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甲状腺癌组织中CD147及survivin表达及其与术后淋巴结转移的相关性

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目的 探讨甲状腺癌组织中白细胞分化抗原 147(CD147)及survivin表达及其与术后淋巴结转移的相关性.方法 选取82 例甲状腺癌患者作为研究对象,所有患者均行手术治疗,采集肿瘤标本及癌旁正常组织标本进行免疫组织化学检测,比较肿瘤标本及癌旁正常组织标本内CD147 及survivin阳性表达差异;术后随访1 年,记录淋巴结转移情况,依据淋巴结转移与否分为两组,收集两组患者年龄、性别、肿瘤分期、体质量指数、CD147 表达、survivin表达、肿瘤直径等多方面资料,分别进行单因素、Logistic回归分析,获得影响甲状腺癌患者术后淋巴结转移的高危因素.结果 肿瘤组织内CD147 阳性率、survivin阳性率分别为73.17%、79.27%,高于癌旁正常组织,差异有统计学意义(P<0.05);82例患者术后随访1 年,其中30 例出现淋巴结转移,52 例未出现淋巴结转移;两组肿瘤分期、CD147 表达、survivin表达相比,差异有统计学意义(P<0.05);多因素显示,肿瘤分期Ⅲ期、CD147 阳性表达、survivin阳性表达为影响甲状腺癌术后淋巴结转移的高危因素(P<0.05 且OR>1).结论 CD147 及survivin在甲状腺癌中存在较高阳性表达,且两者阳性表达为术后淋巴结转移的高危因素,应于早期开展该项检测,尽早识别危险因素,降低术后淋巴结转移风险.
Correlation Between the Expression of CD147 and Survivin in Thyroid Carcinoma and Postoperative Lymph Node Metastasis
Objective To investigate the correlation between the expression of leukocyte differentiation antigen 147(CD147)and survivin in thyroid carcinoma and postoperative lymph node metastasis.Methods 82 patients with thyroid cancer were selected as the study objects.All patients underwent surgical treatment.Tumor specimens and normal tissue specimens adja-cent to the cancer were collected for immunohistochemical detection,and the positive expressions of CD147 and survivin in tumor specimens and normal tissue specimens adjacent to the cancer were compared;The patients were followed up for 1 year to record the lymph node metastasis of the 2 groups.They were divided into 2 groups according to whether the lymph node was metastatic or not.The data of age,sex,tumor stage,body mass index,CD147 expression,survivin expression,tumor diameter and other aspects of the 2 groups were collected.Single factor and logistic regression analysis were carried out to obtain the high-risk factors affect-ing the postoperative lymph node metastasis of thyroid cancer patients.Results The positive rates of CD147 and survivin in tumor specimens were73.17%and 79.27%,which were higher than those in normal adjacent tissues(P<0.05);82 patients were followed up for 1 year,30 patients had lymph node metastasis,52 patients had no lymph node metastasis;There were signifi-cant differences in tumor stage,CD147 expression and survivin expression between the 2 groups(P<0.05);Multivariate analysis showed that tumor stage Ⅲ,positive expression of CD147 and survivin were the high risk factors for postoperative lymph node me-tastasis of thyroid cancer(P<0.05 and OR>1).Conclusion CD147 and survivin have high positive expression in thyroid car-cinoma,and their positive expression is a high risk factor for postoperative lymph node metastasis.The detection should be carried out early to identify the risk factors as early as possible to reduce the risk of postoperative lymph node metastasis.

Thyroid cancerLeukocyte differentiation antigen 147Lymph node metastasisRelevance

李治洛、辛雅萍

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450000 郑州大学第二附属医院

甲状腺癌 白细胞分化抗原147 淋巴结转移 相关性

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(4)
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