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罕见实体亚型甲状腺乳头状癌1例临床病理分析
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作者 郭彦 于虹 贺慧杰 《疾病监测与控制》 2024年第1期79-81,共3页
目的探讨少见的实体亚型甲状腺乳头状癌的临床病理特征、诊断、鉴别诊断、治疗及预后。方法回顾性分析1例实体亚型甲状腺乳头状癌的临床资料、病理HE形态、免疫表型、分子特征等,并复习相关文献。结果肿瘤细胞呈实体片状、岛状、梁状生... 目的探讨少见的实体亚型甲状腺乳头状癌的临床病理特征、诊断、鉴别诊断、治疗及预后。方法回顾性分析1例实体亚型甲状腺乳头状癌的临床资料、病理HE形态、免疫表型、分子特征等,并复习相关文献。结果肿瘤细胞呈实体片状、岛状、梁状生长,实体区域可见少量微滤泡成分,局部区可见典型乳头结构,细胞核具有明显乳头状癌核的特征性;免疫表型表达为CK19(+),CK(+)Tg(+),TTF-1(+),Galectin-3(+),HBME-1(+),PAX-8(+),Vime(+)P27(+),CyclinD-1(+),Calcitonin(+),Bcl-2(+),Syn(-),CgA(-),CEA(-),PTH(-),CD15(-),P53(+3-10%),Ki-67(+10-30%),CD31血管(+)D2-40(淋巴管+)。结论实体亚型甲状腺乳头状癌有其自身的临床病理特点及可能稍差的预后。免疫表型与甲状腺乳头状癌相似,分子标记常与RET/PTC3基因融合有关,归于高危组,更具有侵袭性,治疗上应采取全切甲状腺、清扫淋巴结、碘131治疗及口服优甲乐等更为积极的策略。 展开更多
关键词 实体亚型甲状腺乳头状癌 甲状腺乳头状癌 免疫表型
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微乳头或实体亚型肺浸润性非黏液腺癌与基因突变及PD-L1阳性表达的关系 被引量:1
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作者 亓靖康 刘美丽 马海涛 《江苏医药》 CAS 2022年第6期557-560,共4页
目的探讨微乳头或实体亚型(病理阳性)肺浸润性非黏液腺癌与基因突变及程序性死亡配体1(PD-L1)阳性表达的关系。方法肺浸润性非黏液腺癌患者178例分为病理阳性组(89例)和病理阴性组(89例)。二代基因测序法检测基因突变和免疫组化法检测PD... 目的探讨微乳头或实体亚型(病理阳性)肺浸润性非黏液腺癌与基因突变及程序性死亡配体1(PD-L1)阳性表达的关系。方法肺浸润性非黏液腺癌患者178例分为病理阳性组(89例)和病理阴性组(89例)。二代基因测序法检测基因突变和免疫组化法检测PD-L1表达,比较两组的临床特征、基因突变率和PD-L1阳性表达率。分析影响基因突变和PD-L1阳性表达的危险因素。结果与病理阴性组比较,病理阳性组女性患者比例较低,年龄较大,肿瘤直径>3 cm和脏层胸膜转移患者比例较高(P<0.05)。两组病理分期比较有统计学差异(P<0.05)。病理阳性组基因突变率(58.4%vs.19.1%)和PD-L1阳性表达率(55.1%vs.11.2%)均高于病理阴性组(P<0.05)。病理阳性是影响基因突变的独立危险因素(P<0.05)。脏层胸膜转移和病理阳性是影响PD-L1阳性表达的独立危险因素(P<0.05)。结论微乳头或实体亚型肺浸润性非黏液腺癌患者更容易出现基因突变,若伴脏层胸膜转移则更易出现PD-L1阳性表达。 展开更多
关键词 肺浸润性非黏液腺癌 基因突变 程序性死亡配体1 微乳头亚型 实体亚型
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Molecular characterization and expression profiles of four transformer-2 isoforms in the Chinese mitten crab Eriocheir sinensis 被引量:1
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作者 罗丹丽 刘媛 +3 位作者 惠敏 宋呈文 刘厚荣 崔朝霞 《Chinese Journal of Oceanology and Limnology》 SCIE CAS CSCD 2017年第4期782-791,共10页
The transformer-2(tra-2) gene plays a key role in the regulatory hierarchy of sexual differentiation in somatic tissues and in the germline of Drosophila melanogaster.In this study,sequences and expression profiles of... The transformer-2(tra-2) gene plays a key role in the regulatory hierarchy of sexual differentiation in somatic tissues and in the germline of Drosophila melanogaster.In this study,sequences and expression profiles of tra-2 in the Chinese mitten crab Eriocheir sinensis were characterized.Four tra-2 isoforms,designated as Estra-2a,Estra-2b,Estra-2c,and Estra-2d,were isolated.They all contained an RNA-recognition motif(RRM) and a linker region,which shared high similarity with other reported tra-2s.Sequence analysis revealed that Estra-2a,Estra-2b and Estra-2c are encoded by the same genomic locus and are generated by alternative splicing of the pre-mRNA.Compared with the other three isoforms,Estra-2d lacks the RS2 domain.Quantitative real-time PCR showed that all four isoforms were highly expressed in the fertilized egg,and in the 2-4 cell and blastula stages compared with larval stages(P<0.01),suggesting their maternal origin in early embryonic developmental stages.Notably,Estra-2a was highly expressed in male somatic tissues,while Estra-2c was significantly highly expressed in the ovary.These results suggest that Estra-2c is involved in sexual differentiation of the Chinese mitten crab.Our findings provide basic information for further functional studies of the tra-2 gene/protein in this species. 展开更多
关键词 Eriocheir sinensis transformer-2 genes embryonic stage larval stage sex-determination
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