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作 者:王瑞海[1]
机构地区:[1]山东省新汶矿业集团莱芜中心医院外二科,271103
出 处:《中国医药》2010年第8期697-698,共2页China Medicine
摘 要:目的探讨CD24在胃癌组织中的表达及临床意义。方法采用免疫组化方法,检测CD24在46例胃癌、28例浅表性胃炎、35例萎缩性胃炎、42例肠化生和25例癌旁组织中的表达水平。结果胃癌、癌旁组织和肠化生组织CD24阳性表达率[分别为67.4%(31/46)、36.0%(9/25)、81.0%(34/42)]明显高于浅表性胃炎和萎缩性胃炎[分别为3.6%(1/28)、8.6(3/35)]。胃癌组织CD24阳性表达率明显高于癌旁组织,差异有统计学意义(P〈0.05)、Ⅲ~Ⅳ期的CD24表达率[92.0%(23/25)]明显高于I~Ⅱ期[38.1%(8/21)],T3+T4级(85.2%(24/27))明显高于T1+T2级[36.8%(7/19)]有淋巴结转移者的阳性率[86.4%(19/22)]明显高于无淋巴结转移者[50.0%(12/24)]。结论CD24可能在胃癌的生长、恶性进展和侵袭转移过程中起着重要作用。Objective To study the expression and clinical significance of CD24 in human gastric carcino- ma. Methods The expression of CD24 in the gastric carcinoma ( n = 46), superficial gastritis ( n = 28 ), atrophic gastritis( n = 35 ), intestinal metaplasia ( n = 42 ) and peritumoral tissue ( n = 25 ) were detected by immunohisto- chemistry method. Results The positive expression of CD24 in gastric carcinoma, peritumoral tissue and intestinal metaplasia were significantly higher than those in superficial gastritis and atroph gastritis(P 〈 0.01 ) ; and the posi- tive expression of CD24 in gastric carcinoma was higher with the rise of TNM staging(P 〈0.01 ), the extent of infiltration was aggravated with the severity( P 〈 0.01 ), in existing lymph node metastasis was notably higher than those in non-existing lymph node metastasis (P 〈 0.01 ). Conclusions CD24 may play an important role in the growth of gastric cancer, malignant progression, invasion and metastasis.
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