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增殖相关抗原Ki-67与非霍奇金淋巴瘤组织学恶性程度及预后关系的研究 被引量:10

The relationship between the cell proliferative antigen Ki-67 and histological malignant grade and the prognosis in non Hodgkin′s lymphomas
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摘要 目的 通过增殖相关抗原Ki 6 7的检测 ,观察其与非霍奇金淋巴瘤 (NHL)恶性程度和预后的关系。方法 用免疫组织化学染色的方法 ,对 34例NHL活检石蜡组织进行Ki 6 7检测 ,观察Ki 6 7指数 (Ki 6 7LI)与NHL恶性程度、化疗疗效和生存期的关系。结果 NHL低度恶性 (LG)、中度恶性 (MG)和高度恶性 (HG)三组之间Ki 6 7LI均有显著性差异 (P <0 0 0 1) ,恶性程度低的 ,Ki 6 7LI低 ;恶性程度高的 ,Ki 6 7LI高。首次化疗缓解与未缓解组之间Ki 6 7LI无显著性差异 (P >0 1)。Ki 6 7LI≤ 2 0 %组的生存期较Ki 6 7LI >2 0 %组为长 (P <0 0 5 )。结论 增殖相关抗原Ki 6 7的检测 ,能反映NHL肿瘤细胞的增殖活性 ,与NHL的恶性程度和预后密切相关 ,是判断NHL预后的有效指标。 Objective To evaluate the expression of proliferative antigen Ki 67 in patients with non Hodgkin’s lymphomas(NHL)for the purpose of studying relationship between the cell proliferation activity and the prognosis.Methods The labeling index of KI 67(Ki 67LI) was measured by immunohistochemistry on paraffin specimens in 34 cases of NHL.Results There were significant differences in the Ki 67LI among three groups( P< 0 001).The Ki 67LI was well related with the malignant grade of non Hodgkin’s lymphoma.It was shown that the level of Ki 67 in low grade group was lower than that in high grade group.There was no significant difference in Ki 67LI between remission and non remission groups after its first chemotherapy.The survival time was longer in Ki 67≤20% than in Ki 67>20% group.Conclusions Ki 67LI was positively related with the malignant grade and prognosis of non Hodgkin’s lymphomas.It was a favourable marker for prognosis.
出处 《江苏医药》 CAS CSCD 北大核心 2001年第4期261-262,共2页 Jiangsu Medical Journal
关键词 非霍奇金淋巴瘤 KI-67抗原 病理学 预后 增殖相关抗原 Non Hodgkin’s lymphomas Ki-67 antigen Pathology Prognosis
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参考文献4

  • 1Hall PA,Richards MA,Gregory WM,et al.The prognostic value of Ki-67 immunostaining in non-Hodgkin s lymphoma[].Journal of Paleopathology.1988
  • 2Miller TP,Grogan TM,Dahlberg S,et al.Prognostic significance of the Ki-67associated proliferative antigen in aggressive non-Hodgkin’s lymphomas:a prospectivesouthwest oncology grouptrial[].Blood.1994
  • 3Mochen C,Giardini R,Costa A,et al.MIB1 and S-phase cell fraction predict survival in non-Hodgkin s lymphomas[].Cell Proliferation.1997
  • 4Cattoretti G,Becker MHG,Key G,et al.Monoclonal antibodies against recombinant parts of the Ki-67 antigen(MIB1 and MIB3)detect proliferating cell in microwave-processed fromalin-fixed paraffin sections[].Journal of Paleopathology.1992

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