周围型肺癌CT征象与Ki-67、p53表达的关系 |
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作者姓名: | 吴志涛 上官伦 徐冰洁 |
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作者单位: | 南平市第二医院影像科,福建 南平 354200 |
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基金项目: | 南平市科技计划项目N2021J044 |
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摘 要: | 目的 探讨周围型肺癌(PLC)CT征象与Ki-67、p53表达的关系。方法 选取2016年1月~2022年2月在本院就诊的108例PLC患者为研究对象,采用飞利浦256层螺旋CT检查患者的CT征象,并检测PLC组织中Ki-67、p53的表达水平,分析PLC患者的病理组织类型、分化程度以及CT征象与Ki-67和p53表达的关系。结果 PLC组织中,Ki-67和p53阳性表达率分别为69.44%(75/108)、51.85%(56/108);CT主要表现为瘤体直径≥3.0 cm、分叶征、棘状突起征、毛刺征、磨玻璃征、增强值≥20 Hu和肺门、纵隔淋巴结肿大,而胸膜凹陷征、空气支气管征、空洞征、空泡征、钙化征相对较少;腺癌的Ki-67阳性表达率低于鳞癌(P<0.05),腺癌和鳞癌的p53阳性表达率差异无统计学意义(P>0.05);PLC的分化程度越低,Ki-67和p53阳性表达率越高(P<0.05);瘤体直径≥3.0 cm、有分叶征、棘状突起征、毛刺征、增强值≥20 Hu和肺门、纵隔淋巴结肿大的PLC,Ki-67阳性表达率较高,且有磨玻璃征和空泡征的PLC,Ki-67阳性表...
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关 键 词: | 周围型肺癌 CT征象 Ki-67 p53 |
收稿时间: | 2022-09-13 |
Relationship between CT signs and Ki-67, p53 in peripheral lung cancer |
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Authors: | WU Zhitao SHANGGUAN Lun XU Bingjie |
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Institution: | Department of Imaging, Nanping Second Hospital, Nanping 354200, China |
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Abstract: | Objective To explore the relationship between CT signs and Ki-67, p53 in peripheral lung cancer (PLC). Methods A total of 108 patients with PLC treated in the hospital were enrolled between January 2016 and February 2022. CT signs were examined by Philips 256-slice spiral CT. The expression levels of Ki-67 and p53 in PLC tissues were detected. The relationship between pathological tissue types, differentiation degree, CT signs and Ki-67, p53 was analyzed. Results In PLC tissues, positive expression rates of Ki- 67 and p53 were 69.44% (75/108) and 51.85% (56/108), respectively. The main CT findings included pleural indentation, tumor diameter ≥3.0 cm, lobulation sign, spiculate protuberance sign, spicule sign, enhancement value ≥20 Hu, hilar and mediastinal lymph node enlargement, while CT findings (air bronchus sign, cavity sign, glass sign, vacuole sign, calcification sign) were relatively rare. The positive expression rate of Ki-67 in adenocarcinoma was lower than that in squamous cell carcinoma (P < 0.05), but there was no significant difference in the positive expression rate of p53 between adenocarcinoma and squamous cell carcinoma (P > 0.05). The lower the differentiation degree of PLC, the higher the positive expression rates of Ki-67 and p53 (P < 0.05). The positive expression rate of Ki-67 was higher in patients with tumor diameter ≥ 3.0 cm, lobulation sign, spiculate protuberance sign, spicule sign, enhancement value ≥20 Hu, hilar and mediastinal lymph node enlargement, while which was lower in patients with glass sign and vacuole sign (P < 0.05). The positive expression rate of p53 was higher in patients with tumor diameter ≥3.0 cm, lobulation sign, spiculate protuberance sign, spicule sign, enhancement value ≥20 Hu, hilar and mediastinal lymph node enlargement (P < 0.05). Conclusion The expressions of Ki-67 and p53 are closely related to CT signs in PLC patients. |
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