Summary Biopsies from 26 patients with advanced stage squamous cell carcinoma of the head and neck were investigated to determine the intensity of the inflammatory cellular infiltrate and the expression of leucocyte antigens. Mononuclear Tumour growth is influenced by cells and/or products of the tumour's microenvironment. These influences are mainly due to cells of the defence system (Boheim et al., 1987;Kopper & Lapis, 1985;Zeromski et al., 1986;Kabawat et al., 1983). In vitro assays have demonstrated a significant role for T cells, natural killer (NK) and lymphokine-activated killer (LAK) cells in killing and lysing of neoplastic cells (Patek & Collins, 1988; Strohme et al., 1987;Whiteside et al., 1988;Vinzenz & Micksche, 1987;Gottlinger et al., 1985). Activated macrophages (Me), also, can bind to and destroy neoplastic cells in vitro and in vivo (Fidler & Schroit, 1984;Fidler & Schroit, 1988;Kopper & Lapis, 1985). Furthermore, MO, via cytokines, are capable of enhancing lymphocyte-mediated immunity (Bentzen, 1988). On the other hand, depending on their localisation in tissue, MO may enhance rather than inhibit tumour growth, possible by triggering local immunosuppression (Gronberg et al., 1989;Kopper & Lapis, 1985;Yamanaka et al., 1988;Kronke, 1988). Considering this bimodal role of MS in immunesurveillance of tumours in vitro we focused our studies on the phenotype and surface receptor expression of MO, which could be involved in local immunesurveillance of malignant growths.
Patients and methods
PatientsThe study group consisted of 28 patients with histologically confirmed diagnosis of a squamous cell carcinoma of the upper gastro-intestinal and respiratory tract with varying degree of differentiation (