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微血管密度与P53表达对胃癌预后的价值

THE SIGNIFICANCE OF MICROVESSEL DENSITY AND P53 EXPRESSION IN GASTRIC CARCINOMA
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摘要 应用微波幅射SP方法检测100例胃癌中CD34和P53表达,结果:P53蛋白阳性表达率52%,P53异常表达与胃癌分化程度,浸润深度无关(P>0.05),而与临床分期、淋巴结转移和预后有密切关系(P<0.05);低分化胃癌组和进展期Ⅱ、Ⅲ、Ⅳ期胃癌微血管密度(MVD)明显高于高分化胃癌组和Ⅰ期胃癌(P<0.001),有淋巴结转移胃癌MVD明显高于淋巴结未转移胃癌(P<0.001),胃癌MVD与P53表达无关(P>0.05),提示:胃癌中存在P53突变,检测P53蛋白异常表达可作为胃癌预后判断指标之一,MVD与胃癌组织学特征和转移密切相关,MVD可能是一个较为独立的预测胃癌预后的重要指标。 The expressions of P53 protein, CD 34 in 100 gastriccarcinoma cases were detected by streptavidin peroxidaseconjugated method (SP) after microwave processing. The results indicated that: P53 expression was detected in 52% of all tumors. No significant correlation between P53 overexpression and grade of tumor differentiation on depth of invasion was detected (P>0.05). The correlations with TNM staging, lymphnode involvement and survial were of margical significance (P<0.05). MVD was higher in poorly differentiated, in advanced stage and in node postive cases (P<0.001). The data suggests that: the immunohistochemical detection of P53 expression is a predictor of outcame of patients with gastric carcinoma. MVD has positive correlation with clinicopthologic feature and metastalis of lymphnodes. MVD may be accepted as an important independent fact for judging prognosis in grastric carcinoma.
出处 《南通医学院学报》 1999年第1期16-17,共2页 ACTA Academiae Medicinae Nantong
关键词 P53 CD34 微血管密度 预后 胃肿瘤 gastric carcinoma P53 CD 34 MVD
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