细胞程序性死亡蛋白5与宫颈癌患者病理特征的关系及对淋巴结转移发生风险的评估价值  

Expression of programmed cell death protein 5 in cervical cancer and its relationship with lymph node metastasis

作　　者：杨光[1] 张丹凤[1] 冯晓娜[1] 张燕[1] YANG Guang;ZHANG Danfeng;FENG Xiaona;ZHANG Yan(Department of Obstetrics and Gynecol-ogy,the First Affiliated Hospital of Jiamusi University,Jiamusi 154002,China)

机构地区：[1]佳木斯大学附属第一医院妇产科,黑龙江佳木斯154002

出　　处：《实用医学杂志》2023年第24期3210-3213,共4页The Journal of Practical Medicine

基　　金：黑龙江省卫生健康委科研课题(编号:20210505010040)。

摘　　要：目的探讨细胞程序性死亡蛋白5(PDCD5)与宫颈癌患者病理特征的关系及对淋巴结转移发生风险的评估价值。方法选择收治的98例宫颈癌患者作为观察组,另选同期98例宫颈良性病变者作为对照组。比较两组血清及病灶组织中PDCD5的表达水平,分析PDCD5与宫颈癌病理特征的关系,使用ROC曲线分析PDCD5对宫颈癌患者淋巴结转移的诊断价值。结果观察组血清及病灶组织中PDCD5的表达水平均低于对照组(P<0.05);随着宫颈癌临床分期和病理分级升高,血清及病灶组织中PDCD5的表达显著下降(P<0.05)。在98例宫颈癌患者中,发生淋巴结转移32例;淋巴结转移组患者血清及病灶组织中PDCD5的表达水平均低于非淋巴结转移组(P<0.05);ROC曲线结果显示,血清和病灶组织中PDCD5预测宫颈癌患者发生淋巴结转移的AUC分别为0.810、0.850,差异无统计学意义(P>0.05)。结论PDCD5与宫颈癌患者的病理特征密切相关,其预测淋巴结转移的效能较好,值得进一步研究应用。Objective To explore the expression of programmed cell death protein 5 in cervical cancer and its relationship with lymph node metastasis.Methods 98 cases of cervical cancer patients admitted to our hospital were selected as the observation group,and 98 cases of cervical benign lesions were selected as the control group.The expression levels of PDCD5 in serum and lesion tissues of the two groups were compared to analyze the relationship between PDCD5 and pathological features of cervical cancer,and the diagnostic value of PDCD5 in lymph node metastasis of patients with cervical cancer was analyzed by ROC curve.Results The expression levels of PDCD5 in serum and lesion tissue of observation group were lower than those of control group(P<0.05).With the increase of clinical stage and pathological grade of cervical cancer,the expression of PDCD5 in serum and lesion tissue was significantly decreased(P<0.05).Among the 98 patients with cervical cancer,32 had lymph node metastasis.The expression levels of PDCD5 in serum and lesion tissue of lymph node metastasis group were lower than those of non-lymph node metastasis group(P<0.05).ROC curve results showed that the AUCs of PDCD5 in serum and lesion tissue to predict lymph node metastasis of cervical cancer patients were 0.810 and 0.850,respectively,with no statistical significance(P>0.05).Conclusion The Programmed cell death protein 5 is closely related to the pathological features of patients with cervical cancer,and it has a good predictive effect on lymph node metastasis,which is worthy of further study and application.

关 键 词：宫颈癌 细胞程序性死亡蛋白5 临床分期 病理分级 淋巴结转移 

分 类 号：R711.74[医药卫生—妇产科学]