摘要
目的:探讨Her-2/neu、TopoⅡα在胃癌组织中的表达及临床意义。方法:应用免疫组织化学PV-9000方法检测90例胃癌及30例正常胃组织中Her-2/neu、TopoⅡα的表达情况,分析二者的表达与临床病理特征之间的关系。结果:90例胃癌组织和30例正常胃组织中Her-2/neu阳性表达率分别为20.0%和3.3%(P<0.05),TopoⅡα阳性表达率分别为65.6%、86.7%(P<0.05)。胃癌组织Her-2/neu的过表达与胃癌的Lauren分型、分化程度、淋巴转移显著相关。胃癌组织中TopoⅡα阳性表达仅与肿瘤的分化程度相关。在18例Her-2/neu高表达的胃癌中有72.2%(13/18)伴有TopoⅡα的表达,在77例TopoⅡα阳性表达的组织中有16.9%(13/77)伴有Her-2/neu的过表达。结论:Her-2/neu、TopoⅡα在胃癌组织表达增高与胃癌的发生发展密切相关,联合检测Her-2/neu、TopoⅡα对于胃癌的治疗具有指导意义,也是判断预后的重要指标。
Objective:To study the expression and clinical significance of Her -2/neu, TopoⅡα in gastric carcinoma tissue. Methods: The expressions of Her - 2/neu and TopoⅡα were detected by PV - 9000 immunohistochemical technique in 90 cases of gastric carcinoma and 30 cases of gastric normal tissue and analyze the relationship between the expression of Her- 2/neu, TopoⅡα and the clinical prognosis of patients. Results: The overexpression incidence of Her -2/neu in 90 cases of gastric cancer and in 30 cases of normal gastric tissue were respectively 20.0% ,3.3% (P 〈 0.05 ) ,and TopoⅡα were respectively 65.6% , 86.7% (P 〈 0.05 ). Overexpression of Her- 2/neu was significandy correlated to Lauren type, degree of differentiation, lymph node metastasis. The expression of TopolIot only had a closely relationship with the degree of differentiation. 72.2% (13/18) of Her -2/neu amplification had coneomitant TopoⅡα amplication. Conclusion: The overexpression of Her -2/neu and TopoⅡα may play a role in the pathogenesis of gastric carcinoma, combined detection would be of benefit in selecting chemotherapeutic agents and evaluating prognosis in gastric carcinoma.
出处
《现代肿瘤医学》
CAS
2008年第10期1716-1718,共3页
Journal of Modern Oncology