首页|DNA倍体定量分析结合P16蛋白在宫颈癌筛查中的意义

DNA倍体定量分析结合P16蛋白在宫颈癌筛查中的意义

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目的:探讨DNA定量分析结合P16 蛋白免疫组化染色在宫颈筛查中的意义.方法:选取 2020 年 3 月~2021年 3 月淮安市肿瘤医院门诊及住院检查病例 4 334 例为研究对象,对宫颈细胞学DNA定量分析提示异常者,在知情同意情况下,进行阴道镜下宫颈活检、组织学病理检查及P16 蛋白染色检查,比较分析DNA倍体定量分析提示异常者与其组织学病理之间的关系,以及P16 蛋白表达与病理组织学之间的关系,以评价衡量DNA定量分析结合P16 染色在宫颈癌筛查中的意义.结果:4 334 例中 369 例查出倍体异常,369 例倍体异常中 202 例建议阴道镜活检,发现 150 例为CIN1 级以上,同时对活检 202例进行P16 蛋白染色发现随着病变级别增高,P16 表达百分比也随之上升,通过χ2 检验发现P16 蛋白在宫颈上皮内瘤变中表达有明显统计学意义(P<0.05).结论:DNA倍体定量分析在宫颈癌筛查中有一定意义,同时结合P16 蛋白免疫组化染色及宫颈活检,对发现早期宫颈病变有意义.
The significance of quantitative analysis of DNA ploidy binding P16 protein in cervical cancer screening
Objective To investigate the significance of DNA quantitative analysis combined with immunohistochemical staining of P16 proteinin in cervical cancer screening.Method A total of 4 334 outpatient and inpatient patients were selected as research sub-jects.For individuals with abnormal DNA quantitative analysis in cervical cytology,with informed consent,cervical biopsy,histopatho-logical examination,and P16 protein staining examination under colposcopy will be performed to compare and analyze the relationship between DNA ploidy quantitative analysis of abnormal individuals and their histological pathology,as well as the relationship between P16 protein expression and pathological histology,in order to evaluate the significance of combining DNA quantitative analysis with P16 staining in cervical cancer screening.Results Among 4 334 patients,369 were found to have abnormal ploidy.Colposcopic biopsy was recommended for 202 cases of abnormal ploidy,and 150 cases were found to be above CINⅠ.Meanwhile,P16 protein staining was performed for 202 cases ofabnormal ploidy,and it was found that the percentage of P16 expression increased with the increase of lesion grade.The expression of P16 protein in cervical intraepithelial neoplasia was statistically significant by Chisquare test(P<0.05).Con-clusion Quantitative analysis of DNA ploidy has certain significance in cervical cancer screening,and combined with immunohisto-chemical staining of P16 protein and cervical biopsy,has significance in detecting early cervical lesions.

DNA ploidy quantitative analysisP16 proteinImmunohistochemistryCervical cancer

韩笑、朱平、卓倩、李军、许研

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淮安市肿瘤医院 淮安市淮安医院 病理科,江苏 淮安 223200

淮安市肿瘤医院 淮安市淮安医院 内分泌科,江苏 淮安 223200

DNA倍体定量分析 P16蛋白 免疫组织化学 宫颈癌

江苏省卫生健康委员会项目

LKM2022071

2024

吉林医学
吉林省人民医院

吉林医学

影响因子:0.926
ISSN:1004-0412
年,卷(期):2024.45(3)
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