罗仪, 王剑, 赵昌银, 陈双郧. 35岁以下宫颈癌患者的分子病理高危因素分析[J]. 中国肿瘤临床, 2006, 33(21): 1221-1224.
引用本文: 罗仪, 王剑, 赵昌银, 陈双郧. 35岁以下宫颈癌患者的分子病理高危因素分析[J]. 中国肿瘤临床, 2006, 33(21): 1221-1224.
Luo Yi, Wang Jian, Zhao Chang yin, et al. The Analysis of High-Risk Factors of Molecular Pathology for Patients with Cancer of the Cervix below 35[J]. CHINESE JOURNAL OF CLINICAL ONCOLOGY, 2006, 33(21): 1221-1224.
Citation: Luo Yi, Wang Jian, Zhao Chang yin, et al. The Analysis of High-Risk Factors of Molecular Pathology for Patients with Cancer of the Cervix below 35[J]. CHINESE JOURNAL OF CLINICAL ONCOLOGY, 2006, 33(21): 1221-1224.

35岁以下宫颈癌患者的分子病理高危因素分析

The Analysis of High-Risk Factors of Molecular Pathology for Patients with Cancer of the Cervix below 35

  • 摘要: 目的:探讨35岁以下妇女宫颈癌的分子病理特征,揭示其预后不良的分子因素,为提高疗效提供有意义的治疗靶点。方法:对郧阳医学院附属太和医院1995年6月~2000年6月间收治的64例35岁以下宫颈癌患者的病理资料进行回顾性分析(研究组),随机选取同期治疗的90例35以上的宫颈癌患者的病理资料做为对照进行比较(对照组),运用免疫组化、图像分析的方法同步测定、分析两组之间survivin、p27、CD44v6、MMP-2、TIMP-2的蛋白表达差异。结果:研究组总的5年生存率为65.6%,低于对照组的5年生存率84.4%,差异有显著性(P<0.05)。survivin、MMP-2、CD44v6的表达量在研究组较对照组明显升高,TIMP-2的与之相反,在对照组高表达(P<0.05);p27在两组之间的表达量无差异(P>0.05)。结论:年轻妇女宫颈癌预后差,其分子病理分析提示与survivin、MMP-2、TIMP-2、CD44v6的表达有关,以此为靶点通过生物治疗有望改善年轻宫颈癌患者的预后。

     

    Abstract: Objective: To explore the molecular pathological characteristics of cancer of the cervix in women patients below 35, disclose certain factors for the unfavorable prognosis and to provide some useful targets for improving therapeutic effect. Methods: The pathological data of 64 patients with cancer of the cervix below 35, collected from June, 1995 to June, 2000 in our institution, were retrospectively analyzed as the study group, and the pathological data obtained from 90 cases with cancer of the cervix beyond 35 undergoing treatment during the same time were at random selected as the control group. Immunohistochemistry and quantified image analysis were used to synchronously detect differences in the protein expression of the survivin, p27, CD44v6, MMP-2 and TIMP-2 between the 2 groups. Results: The overall 5-year survival rate of the study group was 65.6% and was lower than that of the control group (84.4%). There was a significant difference (P<0.05). The expression of the survivin, MMP-2 and CD44v6 in the study group was much higher compared to that in the control group, but TIMP-2 was just on the contrary, with a higher expression in the control group (P<0.05), and there was no significant difference in the P27 expression between the 2 groups (P>0.05). Conclusions: The young women patients have a worse prognosis compared to the aged. Our study reveals that the survivin, MMP-2, TIMP-2 and CD44v6 have a correlation with this symptom. Improvement for prognosis of the young female patients with cancer of the cervix can be expected by the biomedical therapy targeting these molecular factors.

     

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