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血管内皮生长因子和细胞分化抑制因子联合检测在宫颈癌诊疗中的应用价值 被引量:1

Expression and clinical significance of VEGF and Id - 1 in ccervical cancer tissues
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摘要 目的检测宫颈癌组织中血管内皮生长因子(VEGF)及细胞分化抑制因子(Id)-1的表达情况,分析其在宫颈癌组织中的表达与临床病理参数之间的关系。方法采用免疫组化法检测VEGF及Id-1在60例宫颈癌组织及30例正常宫颈组织中的表达水平。结果宫颈癌组织中VEGF在癌组织中阳性率80.00%(48/60),明显高于正常宫颈组织的6.67%(2/30)(X2=43.56,P〈0.01);宫颈癌癌组织中Id-1阳性率73.34%(44/60),明显高于正常宫颈组织的10.00%(3/30)(X2=38.31,P〈0.01);宫颈癌组织中VEGF及Id-1的表达与癌组织的分化程度、FIGO分期及脉管瘤栓密切相关(均P〈0.05);而与患者年龄、肿瘤大小、病理类型、淋巴结转移无相关性(均P〉0.05);且两者在宫颈癌组织中表达存在明显的正相关性(r=0.642,P=0.000)。多因素预后回归分析显示:VEGF、Id-1、分化程度、脉管浸润、FIGO分期是宫颈癌患者预后的独立危险因素。结论VEGF及Id-1表达异常与宫颈癌的发生和发展密切相关,两者呈正相关性,联合检测宫颈癌组织中两者的表达可作为临床早期诊断、监测转移及预后情况的依据。 Objective To investigate the expression VEGF and Id - 1 and its possible relationship with the clinical pathological features of cervical cancer. Methods The expression of VEGF and Id - 1 were examined in cer- vical cancer and normal tissues by immunohistochemical SP technique. Results The positive expression rate of VEGF in cervical cancer was 80.00% (48/60) ,which was significantly higher than that in normal tissues 6.67% (2/ 30) (P 〈0.01 ) ;The positive expression rate of Id - 1 protein in cervical cancer was 73.34% (44/60) ,which was significantly higher than that in normal tissues 10.00% (3/30) ( P 〈 0.01 ) ; The expressions of VEGF and Id - 1 were positively correlated with the degree of differentiation, vascular invasion, and FIGO stage ( P 〈 0.05 ), and while was not significantly associated with age, tumor size,lymph node metastasis, and pathologic types. Expression of VEGF was positively related with expression of Id - 1 in cervical cancer tissues( r = 0. 642 ,P = 0. 000). Multiple regression anal- ysis showed that: VEGF, Id - 1, differentiation, vascular invasion, and FIGO were independent prognosis factors for cervical cancer. Conclusion The expressions of VEGF and Id - 1 are correlated with the development of cervical cancer. Detection of the expression of VEGF and Id - 1 in cervical cancer can predict the metastasis and prognosis, which can provide the basis for clinical targeted therapy.
作者 曹桂英
出处 《中国基层医药》 CAS 2015年第5期696-699,共4页 Chinese Journal of Primary Medicine and Pharmacy
关键词 宫颈癌 血管内皮生长因子类 细胞分化抑制因子 Colorectal adenocarcinoma Vascular endothelial growth factors Cell differentiation inhibitory factors
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