首页|前列腺特异性膜抗原在膀胱尿路上皮癌中的表达及临床意义

前列腺特异性膜抗原在膀胱尿路上皮癌中的表达及临床意义

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目的 探讨前列腺特异性膜抗原(PSMA)在膀胱尿路上皮癌(BUC)中的表达及临床意义.方法 选取2021年1月至2022年8月郑州大学附属郑州中心医院病理诊断为BUC的石蜡标本40例、正常膀胱组织的石蜡标本19例,分别进行石蜡切片,免疫组化法检测PSMA的表达情况,并分析PSMA表达与BUC患者临床病理特征及微血管密度(MVD)的关系.结果 BUC患者中PSMA高表达率(62.50%)高于正常膀胱组织(31.58%),差异有统计学意义(x2=4.940,P=0.026).在BUC患者中,PSMA高表达组肌层浸润率(92.00%)高于PSMA低表达组(60.00%),差异有统计学意义(x2=4.167,P=0.041);PSMA高表达组MVD(6.36±2.49)高于PSMA低表达组(2.38±1.26),差异有统计学意义(t=3.190,P=0.013).结论 PSMA在BUC中表达异常增高,且PSMA高表达与肌层浸润和MVD密切相关,在BUC患者预后评估及靶向诊疗中具有重要意义.
Expression and clinical significance of prostate specific membrane antigen in bladder urothelial carcinoma
Objective To investigate the expression and clinical significance of prostate specific membrane antigen(PSMA)in the bladder urothelial carcinoma(BUC).Methods All the 40 paraffin specimens with pathological diagnosis of BUC and 19 paraffin specimens of normal bladder tissue from Zhengzhou Central Hospital affiliated to Zhengzhou Univer-sity from January 2021 to August 2022 were selected for paraffin sectioning.Immunohistochemical staining was used to de-tect the expression of PSMA in both tissues,and the relationship between PSMA expression and clinical pathological charac-teristics and microvascular density(MVD)of BUC patients was analyzed.Results The high expression rate of PSMA in the BUC patients(62.50%)was higher than that in the normal bladder tissue(31.58%),and the difference was statisti-cally significant(x2=4.940,P=0.026).In the BUC patients,the muscle infiltration rate in the high expression of PSMA group(92.00%)was higher than that in the low expression of PSMA group(60.00%),and the difference was statistically significant(x2=4.167,P=0.041).The MVD of the high expression of PSMA group(6.36±2.49)was also higher than that of the low expression of PSMA group(2.38±1.26),and the difference was statistically significant(t=3.190,P=0.013).Conclusion The expression of PSMA in BUC is abnormally increased,and the high expression of PSMA is close-ly related to muscle infiltration and MVD,which is of great significance in the prognosis evaluation and targeted diagnosis and treatment of BUC patients.

prostate specific membrane antigenbladder urothelial carcinomamyometrial invasion

刘凯、刘芮菡、刘桃圆、苗洋洋、张全武

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郑州大学附属郑州中心医院病理科,河南郑州 450007

新郑市公立人民医院病理科,河南郑州 451150

前列腺特异性膜抗原 膀胱尿路上皮癌 肌层浸润

河南省医学科技攻关计划

LHGJ20200769

2024

肿瘤基础与临床
河南省抗癌协会,郑州大学,河南省肿瘤医院,河南省肿瘤研究所

肿瘤基础与临床

影响因子:0.861
ISSN:1673-5412
年,卷(期):2024.37(1)
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