福建医药杂志2024,Vol.46Issue(2) :5-10.DOI:10.20148/j.fmj.2024.02.002

分泌粒蛋白Ⅱ在结直肠神经内分泌肿瘤中表达情况和临床分析

Expression and clinical analysis of secretory granin Ⅱ in colorectal neuroen-docrine tumors

黄盛泉 王建 王佳音 林娜 吴春林
福建医药杂志2024,Vol.46Issue(2) :5-10.DOI:10.20148/j.fmj.2024.02.002

分泌粒蛋白Ⅱ在结直肠神经内分泌肿瘤中表达情况和临床分析

Expression and clinical analysis of secretory granin Ⅱ in colorectal neuroen-docrine tumors

黄盛泉 1王建 1王佳音 1林娜 1吴春林1
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作者信息

  • 1. 福建医科大学附属第二医院病理科,泉州 362000
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摘要

目的 探讨分泌粒蛋白Ⅱ(secretogranin Ⅱ,SG Ⅱ)在结直肠神经内分泌肿瘤(colorectal neuroendocrine tumors,CRNETs)中的表达及诊断价值.方法 采用免疫组织化学EnVision两步法检测SG Ⅱ、突触素(synapsin,Syn)、神经细胞粘附因子(neural cell adhesion molecule,CD56)、嗜铬素 A(chromogranin A,CgA)及 Ki-67 在 165 例结直肠原发神经内分泌肿瘤(neuroendocrine neoplasms,NENs)及 136 例非神经内分泌肿瘤(non-neuroendocrine neoplasms,non-NENs)中的表达,比较神经内分泌标记表达的敏感度;并分析CRNETs中SG Ⅱ、Ki-67、CgA与临床病理特征的相关性.结果 SGⅡ 在 CRNETs G1、G2、G3 和 NEC 中的阳性率分别为 97.2%(104/107),100%(40/40),100%(5/5),69.2%(9/13),高于 non-NENs(1.47%,7/136)中的阳性率(P<0.05).SGⅡ 在 CRNETs 中的敏感度为 95.8%(158/165),与Syn 的 98.8%(163/165)相当,高于 CD56 的 84.2%(139/165)及 CgA 的 33.9%(56/165),差异有统计学意义(P<0.05).肿瘤直径、浸润深度、脉管侵犯、神经侵犯及淋巴结转移与SGⅡ的表达呈负相关,与Ki-67表达呈正相关,差异均有统计学意义(P<0.05),而CgA与以上肿瘤性状呈负相关,差异无统计学意义(P>0.05).结论 SGⅡ在结直肠神经内分泌肿瘤中高表达,是鉴别诊断CRNETs比较可靠的标志物,其表达与肿瘤直径、浸润深度、脉管侵犯、神经侵犯及淋巴结转移呈负相关.

Abstract

Objective To investigate the expression and diagnostic value of secretogranin Ⅱ(SGⅡ)in colorectal neuro-endocrine tumors(CRNETs).Methods The expression of SG Ⅱ、Syn、CD56、CgA and Ki-67 were detected using immuno-histochemical EnVision two-step method in 165 neuroendocrine neoplasms(NENs)and 136 non-neuroendocrine neoplasms.Re-sults 1)The positive rates of SGⅡ in CRNETs G1,G2,G3 and NEC were 97.2%(104/107),100%(40/40),100%(5/5),69.2%(9/13),respectively.Higher than the positive rate of non-NENs(1.47%,7/136)(P<0.05);2)The sensitivity of SGⅡ in CRNETs was 95.8%(158/165),which was similar to Syn(98.8%(163/165),higher than that of CD56(84.2%(139/165)and CgA(33.9%).3)Tumor diameter,invasion depth,vascular invasion,nerve invasion and lymph node metastasis were negatively correlated with SⅡ expression and positively correlated with Ki-67 expression,with statistical signifi-cance(P<0.05),while CgA was negatively correlated with the above tumor traits,with no statistical significance(P>0.05).Conclusion SGⅡ is highly expressed in colorectal neuroendocrine tumors,which is a reliable marker for the differential diagno-sis of CRNETs.Its expression is negatively correlated with tumor diameter,invasion depth,vascular invasion,nerve invasion and lymph node metastasis.

关键词

结直肠/神经内分泌肿瘤/分泌粒蛋白Ⅱ/免疫组化

Key words

colorectal/neuroendocrine tumor/secreting granin Ⅱ/immunohistochemical

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出版年

2024
福建医药杂志
中华医学会福建分会

福建医药杂志

影响因子:0.525
ISSN:1002-2600
参考文献量19
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