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Image Cytometry Analysis


Diploid population from normal bronchial epithelium adjacent to squamous carcinoma DNA histogram
Fig.(1a) DNA histogram shows a single diploid population from normal bronchial epithelium (1b) adjacent to squamous carcinoma in a patient who survived for less than 24 months or a progressor (Feulgen stain x 400). Fig.(2a) Same patient as figure (1) DNA histogram shows a predominantly diploid pattern but with a broader coefficient of variation compared to fig.1a measured from (2b) Feulgen stained slide of bronchial hyperplasia adjacent to lung cancer (Feulgen x 400) Fig. (2c) shows the same area as (2b) (H&E x 400).
Focal areas of dysplasia adjacent to carcinoma Multiple aneuploid stem-lines
Fig.(3a) DNA histogram measured from bronchus in same slide as fig 1 and 2, (fig 3b) showing focal areas of dysplasia adjacent to the carcinoma (H&E x 400), shows emergence of a small aneuploid sub-population.  Fig.(4a) DNA histogram from poorly differentiated squamous carcinoma with bronchial wall invasion as shown in fig 4b (H&E x 400) from same patient as fig 1-3, show multiple aneuploid stem-lines with major peaks around 3C and 4C, with many cells with DNA content > 5C.
Single major diploid peak Multiple aneuploid stem lines
Fig.(5a) DNA histogram shows a single major diploid peak in cells measured interactively from (b) normal bronchial mucosa adjacent to the carcinoma (Feulgen x 100) in a progressor or patient who survived less than 24 months with squamous carcinoma. Fig.(6a) Poorly differentiated squamous carcinoma same patient as fig. (5) note mitotic figures, (H&E x 400). Fig. (6b) DNA histogram showed multiple aneuploid stem lines with numerous cells with DNA content > 5C.
Normal bronchus with squamous carcinoma Long survivor with squamous  carcinoma
Fig.(7a) DNA histogram from normal bronchus (fig7b) in a patient with squamous carcinoma (fig 8) who survived >24 months, shows a diploid population centered between 10000-20000 AU. Fig.(8a) DNA histogram from a long survivor with squamous carcinoma as depicted in fig 8b (Feulgen stain x 400) shows a predominantly diploid DNA population with rare cells with DNA content > 5C.
Normal bronchial epithelium adjacent to tumour in non-progressor Squamous carcinoma from long survivor
Fig. (9a) Diploid DNA histogram with main peak between 10000-20000 arbitrary units (AU) measured from fig 9b. Normal bronchial epithelium adjacent to tumor in non-progressor with squamous carcinoma (H&E x 400). Fig.(10a) Squamous carcinoma from long term survivor > 24 months, same patient fig 9, (H&E x 100). Fig.(10b) Higher magnification of well to moderately differentiated squamous carcinoma (H&E x 400). Fig. (10c) DNA histogram shows a predominantly diploid sub-population with 0% cells with DNA content > 5C, from same patient as fig. 9a,b, Fig10a-b. who survived for longer than 24 months with stage I lung cancer. 
FNA of non-small cell lung carcinoma Feulgen stain
Fig. (11a) FNA of non-small cell lung carcinoma with features of adenocarcinoma in a patient with concurrent brain metastases (Papanicoulau x 400). Fig. (11b) Feulgen stain performed on a destained Pap smear of fig.11a. (Feulgen x 400).
Normal bronchus Malignant cells of adenocarcinoma
Fig. (11c) Normal bronchus in cell block prepared from the FNA depicted in fig.11a. (H&E x 400).  Fig. (11d) Cell block prepared from same FNA showing malignant cells of adenocarcinoma prepared from FNA depicted in fig 11a. (H&E x 400).