首页|CK-20 mRNA对直肠癌的临床诊断价值研究

CK-20 mRNA对直肠癌的临床诊断价值研究

Study on value of CK-20 mRNA in clinical diagnosis of rectal cancer

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目的 探究细胞角蛋白-20(CK-20)mRNA对直肠癌的临床诊断价值.方法 选取在医院行手术治疗的120例直肠癌患者,采集其术前外周血检测CK-20 mRNA表达量,并对手术切除组织进行病理学分析,研究影响CK-20 mRNA阳性表达的病理相关因素.结果 直肠癌患者的CK-20 mRNA表达阳性率为46.67%;肿瘤分化程度、TNM分期、肿瘤浸润深度、淋巴结转移、肝脏转移是CK-20 mRNA阳性表达的影响因素.相关性分析显示,肿瘤分化程度、TNM分期、肿瘤浸润深度与CK-20mRNA表达量呈显著正相关(P<0.05).结论 直肠癌患者外周血CK-20 mRNA是直肠癌微转移的敏感指标,肿瘤分化程度、TNM分期、肿瘤浸润深度是影响CK-20 mRNA表达水平的主要因素,CK-20mRNA可作为直肠癌预后检测和肿瘤转移预防的重要参考指标.
Objective To explore the value of cytokeratin-20 (CK-20) mRNA in the clinical diagnosis of rectal cancer.Methods A total of 120 rectal cancer patients to receive surgical treatment in our hospital were selected.Their preoperative peripheral blood was collected to detect the expression of CK-20 mRNA.Pathological analysis was conducted on surgical resection tissues to study the pathological factors affecting the positive expression of CK-20 mRNA.Results The positive expression rate of CK-20 mRNA among rectal cancer patients was 46.67%;tumor diferentation degree,TNM staging,depth of tumor invasion,lymph node metastasis and liver metastasis were the factors that affect the positive expression of CK-20 mRNA.Correlation analysis showed that tumor differentiation degree,TNM staging and depth of tumor invasion were significantly positively correlated to the expression of CKv20 mRNA (P < 0.05).Conclusion The CK-20 mRNA in the peripheral blood of rectal cancer patients is a sensitive index of the micrometastasis of rectal cancer;,tumor differentiation degree,TNM staging and depth of tumor invasion are the major factors that affect the expression level of CK-20 mRNA,which may be used as an important reference index for the detection of rectal cancer prognosis and tumor metastasis prevention.

rectal cancerCK-20micrometastasisinfluencing factor

李恒、杨晓晔

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723000陕西汉中,汉中3201医院胃肠外科

直肠癌 细胞角蛋白-20 微转移 影响因素

2017

西南国防医药
成都军区医学科学技术委员会

西南国防医药

CSTPCD
影响因子:0.672
ISSN:1004-0188
年,卷(期):2017.27(6)
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