食管鳞状细胞癌中微管不稳定蛋白stathmin表达及其与预后的关系

R36; 目的 探讨微管不稳定蛋白stathmin在食管鳞状细胞癌中的表达水平及其与临床病理特征、预后的关系.方法 收集2007年1月至2010年12月在复旦大学附属中山医院手术切除的496例食管鳞状细胞癌患者的临床病理资料,采用免疫组织化学法检测肿瘤组织stathmin的表达情况,分析其表达差异与患者临床病理特征和预后的关系.结果 496例食管鳞状细胞癌患者中,266例为Ⅰ~Ⅱ期,230例为Ⅲ~Ⅳ期.Stathmin蛋白不表达、低表达和高表达的比例分别为2.4%、87.1%和10.5%.Stathmin高表达与肿瘤分化差相关(P=0.040).生存分析发现:stathmin高表达组患者的无疾...

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Published in中国临床医学 Vol. 30; no. 1; pp. 85 - 90
Main Authors 彭睿, 蒋冬先, 任磊, 王海星, 徐磊, 宿杰阿克苏, 侯英勇
Format Journal Article
LanguageChinese
Published 复旦大学附属中山医院病理科,上海 200032 01.02.2023
Subjects
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ISSN1008-6358
DOI10.12025/j.issn.1008-6358.2023.20222294

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Abstract R36; 目的 探讨微管不稳定蛋白stathmin在食管鳞状细胞癌中的表达水平及其与临床病理特征、预后的关系.方法 收集2007年1月至2010年12月在复旦大学附属中山医院手术切除的496例食管鳞状细胞癌患者的临床病理资料,采用免疫组织化学法检测肿瘤组织stathmin的表达情况,分析其表达差异与患者临床病理特征和预后的关系.结果 496例食管鳞状细胞癌患者中,266例为Ⅰ~Ⅱ期,230例为Ⅲ~Ⅳ期.Stathmin蛋白不表达、低表达和高表达的比例分别为2.4%、87.1%和10.5%.Stathmin高表达与肿瘤分化差相关(P=0.040).生存分析发现:stathmin高表达组患者的无疾病生存期(disease free survival,DFS)和总生存期(overall survival,OS)与不表达/低表达组相比,有预后差的趋势,但差异无统计学意义(DFS:P=0.159;OS:P=0.176).在Ⅰ~Ⅱ期患者中,stathmin高表达组比stathmin不表达/低表达组的预后差(DFS:P=0.032;OS:P=0.018);但是在Ⅲ~Ⅳ期患者中,stathmin高表达组与stathmin不表达/低表达组的预后差异无统计学意义(DFS:P=0.785;OS:P=0.613).Ⅰ~Ⅱ期中stathmin高表达患者的预后,与Ⅲ~Ⅳ期stathmin不表达/低表达患者或者高表达患者差异无统计学意义.结论 Ⅰ~Ⅱ期食管鳞状细胞癌中,stathmin高表达的患者预后差.
AbstractList R36; 目的 探讨微管不稳定蛋白stathmin在食管鳞状细胞癌中的表达水平及其与临床病理特征、预后的关系.方法 收集2007年1月至2010年12月在复旦大学附属中山医院手术切除的496例食管鳞状细胞癌患者的临床病理资料,采用免疫组织化学法检测肿瘤组织stathmin的表达情况,分析其表达差异与患者临床病理特征和预后的关系.结果 496例食管鳞状细胞癌患者中,266例为Ⅰ~Ⅱ期,230例为Ⅲ~Ⅳ期.Stathmin蛋白不表达、低表达和高表达的比例分别为2.4%、87.1%和10.5%.Stathmin高表达与肿瘤分化差相关(P=0.040).生存分析发现:stathmin高表达组患者的无疾病生存期(disease free survival,DFS)和总生存期(overall survival,OS)与不表达/低表达组相比,有预后差的趋势,但差异无统计学意义(DFS:P=0.159;OS:P=0.176).在Ⅰ~Ⅱ期患者中,stathmin高表达组比stathmin不表达/低表达组的预后差(DFS:P=0.032;OS:P=0.018);但是在Ⅲ~Ⅳ期患者中,stathmin高表达组与stathmin不表达/低表达组的预后差异无统计学意义(DFS:P=0.785;OS:P=0.613).Ⅰ~Ⅱ期中stathmin高表达患者的预后,与Ⅲ~Ⅳ期stathmin不表达/低表达患者或者高表达患者差异无统计学意义.结论 Ⅰ~Ⅱ期食管鳞状细胞癌中,stathmin高表达的患者预后差.
Author 宿杰阿克苏
任磊
徐磊
蒋冬先
王海星
彭睿
侯英勇
AuthorAffiliation 复旦大学附属中山医院病理科,上海 200032
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HOU Ying-yong
AKESU Su-jie
WANG Hai-xing
PENG Rui
XU Lei
JIANG Dong-xian
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食管鳞状细胞癌
肿瘤分期
stathmin蛋白
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