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宫颈液基细胞中p16INK4a和cyclin E蛋白表达及其对CIN Ⅰ患者预后的评估价值 被引量:1

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摘要 目的:探讨宫颈液基细胞中p16INK4a和cyclin E蛋白表达及其对CINI患者预后的评估价值。方法:收集我院病理科2005-10/2008-10液基细胞学诊断CIN Ⅰ级患者86例,均经病理组织学证实为CIN Ⅰ级。采用免疫细胞化学染色检测p16INK4a及cyclin E蛋白,同时随访1年,观察其表达与患者病情转归的相关性。结果:86例CIN Ⅰ级患者宫颈液基细胞中p16INK4a阳性表达59例(68.6%),cyclin E阳性表达70例(81.4%)。随访1年,54例CINI病变治愈,21例CIN Ⅰ病变未愈,11例进展为CIN Ⅱ及CIN Ⅲ(恶化)。59例pl6INK4A阳性表达病例中28例治愈,20例未愈,11例恶化;而27例pl6INK4A表达阴性者中26例治愈,1例仍未愈,均无恶化。两者比较有统计学差异(P<0.01)。70例cyclin E阳性表达病例中29例治愈,26例未愈,15例恶化;而16例cyclin E表达阴性者均治愈。两者比较有统计学差异(P<0.01)。结论:p16INK4a及cyclin E蛋白联合检测对判断宫颈CIN Ⅰ患者预后可能具有重要的临床价值。
作者 郭晓东 孙婷
出处 《细胞与分子免疫学杂志》 CAS CSCD 北大核心 2010年第6期591-592,共2页 Chinese Journal of Cellular and Molecular Immunology
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  • 2李娟清,石一复.子宫颈上皮内瘤变的诊治[J].实用肿瘤杂志,2007,22(1):9-10. 被引量:15
  • 3谢幸.宫颈上皮内瘤变的处理[C].20lO中国妇产科学术会议论文集,2010:92-94.
  • 4Colgan TJ. The 2006 consensus guidelines for the management of women with abnormal cervical screening tests :challenges remain [J]. Cancer Cytopathology, 2010, 118 (05) : 233-237.
  • 5郝敏,卞美璐.人乳头瘤病毒病毒L1蛋白功能及其临床应用[J].中华实用妇科与产科杂志,2010,26(5):352-355.
  • 6Rauber D, Mehlhorn G, Fasching PA, et al. Prognostic significance of the detection of human papilloma virus L1 protein in smears of mild to moderate cervical intraepithelial lesions [J]. Eur J Obstet,2008,140 (2) :258-262.
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  • 8Kim YT,Zhao M. Aberrant cell cycle regulation in cervical carcinoma [J]. Yonsei Med J, 2005,46 (5) : 597-613.
  • 9杨君.王彬,周德平,等.P16蛋白检测在预测Ⅰ级宫颈上皮内瘤变进展风险中的应用价值评价[J].国际检验医学志,2012,33(5):524-525,527.
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