Rutegård3Department of Pathology, University Hospital of Umeå, SwedenDepartment of Surgery, University Hospital of Umeå, SwedenDepartment of Pathology, University Hospital of Umeå, SwedenDepartment of Surgery, University Hospital of Umeå, SwedenDNA aneuploidy is of interest as an additive marker for carcinoma risk in ulcerative colitis. It is known that colorectal carcinomas often are aneuploid with DNA indices centered around a median value of 1.5, corresponding to triploidy, and that adenomas, if aneuploid, have DNA indices closer to 2.0, the tetraploid region. In a colonoscopic surveillance programme, colorectal mucosal biopsies from 104 patients with ulcerative colitis were examined by flow cytometry, and the DNA indices determined and compared with findings of cellular dysplasia. In 17 patients, DNA aneuploidy was diagnosed, with DNA indices ranging from 1.2 to 2.0, median 1.9. Three patients with high grade dysplasia all had DNA indices within the triploid region. These results were compared with the DNA indices from a group of 49 patients with non‐colitis‐associated aneuploid colorectal carcinomas, in which the levels ranged from 1.1 to 2.0 with a median value of 1.5. Accordingly, the DNA index in the colitis patients with aneuploidy was more often within the tetraploid region. These results, obtained in patients with ulcerative colitis, indicate a possible precancerous progress from diploidy over tetraploidy to triploidy also in patients with long‐standing ulcerative colitis. In addition, the results speak in favour of a connection between DNA indices in the triploid region and more profound premalignant alterations.http://dx.doi.org/10.1155/1999/658189
spellingShingle Roger Stenling
Bernt O. Jonsson
Richard Palmqvist
Jörgen N. Rutegård
DNA Aneuploidy in Ulcerative Colitis and in Colorectal Carcinoma – A Comparative Study
Analytical Cellular Pathology
title DNA Aneuploidy in Ulcerative Colitis and in Colorectal Carcinoma – A Comparative Study
title_full DNA Aneuploidy in Ulcerative Colitis and in Colorectal Carcinoma – A Comparative Study
title_fullStr DNA Aneuploidy in Ulcerative Colitis and in Colorectal Carcinoma – A Comparative Study
title_full_unstemmed DNA Aneuploidy in Ulcerative Colitis and in Colorectal Carcinoma – A Comparative Study
title_short DNA Aneuploidy in Ulcerative Colitis and in Colorectal Carcinoma – A Comparative Study
title_sort dna aneuploidy in ulcerative colitis and in colorectal carcinoma a comparative study
url http://dx.doi.org/10.1155/1999/658189
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