摘要
目的探讨癌基因C-erbB_2,在宫颈癌组织中表达的临床、病理及预后的关系。方法采用免疫组织化学方法,检测C-erbB_2在宫颈癌组织中表达情况,鳞癌87例,腺癌12例,正常宫颈组织8例,临床Ⅱ期4例,Ⅲ期95例。结果阳性染色定位细胞膜,87例鳞癌、12例腺癌,阳性率分别为58%、66%.正常宫颈组织明性。组织学1、2、3级阳性率分别为46%、56%、70.8%。临床Ⅱ期阳性率25%明显低于Ⅲ期61%。预后存活10年以上C-erbB_2阳性率47%,明显低于1年内死亡72.9%,P<0.01。结论C-erbB_2蛋白高表达渴望成为一项估计宫颈癌患者预后的指标之一。
Objective To investigate the relationship between C-erbB_2, oncoprotein expressionwith clini-pathology and prognosis of cervical cancer. Methods Immunohistochemistry was used to ex-amine the C-erbB_2, oncoprotein in 87 cases of cervical squamous cell carcinoma, 12 cases of cervical ade-nocarcinoma and of 8 cases of normal cervical tissues. Results Definite membrane staining in squamouscell carcinoma and adenocarcinoma positive staining rate of C-erbB_2 oncoprotein expression was 58 % and66%. None of normal cervical tissues showed positive of C-erbB_2, oncoprotein. At clinical stage Ⅱ theexpression of C-erbB_2 was lower (25 % ) than at stage Ⅲ (61%). Histologic grade Ⅰ, Ⅱ and grade Ⅲ pos-itive staining rate was 40%, 56% and 70. 8 %. The rate of C-erbB_2 positive in 1O years survival groupwas much lower than that in one year survival group (P<0. 01). Conclusion The expression of the C-erbB_2 oncoprotein was associated with poorer prognosis of patients with cervical cancer. These findingsraise the possibility that immunostaining of C-erbB_2, oncoprotein colud be used as a prognostic marker.
出处
《中国全科医学》
CAS
CSCD
1999年第3期180-182,共3页
Chinese General Practice
基金
山西省攻关项目
关键词
宫颈癌
免疫组化
C-ERBB2
临床
病理
预后
Cervical Cancer Immunohistochemistry C-erbB_2, Clinic Pathology Prognosis