G. Franchini et al., DNA-PLOIDY AND PROLIFERATIVE ACTIVITY IN UTERINE-TUMORS - AN IN-VIVO STUDY USING BROMODEOXYURIDINE AND FLOW-CYTOMETRY, Oncology Reports, 1(1), 1994, pp. 65-67
We have studied the DNA ploidy and the proliferative activity in 102 p
atients with endometrial and cervical carcinoma, by flow cytometry. Sa
mples were excised 1 hour after bromodeoxyuridine (BrdU, 250 mg/) e.v.
infusion and fixed in 70% ethanol. Nuclear DNA content and BrdU incor
poration, were simultaneously determined to obtain ploidy (DNA index)
and proliferative activity (BrdU-labeling index, LI). No acute toxicit
y or side effects related to BrdU injection were recorded. The overall
feasibility of the determinations was higher than 90% (93/102). Twent
y-two out of 59 (37.2%) endometrial neoplasms and 23 out of 34 (67.6%)
cervical neoplasms were aneuploid, with a median DNA-index of the ane
uploid peak of 1.3 and 1.4, respectively. Overall median BrdU LIs were
4.8% and 7.2%. Proliferative activity was found to be higher in aneup
loid tumors (p<.05). DNA ploidy and/or BrdU-LI were not significantly
related either with the clinical stage or the histopathologic grading
in either tumor type. The BrdU in vivo administration coupled with biv
ariate FCM for measurement is a simple method that can be performed in
clinical settings to better evaluate the prognostic significance of p
roliferative parameters in gynecological tumors.