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肿瘤芽殖与瘤栓对结直肠癌患者预后的影响

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目的:研究肿瘤芽殖与瘤栓评分对直肠癌手术患者预后的影响。方法:回顾性分析224例结直肠癌手术患者的临床及病理资料,将结直肠癌组织采取免疫组织化学方法评估肿瘤芽殖与瘤栓的等级,并与其评分进行相关性分析。结果:肿瘤芽殖及瘤栓等级对TNM分期密切相关,差异有统计学意义(p<0.001)。Kaplan-Meier生存曲线表明,肿瘤芽殖及瘤栓低等级组生存率明显高于高等级组,差异有统计学意义(p<0.05)。应用Cox回归模型进行单因素和多因素分析显示,肿瘤芽殖及瘤栓是影响结直肠癌患者预后的独立危险因素( p<0.05)。结论:肿瘤芽殖及瘤栓是影响结直肠癌患者预后的独立因素,也可及早地协助鉴定高危进展期结直肠癌患者。
Objective: The role of tumor budding(TB) and lymphovascular space invasion (LSI) scores on the prognosis of patients in colorectal cancer (CRC) surgery. Methods:Retrospective analysis of clinical and pathological data from 224 cases of CRC surgery patients, the scores of TB and LSI were evaluated using immunohistochemistry in CRC tissues, and analyzed the correlations between the scores of TB and LSI and clinicopathologic factors and patient survival. Results: The scores TB and LSI strongly correlated with the TNM stage, and difference was statistical y significant (p<0.001). Kaplan-Meier survival curves showed that scores of TB and LSI are inversely correlated with overal 5-year survival of patients with CRC (p<0.05 for both). Univariate and multivariate Cox regression analysis revealed that TB and LSI are an independent prognostic factor in CRC (p<0.05). Conclusion: The TB and LSI may serve as an independent prognostic factor and prematurely help to identify those patients with high risk advanced stage CRC.

Colorectal cancerTumor buddingLymphovascular space invasionprognosis

赵雪峰、徐志强、王健

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大连大学附属新华医院胃肠微创外科中心 辽宁大连 116021

结直肠癌 肿瘤芽殖 瘤栓 预后

2014

中外健康文摘
中国中医药报社

中外健康文摘

影响因子:0.016
ISSN:1672-5085
年,卷(期):2014.(2)
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