[Somatostatin and its secretory cells in tumor surrounding mucosa in colorectal cancer patients and its significance].

The somatostatin (SS) levels in tumor surrounding mucosae were determined by RIA, and the SS secretory cells in these tissues were observed by immunocytochemistry in colorectal cancer patients. The mean SS level was higher in cancer-adjacent mucosa (CAM, 0-2 cm from the tumor) than in cancer-distant mucosa (CDM, about 5 cm from the tumor), and in CAM without atypical hyperplasia than in such mucosa with different grades of atypical hyperplasia (P < 0.01). In CAMs, there was a very significant negative correlation between the SS level and cell dysplasia (P < 0.01). The form and location of SS cells in all tumor surrounding mucosae were similar to the normal. Both the mean SS cell number and total positive degree were very significantly higher in CAM than CDM (P < 0.01). SS levels in CAMs were correlated positively with the SS cell numbers and the total positive degrees in CAM (P < 0.01). It is concluded that the elevation of SS level in CAM is mainly caused by the increase of SS cells, which secrete more SS. The change of SS in colorectal cancer surrounding mucosa may play an important role in inhibiting the development of CAM atypical hyperplasia or the tumor, and is a local defensive reaction in the body.