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直肠癌旁移行黏膜的生物学特征对患者预后评估的意义
引用本文:苏琪,殷红专,花亚伟,宋桂花,韩霞,张宏,冯勇,陈春生,乔雷,刘恩卿,吴硕东. 直肠癌旁移行黏膜的生物学特征对患者预后评估的意义[J]. 中国组织工程研究与临床康复, 2003, 7(23): 3208-3209
作者姓名:苏琪  殷红专  花亚伟  宋桂花  韩霞  张宏  冯勇  陈春生  乔雷  刘恩卿  吴硕东
作者单位:1. 中国医科大学附属第二医院普外四科,辽宁省沈阳市,110003
2. 河南省肿瘤医院普外科,河南省郑州市,450003
3. 沈阳市于洪区红十字会医院内科,辽宁省沈阳市,110032
基金项目:辽宁省自然科学基金(972255)~~
摘    要:目的:探讨直肠癌旁移行黏膜(TM)病理学性质及其对患者预后的影响。方法:2000-01/2001-01应用免疫组化及粘液组化方法观察了81例直肠癌及癌旁黏膜的增殖细胞核抗原(PCNA)表达情况及癌旁TM的变化规律。结果:在癌旁TM、非典型增生及癌组织PCNA呈递增表达,与正常粘膜相比,差异非常显著(F=8.92,P<0.01),癌旁TM范围在粘液癌明显大于乳头状癌及管状腺癌(t=3.15-3.41,P<0.01),在DukesC期明显大于DukesA、B期(t=2.51-3.10,P<0.05,P<0.01)。结论:直肠癌旁TM具有一定的恶性潜势,直肠癌旁TM的范围与直肠癌的类型及进展密切相关,有利于对患者预后的评估。

关 键 词:直肠肿瘤  肠粘膜  增殖细胞核抗原  免疫组织化学

Significance of the biological characteristics of transitional mucosa adjacent to rectal cancer for patient prognosis
Abstract. Significance of the biological characteristics of transitional mucosa adjacent to rectal cancer for patient prognosis[J]. Journal of Clinical Rehabilitative Tissue Engineering Research, 2003, 7(23): 3208-3209
Authors:Abstract
Abstract:AIM:To study the pathological characteristics of the transitional mucosa (TM) adjacent to rectal carcinoma and their significance in prognostic assessment of the patients. METHODS: Immunohistochemical and mucin histochemical methods were employed to observe the expression of PCNA and the changes in the TM adjacent to the carcinoma in 81 cases of rectal carcinoma. RESULTS: PCNA expression was the highest in the cancer foci and gradually decreased in atypical dysplasia, TM and normal mucosa (F=8.92, P< 0.01). The distribution of TM adjacent to the mucinous adenocarcinoma was more extensive than that to the papilla adenocarcinoma and tubular adenocarcinoma (t=3.15- 3.41, P< 0.01), and the TM adjacent to the rectal carcinoma in Dukes C stage was more extensive than that in stages A and B (t=2.51- 3.10, P< 0.01, P< 0.05).
Keywords:The TM around rectal carcinoma possesses certain potential of malignant development   the distribution of which is closely related to the pathological type and progression of the malignancy   therefore facilitating the evaluation of patient progn  
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