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胃癌组织中Her-2/neu基因的表达及其临床意义

Expression and Clinical Significance of Her-2/neu Gene in Gastric Carcinoma
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摘要 目的:检测Her-2/neu基因在胃癌组织中的蛋白表达,探讨其表达与胃癌患者临床病理指标及预后之间的关系。方法:收集手术切除胃癌患者临床病理资料,采用免疫组织化学SP法检测石蜡组织切片Her-2/neu基因表达水平,分析与临床病理指标的关系及意义。结果:检测342例手术切除胃癌标本Her-2/neu蛋白表达阳性90例(26.32%)。Her-2/neu基因表达在组织学类型、分化程度、浸润程度的组别间差异均无统计学意义(P>0.05),而在肿瘤是否伴有淋巴结转移、远处转移和生存时间的组别间差异具有统计学意义(P<0.05)。结论:Her-2/neu基因表达上调与淋巴结转移、远处转移及不良预后相关,可作为评估胃癌预后的重要参考指标。针对Her-2/neu基因靶点进行胃癌的分子靶向治疗有助于控制病程进展。 Objective: To study the expression of Her-2/neu gene in gastric cancer tissues. The relationship between Her-2/neu gene expression and the clinicopathological indices,the prognosis of gastric cancer patients was also studied in our research. Methods:342 gastric cancer tissues paraffin were detected with immunohistochemistry SP. To explore the relationship between the expression of Her-2/neu gene and clinical significance. Results:90 tissue samples were positive in Her-2/neu gene expression, and the positive ratio is 26.32%. The expression of Her-2/neu gene in different groups of histological type, histological grade and depth of invasion was no significant difference (P〉0. 05). However, the expression of Her-2/neu gene in different groups of lymph node metastasis, distant metastasis and the survival time was statistically significant difference (P〈0. 05). Conclusion: The high expression of Her-2/neu gene is closely related with lymph node metastasis and distant metastasis in the progress of gastric cancer. The expression of Her-2/neu gene could be used as an important indicator to evaluate prognosis of gastric cancer. Her-2/neu gene could be used as a molecular targeting in the treatment of gastric cancer.
出处 《医学理论与实践》 2014年第12期1549-1551,共3页 The Journal of Medical Theory and Practice
基金 天津市卫生局科技基金项目(编号:2010KY17)
关键词 胃癌 HER-2/NEU基因 免疫组化 预后 Gastric cancer, Her-2/neu gene, Immunohistochemistry, Prognosis
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参考文献16

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