首页|血清SOX9水平变化与胃癌临床病理特征及患者预后的相关性研究

血清SOX9水平变化与胃癌临床病理特征及患者预后的相关性研究

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目的 探讨血清SOX9水平变化与胃癌临床病理特征及患者预后的关系.方法 收集胃癌患者85例纳入胃癌组,同时期收集慢性胃炎患者60例纳入慢性胃炎组,体检健康志愿者60名纳入对照组.采用酶联免疫吸附试验检测血清SOX9蛋白水平 .分析SOX9水平变化与胃癌临床病理特征及患者预后的关系.结果 三组血清SOX9水平比较,差异具有统计学意义(P<0.05),胃癌组患者SOX9水平高于对照组和慢性胃炎组,而慢性胃炎组SOX9水平又高于对照组,差异均具有统计学意义(P<0.05).血清SOX9水平与肿瘤分化程度、淋巴结转移、临床分期、浸润深度、Lauren分型相关(P<0.05),血清SOX9水平与患者性别、年龄无关(P>0.05).血清SOX9水平区分胃癌组和对照组的AUC 为 0.942,95%CI 为 0.921~0.982,区分胃癌组和慢性胃炎组的 AUC 为 0.842,95%CI 为 0.782~0.913.将 SOX9水平为46.0 ng/mL作为临界值,诊断胃癌的灵敏度为88.1%,特异度为88.5%,进一步诊断早期胃癌,AUC为0.755,灵敏度为72.5%,特异度为70.1%.结论 血清SOX9水平与胃癌临床病理特征及患者预后有关,可用于诊断胃癌,还可用于预测患者预后恢复情况.
Correlation Between Serum SOX9 Level and Clinicopathological Features and Prognosis of Gastric Cancer
Objective To investigate the relationship between serum SOX9 level and clinicopathological features and prognosis of patients with gastric cancer.Methods 85 patients with gastric cancer were included in the gastric cancer group,60 patients with chronic gastritis were included in the chronic gastritis group,and 60 healthy volunteers were included in the control group.Serum SOX9 protein was detected by enzyme-linked immunosorbent assay(ELISA).To analyze the relationship between SOX9 level and clinicopathological features and prognosis of gastric cancer.Results The difference of serum SOX9 level among the 3 groups was statistically significant(P<0.05).The level of SOX9 in gastric cancer group was higher than that in the control group and chronic gastritis group,while the level of SOX9 in chronic gastritis group was higher than that in control group,with sta-tistical significance(P<0.05).Serum SOX9 level was correlated with tumor differentiation,lymph node metastasis,clinical stage,depth of invasion and Lauren's classification(P<0.05),while serum SOX9 level was not correlated with patient gender and age(P>0.05).The AUC of serum SOX9 level was 0.942 and 95%CI was 0.921~0.982 in gastric cancer group and con-trol group,and 0.842 and 95%CI was 0.782~0.913 in gastric cancer group and chronic gastritis group.With SOX9 level of 46.0 ng/mL as the critical value,the sensitivity of the diagnosis of gastric cancer was 88.1%,the specificity was 88.5%,and further diagnosis of early gastric cancer,the AUC was 0.755,the sensitivity was 72.5%,the specificity was 70.1%.Conclusion Serum SOX9 level is related to the clinicopathological features and prognosis of gastric cancer.It can be used to diagnose gastric cancer and predict the prognosis of patients.

SOX9Gastric cancerClinicopathological featuresPrognosisDiagnosis

蒋志强、赵洲易、白紫燕

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450000 河南省肿瘤医院

SOX9 胃癌 临床病理特征 预后 诊断

2024

实用癌症杂志
江西省肿瘤医院 江西省肿瘤研究所

实用癌症杂志

影响因子:1.241
ISSN:1001-5930
年,卷(期):2024.39(1)
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