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17β-HSD1在卵巢恶性上皮性肿瘤中的表达及临床意义

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目的 检测17(3-羟类固醇脱氢酶1(17β-HSD1)在卵巢恶性上皮性肿瘤组织中的表达,分析其与病理特征和预后的关系.方法 选取卵巢恶性、交界性、良性上皮性肿瘤患者各70例.采用免疫组织化学染色检测17β-HSD1的表达情况.比较3组患者间17β-HSD1表达水平的差异,分析17β-HSD1表达水平与患者各项临床病理特征及预后的关系.结果 17β-HSD1在卵巢恶性上皮性肿瘤组织中高表达,卵巢恶性上皮性肿瘤组织中17β-HSD1的表达水平与FIGO分期、淋巴结转移、糖类抗原125(CA125)和人附睾蛋白4(HE4)水平相关(P<0.05),而与患者的绝经情况、肿瘤分化程度、病理类型、腹水无明显相关(P>0.05).17β-HSD1表达水平、术前CA125和HE4水平、肿瘤分化程度、FIGO分期是卵巢恶性上皮性肿瘤预后的影响因素.多因素Cox回归分析提示,17β-HSD1表达水平和FIGO分期是影响卵巢恶性上皮性肿瘤预后的独立危险因素.结论 17β-HSD1在卵巢恶性上皮性肿瘤组织中高表达,与肿瘤的发生、发展密切相关,是影响患者总生存期的独立危险因素之一.
Expression and clinical significance of 17β-HSD1 in malignant epithelial ovarian tumors
Objective To detect 17β-hydroxysteroid dehydrogenase type 1(17β-HSD1)expression in malignant epithelial ovarian tumors and analyze its relationship with pathological features and prognosis.Methods The clinical data of 70 patients with malignant epithelial ovarian tumors,70 with borderline epithelial ovarian tumors,and 70 with benign epithelial ovarian tumors were retrospectively analyzed.Immunohistochemistry was used to detect 17β-HSD1 expression.The difference in 17β-HSD1 expression levels among three groups were compared,and the relationship between 17β-HSD1 expression and various clinicopathological features and prognosis was ana-lyzed.Results Malignant epithelial ovarian tumor tissues had high 17β-HSD1 expression that was closely related to FIGO stage,lymph node metastasis,and carbohydrate antigen 125(CA125)and human epididymis protein 4(HE4)levels(P<0.05),with no significant cor-relation with menopausal status,tumor differentiation degree,pathological type,and ascites(P>0.05).The 17β-HSD1 expression levels,preoperative CA125 and HE4 levels,tumor differentiation degree,and FIGO stage affected the prognosis of malignant epithelial ovarian tumors.Multivariate Cox regression analysis suggested that the 17β-HSD1 expression levels and FIGO stage were independent risk factors for malignant epithelial ovarian tumor.Conclusion Malignant epithelial ovarian tumors had high 17β-HSD1 expression,which is closely related to the occurrence and development of tumors and among the independent risk factors affecting the overall survival.

estrogen17β-hydroxysteroid dehydrogenase type 1malignant epithelial ovarian tumorborderline epithelial ovarian tumorbenign epithelial ovarian tumor

赵奕涵、申颖、戴姝艳

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中国医科大学附属盛京医院妇产科,沈阳 110004

雌激素 17β-羟类固醇脱氢酶1 卵巢恶性上皮性肿瘤 卵巢交界性上皮性肿瘤 卵巢良性上皮性肿瘤

2024

中国医科大学学报
中国医科大学

中国医科大学学报

CSTPCD北大核心
影响因子:1.421
ISSN:0258-4646
年,卷(期):2024.53(11)