Using a silver staining technique, nucleolar organizer region-associated proteins (AgNORs) were studied in ten sputum specimens containing atypical squamous cells, five of early squamous cell carcinoma, and five of invasive squamous cell carcinoma.
The following results were obtained:
1) The mean number of AgNORs per nucleus was 2.43±0.3 (mean±SD) in atypical squamous cells, 3.29±0.3 in early squamous cell carcinoma, and 4.51±0.7 in invasive squamous cell carcinoma.
2) The mean diameter of AgNORs in the nucleus was 1.04±0.53μm (mean±SD) in atypical squamous cells, 1.48±0.65μm in early squamous cell carcinoma, and 2.14±0.87μm in invasive squamous cell carcinoma.
There were highly significant differences between the AgNORs numbers and diameters in atypical squamous cells, early squamous cell carcinoma, and invasive squamous cell carcinoma (P<0.005).
Furthermore, the differences in morphologic features of AgNORs were compared between the cells.
As a result,
3) The ratio of cells having more than 5 small black dots in the nucleolus was 15% in atypical squamous cells, 57% in early squamous cell carcinoma, and 78% in invasive squamous cell carcinoma.
4) The ratio of cells having numerous small black dots in the nucleus was 3% in early squamous cell carcinoma, and 10% in invasive squamous cell carcinoma, but 0% in atypical squamous cells.
These results suggest that AgNORs staining is a useful technique for the differential diagnosis of squamous cell atypias.
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