Breast carcinomas often contain multiple DNA stemlines in flow cytomet
ric DNA histograms, However, due to mixing during tissue disaggregatio
n the microanatomical relationship between the cells which comprise di
stinct stemlines is unclear, We performed image cytophotometric DNA an
alysis (IA) on two separate areas of intact tissue sections of 19 brea
st carcinomas which were selected on the basis of flow cytometric (FCM
) DNA content heterogeneity (i.e., multiple stemlines), For comparison
, similar analyses were performed on seven tumors with unimodal FCM DN
A histograms, Six of the 7 tumors (86%) with unimodal FCM histograms w
ere also unimodal in both IA DNA histograms, Among tumors with heterog
eneous FCM DNA histograms, the presence of multiple stemlines was conf
irmed in IA DNA histograms in 16/19, In nine of these 16 cases, multip
le DNA stemlines having similar DNA indices were present in both areas
of neoplasm examined with IA. The remaining seven cases displayed uni
modal IA histograms in both areas, however DNA indices differed betwee
n the two histograms, These findings imply that cell populations corre
sponding to now cytometrically detected DNA stemlines are often intima
tely admired, even within geographically separated portions of breast
tumors, This pattern suggests that productive interactions between gen
etically distinct tumor populations may lead to stable co-dominance of
ancestral clones during progression of some breast carcinomas. (C) 19
95 Wiley-Liss, Inc.