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胆囊结石与胆囊癌发病机制的相关性分析
引用本文:赵凤林,冯志强,张辉,张洪义,石景森,张宏义,肖梅. 胆囊结石与胆囊癌发病机制的相关性分析[J]. 中国现代普通外科进展, 2011, 14(12): 928-932. DOI: 10.3969/j.issn.1009-9905.2011.12.002
作者姓名:赵凤林  冯志强  张辉  张洪义  石景森  张宏义  肖梅
作者单位:1. 中国人民武装警察北京市总队第二医院肝胆外科,北京,100037
2. 空军总医院肝胆外科,北京,100142
3. 西安交通大学医学院第一附属医院肝胆外科,陕西西安,710061
摘    要:目的:探讨胆结石相关胆囊癌发病机制中细胞增殖与细胞周期调控失衡之间的关系。方法:随机收集因胆囊结石切除的胆囊标本88例,其中有增生54例;另外收集胆囊癌切除标本27例和正常胆囊标本7例。原位杂交及免疫组化检测主要细胞周期蛋白的表达情况。结果:随着胆囊内膜增生程度的加重,CDK4和Cyclin D1的表达也随之增加,在癌组织中表达量最高。相反的是随着胆囊内膜增生程度的加重,p16的表达也随之减少,在癌组织中表达量最低。结论:胆囊内膜增生程度的改变会导致关键的细胞周期蛋白表达的明显变化,打破了细胞增殖与细胞周期之间的平衡,导致胆囊癌的发生。

关 键 词:胆囊癌  内膜增生  胆结石

Research of the mechanism of gallbladder Carcinoma associated with gallstones
ZHAO Feng-lin,FENG Zhi-qiang,ZHANG Hui,ZHANG Hong-yi,SHI Jing-sen,ZHANG Hong-yi,XIAO Mei. Research of the mechanism of gallbladder Carcinoma associated with gallstones[J]. Chinese Journal of Current Advances in General Surgery, 2011, 14(12): 928-932. DOI: 10.3969/j.issn.1009-9905.2011.12.002
Authors:ZHAO Feng-lin  FENG Zhi-qiang  ZHANG Hui  ZHANG Hong-yi  SHI Jing-sen  ZHANG Hong-yi  XIAO Mei
Affiliation:ZHAO Feng-lin1,FENG Zhi-qiang2,ZHANG Hui2,ZHANG Hong-yi2,SHI Jing-sen3,XIAO Mei2 1Department of Hepatobiliary Surgery,Second Hospital Beijing Municipal Corps Chinese People's Armed Police Forces(Beijing 100037,China) 2Department of Hepatobiliary Surgery,Air Force General Hospital of PLA(Beijing 100142,China) 3Department of Hepatobiliary Surgery,First Affiliated Hospital,Medicial School of Xi'an Jiaotong University(Xi'an 710061,China)
Abstract:Objectives: To determine the disorder of the balance between cell proliferation and cell cycle in gallbladder cancer accompanied with gallstones.Methods: Removal of the gallbladder due to gallstones specimens of 88 cases were collected randomly,including a variety of 54 cases for hyperplasia,27 cases for gallbladder cancer and 7 cases for normal gallbladder.The expressions of key cell cycle factors were detected by in situ hybridization,immunohistochemistry.Results: The expression of CDK4 and Cyclin D1 incr...
Keywords:Gallbladder cancer  Mucous epithelium hyperplasia  Gallstones
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