首页|斯钙素-1的表达在膀胱尿路上皮癌的复发和预后中的作用

斯钙素-1的表达在膀胱尿路上皮癌的复发和预后中的作用

扫码查看
目的 探讨斯钙素-1(STC1)的表达在膀胱尿路上皮癌中的作用。方法 选取2011年8月至2018年4月潍坊市益都中心医院泌尿外科及肾脏内科收治的126例膀胱癌肿瘤切除术患者作为研究对象,采用免疫组化检测126个膀胱尿路上皮癌样本中的STC1表达情况,免疫组化评分≥4分的样本归为STC1高表达组(31例),而得分<4分的样本归为STC1低表达组(95例)。分析STC1表达与临床病理因素的相关性。通过Kaplan-Meier方法绘制生存曲线分析膀胱尿路上皮癌组织中STC1表达在患者预后中的作用。通过Cox回归模型分析影响膀胱尿路上皮癌患者不良预后发生的危险因素。结果 STC1在T2~T4期膀胱尿路上皮癌患者中的表达高于在Ta~T1期患者中的表达,差异有统计学意义(P<0。05)。单因素分析结果显示,STC1高表达、低表达在肿瘤复发中差异有统计学意义(P<0。05)。STC1高表达是不良预后因子(P<0。05),多因素分析结果显示,STC1高表达为复发影响因子(P<0。05),STC1高表达为膀胱尿路上皮癌独立预后危险因素(P<0。05)。结论 STC1高表达是一个独立的生物标志物,与膀胱尿路上皮癌的复发和预后不良有关。
Investigate the association of stanniocalcin-1 with tumor ecurrence and prognosis of urothelial bladder cancer
Objective To investigate the role of stanniocalcin-1(STC1)expression in bladder urothelial carcinoma.Meth-ods A total of 126 patients with bladder cancer tumor resection admitted to the Department of Urology and Nephrology in Weifang Yidu Central Hospital from August 2011 to April 2018 were selected as the study objects.Immunohistochemistry was used to detect the expression of STC1 in 126 samples of bladder urothelial carcinoma.Samples with immunohistochem-istry score ≥ 4 were classified as STC 1 high expression group(31 cases),while samples with score<4 were classified as STC1 low expression group(95 cases).The correlation between STC1 expression and clinicopathological factors was ana-lyzed.Survival curve was drawn by Kaplan-Meier method to analyze the role of STC1 expression in the prognosis of patients with urinary tract carcinoma.Cox regression model was used to analyze the risk factors of adverse prognosis in patients with bladder urothelial carcinoma.Results The expression of STC1 in patients with stage T2-T4 bladder urothelial carcinoma was higher than that in patients with stage Ta-T1,and the difference was statistically significant(P<0.05).The results of uni-variate analysis showed that there was significant difference between high and low expression of STC 1 in tumor recurrence(P<0.05).The high expression of STC1 is a poor prognostic factor(P<0.05),and the results of multivariate analysis showed that the high expression of STC1 is an influential factor for recurrence(P<0.05),and the high expression of STC1 was an independent prognostic risk factor for urinary tract carcinoma(P<0.05).Conclusion STC1 expression could be an inde-pendent biomarker which was related to the easy recur-rence and poor prognosis of urothelial bladder cancer.

BiomarkerPrognosisRecurrenceStannio-calcin-1Urothelial bladder cancer

蔡淑芳、张桂凤、王从政、李明红、秦玉霞、张秀荣

展开 >

山东省潍坊市益都中心医院肾脏内科,山东潍坊 262500

山东省潍坊市益都中心医院病案室,山东潍坊 262500

山东省潍坊市益都中心医院全科医学科,山东潍坊 262500

山东省潍坊市益都中心医院检验科,山东潍坊 262500

展开 >

生物标志物 预后 复发 斯钙素1 膀胱尿路上皮癌

山东省潍坊市卫生健康委员会科研项目

WFWSJK-2021-248

2024

中国当代医药
中国保健协会 当代创新(北京)医药科学研究院

中国当代医药

影响因子:1.215
ISSN:1674-4721
年,卷(期):2024.31(5)
  • 21