首页|肺腺癌肿瘤组织中EGFR水平与肿瘤分期、病理分级、淋巴结转移及术后复发的相关性

肺腺癌肿瘤组织中EGFR水平与肿瘤分期、病理分级、淋巴结转移及术后复发的相关性

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目的 探讨肺腺癌肿瘤组织中表皮生长因子受体(EGFR)水平与肿瘤分期、病理分级、淋巴结转移及术后复发之间的相关性。方法 收集2019年11月至2022年11月驻马店市中心医院收治的86例肺腺癌患者的手术标本和临床数据,包括肿瘤分期、病理分级、淋巴结转移和术后1年内复发情况。利用免疫组织化学染色法定量评估肿瘤组织中EGFR的表达水平,分析EGFR阳性与肺腺癌患者的肿瘤分期、病理分级、淋巴结转移以及术后1年内复发情况之间的相关性。结果 在86例肺腺癌患者中,50例显示肿瘤组织中EGFR呈阳性表达。肺腺癌肿瘤组织中EGFR的表达水平与肿瘤分期、病理分级、术前淋巴结转移和术后复发有显著相关性(P<0。05)。EGFR阳性表达在早期分期(Ⅰ和Ⅱ期)和低分级(Ⅰ和Ⅱ级)的肺腺癌中更为常见。EGFR阳性的肺腺癌患者术前淋巴结转移和术后复发的发生率较低。结论 肺腺癌肿瘤组织中EGFR的阳性表达与肿瘤的分期、病理分级、术前淋巴结转移和术后复发之间存在相关性,为肺腺癌的分子诊断和治疗提供了新的线索。
Relationship of EGFR level in tumor tissue with its tumor stage,pathological grade,lymph node metastasis,and postoperative recurrence in lung adenocarcinoma
Objective To investigate the relationship between epidermal growth factor receptor(EGFR)levels in tumor tissues of lung adenocarcinoma and tumor stage,pathological grade,lymph node metastasis,and postoperative recurrence.Methods The surgical specimens and clinical data were collected from 86 patients with lung adenocarcinoma from November 2019 to November 2022,including tumor stage,pathological grade,lymph node metastasis,and recurrence within one year after surgery.The expression level of EGFR in tumor tissues was quantitatively evaluated using immunohistochemical staining,and the relationship between EGFR positivity and tumor stage,pathological grade,lymph node metastasis,and postoperative recurrence in lung adenocarcinoma patients was analyzed.Results Among the 86 patients with lung adenocarcinoma,50 cases showed EGFR-positive expression in tumor tissues.There was a significant relationship between EGFR expression levels in tumor tissue and tumor stage,pathological grade,preoperative lymph node metastasis,and postoperative recurrence(P<0.05).EGFR positive expression was more commonly observed in early-stage(stage Ⅰ and Ⅱ)and low-grade(grade Ⅰ and Ⅱ)lung adenocarcinomas.Lung adenocarcinoma patients with EGFR positive expression had lower incidence of preoperative lymph node metastasis and postoperative recurrence.Conclusions The positive expression of EGFR in lung adenocarcinoma is correlated with tumor stage,pathological grade,preoperative lymph node metastasis and postoperative recurrence,which provides a new clue for molecular diagnosis and treatment of lung adenocarcinoma.

Lung adenocarcinomaEpidermal growth factor receptor(EGFR)Tumor stagePathological gradeLymph node metastasisPostoperative recurrence

李俏然、赵信喜、高波

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河南省驻马店市中心医院病理科 463000

肺腺癌 表皮生长因子受体 肿瘤分期 病理分级 淋巴结转移 术后复发

2024

临床医学
中华医学会河南分会

临床医学

影响因子:0.906
ISSN:1003-3548
年,卷(期):2024.44(1)
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