期刊文献+

原发性阑尾腺癌的临床病理学特征及微卫星不稳定性研究 被引量:1

暂未订购
导出
摘要 目的探索原发性阑尾腺癌的病理学特征及微卫星不稳定性。方法收集整理内蒙古赤峰市医院2006年至2014年手术切除的阑尾原发性腺癌的标本,分析其临床病理特征,并应用免疫组织化学染色的方法检测其石蜡标本组织中DNA错配修复蛋白(mismatch repair proteins,MMR)MLH1,MSH2,MSH6及PMS2的表达,了解原发性阑尾腺癌的微卫星不稳定性(microsatellite instability,MSI-H),同时回顾文献报道的有MSI-H(high level of MSI)的阑尾肿瘤。结果 18例原发性阑尾腺癌,其中男性和女性各9例,平均年龄61.7岁,病理类型为结肠型阑尾腺癌12例,黏液腺癌4例,印戒细胞癌2例,以中-低分化腺癌为主(13例),T分期以T2分期为主(10/18),6例伴有淋巴结或肝转移。MMR蛋白免疫组化染色显示其中1例(5.56%)阑尾黏液腺癌有MSH2/MSH6表达缺失,显示有MSI-H。结论与结直肠癌相比,原发性阑尾腺癌的MSI检出率较低,提示微卫星不稳定性的机制可能不是这一部位腺癌的发病机制。
作者 童玲 李世君
机构地区 赤峰市医院
出处 《内蒙古医学杂志》 2016年第2期160-163,共4页 Inner Mongolia Medical Journal
  • 相关文献

参考文献14

  • 1Vilar E, Gruber SB. Mierosatellite instability in colorectal cancer - the stable evidence[J]. Nat Rev Clin Oncol, 2010, 7:153 - 162.
  • 2Ribie CM. Tumor microsatellite - instability status as a predictor of benefit from fluorouraeil - based adjuvant chemotherapy for colon cancer[J]. N Engl J Med, 2003, 349(3) :247 - 257.
  • 3Hananel N, E Powsner, Y Wolloch. Adenocareinoma of the ap- pendix: an unusual disease[J] .Eur J Surg, 1998,164(11) :859 - 862.
  • 4Taggart MW. High - level microsetellite instability in appendiceal carcinomas[ J]. Am J Surg Pathol, 2013, 37(8) : 1 192 - 1 200.
  • 5Karamurzin Y, Zeng Z, Stadler ZK, et al. Unusual DNA mis- match repair - deficient tumors in Lynch syndrome: a report of new cases and review of the literature[J]. Hum Pathol, 2012, 43: 1 677-1687.
  • 6Komm M, Kronawitter- Fesl M, Kremer M, et al. Primary mucinous adenocarcinoma of the vermiform appendix with high grade microsatellite instability[J]. J Cancer, 2011, 2..302 - 306.
  • 7Yantiss RK, Panczykowski A, Misdraji J, et al. A comprehen- sive study of nondysplastic and dysplastic serrated polyps of the.vermiform appendix [ J ]. Am J Surg Pathol, 2007, 31 : 1 742 - 1 753.
  • 8Misdraji J, Burgart LJ, Lauwers GY. Defective mismatch repair in the pathogenesis of low - grade appendiceal mucinous neoplasms and adenoearcinomas[ J ]. Mod Pathol, 2004,17 : 1 447 - 1 454.
  • 9Rudzki Z, Zasula M, Bialas M, et al. Synchronous serrated adeno- ma of the appendix and high - grade ovarian carcinoma: a case demonstrating different origin of the two neoplasms [ J ]. Pol J Pathol, 2002, 53:29 - 34.
  • 10梁建伟,王征,周志祥,张兴茂,胡俊杰,赵平.原发性阑尾腺癌的临床病理特征和预后分析[J].中华肿瘤杂志,2012,34(8):616-619. 被引量:14

二级参考文献13

  • 1Xuchen Zhang,Jia Li.Era of universal testing of microsatellite instability in colorectal cancer[J].World Journal of Gastrointestinal Oncology,2013,5(2):12-19. 被引量:18
  • 2吕炳建,来茂德.遗传性息肉病的分子遗传学及临床病理学研究进展[J].中华病理学杂志,2007,36(6):418-422. 被引量:3
  • 3McGory ML, Maggard MA, Kang H, et al. Malignancies of the appendix: beyond case series reports. Dis Colon Rectum, 2005, 48 : 2264 -2271.
  • 4Pai RK, Longacre TA. Appendiceal mucinous tumors and pseudomyxoma peritonei: histologic features, diagnostic problems, and proposed classification. Adv Anat Pathol, 2005, 12:291-311.
  • 5Benedix F, Reimer A, Gas'finger I, et al. Primary appendlceal carcinoma- epidemiology, surgery and survival: results of a German multi- center study. Eur J Surg Oncol, 2010, 36:763-771.
  • 6Ito H, Osteen RT, Bleday R, et al. Appendiceal adenocarcinoma: long-term outcomes after surgical therapy. Dis Colon Rectum, 2004, 47:474-480.
  • 7Waiters KC, Paton BL, Schmelzer TS, et al. Treatment of appendiceal adenocarcinoma in the United States: penetration and outcomes of current guidelines. Am Surg, 2008, 74:1066-1068.
  • 8Ko YH, Park SH, Jung CK, et al. Clinical characteristics and prognostic factors for primary appendiceal carcinoma. Asia Pac J Clin Oneol, 2010, 6 : 19-27.
  • 9Sehomas DA, Miller RC, Donohue jH, et al. Intraperitoneal treatment for peritoneal mutinous earcinomatosis of appendiceal origin after operative management: long-term follow-up of the Mayo Clinic experience. Ann Surg, 2009, 249:588-595.
  • 10杨学伟,闫朝岐,杨维良.27例阑尾腺癌的诊断与外科治疗[J].中华胃肠外科杂志,2008,11(1):85-87. 被引量:2

共引文献29

同被引文献4

引证文献1

相关作者

内容加载中请稍等...

相关机构

内容加载中请稍等...

相关主题

内容加载中请稍等...

浏览历史

内容加载中请稍等...
;
使用帮助 返回顶部