首页|乳腺癌患者HPV感染的临床病理特征及与p53蛋白表达的相关性研究

乳腺癌患者HPV感染的临床病理特征及与p53蛋白表达的相关性研究

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目的 观察乳腺癌患者人乳头状瘤病毒(HPV)感染的临床病理特征及与p53蛋白表达的相关性.方法 选取180例乳腺癌患者,根据其是否感染HPV分为感染组(n=91)和未感染组(n=89),比较2组患者癌组织和癌旁组织的p53蛋白表达水平、临床病理特征、生存情况,以及2组不同临床病理特征的p53蛋白表达水平.结果 感染组组织学分级、病理分期与未感染组相比,差异均有统计学意义(P均<0.05);感染组淋巴结转移占65.93%,高于未感染组的43.82%(x2=8.890,P<0.01).感染组累积生存率、无进展生存率分别为82.26%、66.13%,低于未感染组的95.16%、90.32%,差异均有统计学意义(log-rankx2=5.766、13.220,P均<0.001).感染组患者癌组织及癌旁组织的p53蛋白表达水平分别为0.58(0.45~0.60)、0.24(0.21~0.28),未感染组分别为0.42(0.35~0.46)、0.21(0.18~0.25),差异均有统计学意义(Z=8.525、2.923,P均<0.01).感染组与未感染组在肿瘤直径、组织学分级、病理分期、有无淋巴结转移的p53蛋白表达水平比较,差异均有统计学意义(P均<0.05).结论 乳腺癌患者HPV感染率较高,HPV感染可能促使p53蛋白突变,促进乳腺癌恶性发展.
Clinicopathological characteristics of HPV infection and their correla-tions with p53 protein in patients with breast cancer
Objective This study was aimed at observing the clinicopathological characteristics of human papillo-ma virus(HPV)infection and their correlations with p53 protein expression in patients with breast cancer.Methods A total of 180 patients with breast cancer were enrolled and divided into an infection group(n=91)and non-infection group(n=89),according to the presence or absence of HPV infection.The expression of p53 protein in cancer tissues and para-carcinoma tissues,clinicopathological data,survival,and clinicopathological characteristics were compared between groups.Results Significant differences in histological grading and pathological staging were observed between groups(both P<0.05);lymph node metastasis was observed in 65.93%of the infection group and 43.82%non-infection group(x2=8.890,P<0.01).The cu-mulative survival rate and progression-free survival rate in the infection group were 82.26%and 66.13%,respectively,and were significantly lower than those in the non-infection group(95.16%,90.32%)(log-rank x2=5.766,13.220,both P<0.001).The expression levels of p53 protein in cancer tissues and para-carcinoma tissues in the infection group were 0.58(0.45-0.60)and 0.24(0.21-0.28),whereas those in the non-infection group were 0.42(0.35-0.46)and 0.21(0.18-0.25);the differences between groups were statistically significant(Z=8.525,2.923,both P<0.01).Significant differences in p53 pro-tein expression were observed among patients according to tumor diameter,histological grading,pathological staging,and lymph node metastasis between the infection group and non-infection group(all P<0.05).Conclusion The inci-dence of HPV infection was elevated in patients with breast cancer,HPV infection may promote the mutation of p53 protein and the malignant development of breast cancer.

Breast neoplasmsHuman papilloma virus infectionClinicopathological characteristicsp53

关津京、崔珂珂、张绍星、薛小青

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平顶山市妇幼保健院病理科,河南平顶山 467000

襄城县人民医院病理科,河南襄城 452670

平顶山市第一人民医院病理科,河南 平顶山 467000

乳腺肿瘤 人乳头状瘤病毒感染 临床病理特征 p53

2024

中国校医
江苏省预防医学会 中华预防医学会

中国校医

影响因子:0.378
ISSN:1001-7062
年,卷(期):2024.38(6)