Feulgen-DNA and nuclear light green-protein measurements have been performed in isolated nuclei of normal (nonmalignant) and malignant human endometrial homogenates.The DNA content of the GO/Gl fraction of malignant endometrium showed much overlap with that of normal endometrium, or was slightly increased. Two of the 18 carcinomas were clearly aneuploid. No correlation was found between the histological grade and the DNA content. The tumors of clinical stage I1 and higher all had a higher DNA content than that of normal endometrium.The percentage of cells present in the proliferative fraction was higher in proliferative endometrium than in secretory and postmenopausal atrophic endometrium. For malignant endometrium, percentages were found comparable to that of normal endometrium or higher. No correlation was found with the histological grade. Tumors of stage I1 and higher had intermediate values compared to those of carcinomas below stage 11.The nuclear protein/l)NA ratio of malignant endometrium completely overlapped that of normal endometrium. However, for postmenopausal women, most values of the carcinomas exceeded that of normal, atrophic, endometrium. Within the tumor population, no correlation was found with the histological grade. Higher values were found with tumors of clinical stage I1 and higher.

A method for the extraction of nuclei from selected regions in paraffin‐embedded tissue is described. Fifty‐micrometer sections are cut, dewaxed, and rehydrated. For the final handling, the sections are manually transferred from one tray to another. The sections are put on a slide under a dissection microscope and the region of interest is isolated by scraping off the irrelevant region with a scalpel. An optimal number of single nuclei is obtained by incubation in a protease solution with intermediate syringing. The nuclei are washed and can be used for flow cytometry. Resuspension of the nuclei in foetal calf serum and cytocentrifugation results in preparations suited for image analysis. DNA cytometric measurements of nuclei in a carcinoma in situ and an invasive carcinoma region in breast tissue present in the same tissue block and in a severe dysplasia/carcinoma in situ (CIN III) region of the cervix are presented.

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Propidium iodide DNA flow cytometry, Feulgen-DNA, and nuclear light green protein scanning cytometry were performed in columnar epithelial cells of normal, nonmalignant human endometrium and endometrial adenocarcinomas. Columnar cells were identified by immunohistochemical staining for cytokeratin 18, an intermediate filament protein specifically present in columnar cell epithelium. DNA measurements derived from flow and scanning cytometry showed comparable results. The DNA content of the GO/Gl fraction of the adenocarcinomas had a considerable overlap with that of normal endometrium, with that of the carcinomas shifted toward higher values. For the carcinomas, no correlation was found with the histological grade, with the exception of the adenosquamous carcinomas. Most of the clinical stage I tumors showed a DNA content in the normal diploid region. Three of the four carcinomas of clinical stage I1 and higher had an increased DNA content.For the carcinomas, the percentage of cells in the proliferative fraction, as determined In a preceding paper (111, we compared DNA and nuclear protein values in normal endometrium and endometrial adenocarcinomas to study the changes herein during neoplastic transformation. The results showed that the carcinoma cells had the same or a n increased DNA content compared with normal endometrium, a large variation in the percentage of cells in the proliferative fraction, and a comparable amount of nuclear protein. These measurements were performed in isolated nuclei obtained from homogenates of normal endometrium and endometrial adenocarcinomas. Normal endofrom scanning cytometric derived DNA histograms, was comparable to that of normal endometrium, or higher. No correlation was found with the histological grade. Tumors of clinical stage I1 and higher had intermediate values compared to carcinomas of lower stages.The nuclear protein/DNA ratio of malignant endometrium completely overlapped that of normal endometrium. Within the tumor poy;,ulation, no correlation was found with the hisitological grade, with the exception of the adenosquamous carcinomas, and clinical stage.Based on the aforementioned parameters, no discrimination could be obtained between normal and malignant endometrium. However, when the DNA content of the GO/G1 fraction was combined with the coefficient of variation of the nuclear protein/UNA ratio, a clear discrimination could be obtained with only two false-positive cases.Key terms: Adenocarcinomas, DNA cytometry, nuclear protein cytometry, cytokeratin metrium and endometrial adenocarcinomas are composed of several tissue types, however. Normal endometrium contains a varying number of glands, dependent. on the period of the menstrual cycle, which are lined up by columnar epithelial cells. The glands are Address reprint requests to Peter S. Oud,