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TTF-1和SPA表达对早期肺腺癌术后复发预测及预后的判断价值
引用本文:刘瑞青,李醒亚,曹会存,李辉,曹广劭,刘建文,吴方明,刘玉岩,刘健,陈利娟.TTF-1和SPA表达对早期肺腺癌术后复发预测及预后的判断价值[J].实用癌症杂志,2017(7).
作者姓名:刘瑞青  李醒亚  曹会存  李辉  曹广劭  刘建文  吴方明  刘玉岩  刘健  陈利娟
作者单位:1. 河南省人民医院, 郑州大学附属人民医院,450000;2. 450000,郑州大学第一附属医院;3. 450000,河南省肿瘤医院
基金项目:国家自然科学基金(21504082)
摘    要:目的 研究术后肺腺癌患者组织中TTF-1和SPA的蛋白表达对其复发的预测价值及预后的影响.方法 收集行手术切除的Ⅰ~Ⅲ期肺腺癌患者112例,采用免疫组化方法检测组织中TTF-1以及SPA的表达.结果 68例患者出现复发,TTF-1阳性和阴性表达患者中位DFS分别为41个月和9个月(P =0.013),中位OS分别为65.0和23.0个月(P=0.037),SPA阳性与阴性表达患者中位DFS分别为59.0个月和15.0个月(P=0.018),中位OS分别为68.0个月和35.0个月(P =0.058).结论 早期肺腺癌术后组织中TTF-1和SPA的表达是其复发的有效预测指标,TTF-1阳性表达预后更好.

关 键 词:肺腺癌  甲状腺转录因子  表面活性蛋白A  无疾病进展生存期  生存期

The Predictive Value of the Expressions of TTF-1 and SPA Protein on the Recurrence and Prognosis of Lung Adenocarinoma after Surgery
Abstract:Objective To study the predictive value of the expressions of TTF-1 and SPA protein on the recurrence and prognosis of lung adenocarinoma after surgery.Methods 112 cases of stage Ⅰ ~ Ⅲ lung adenocarcinoma were selected.The expressions of TTF-1 and SPA protein in tissues were detected by immunohistochemical detection.Results 68 cases had recurrence,median DFS of patients with positive and negative expression of TTF-1 were respectively 41 months and 9 months (P =0.013),the median OS were 65.0 months and 23.0 months respectively (P =0.037),median DFS of patients with positive and negative expression of SPA were respectively 59.0 months and 15.0 months (P =0.018),the median and OS were respectively 68.0 and 35.0 months (P =0.058).Conclusion The expression of TTF-1 and SPA in postoperative lung adenocarcinoma are effective predictors of recurrence.The patients with positive expression of TTF-1 have better prognosis.
Keywords:Lung adenocarinoma  TTF-1  SPA  DFS  OS
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