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乳腺癌组织内VEGF-C、HIF-1α表达与血管生成的相关性研究

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目的:探讨乳腺癌患者组织内血管内皮生长因子-C(VEGF-C)、缺氧诱导因子-1α(HIF-1α)表达与血管生成的关系。方法:选取 2022 年 1 月—2023 年 12 月泰安市中心医院收治的 198 例乳腺癌女性患者,并选取同期经病理学检查为乳腺纤维瘤患者 50 例为对照。采用免疫组化S-P法检测乳腺癌和乳腺纤维瘤组织中VEGF-C、HIF-1α表达及微血管密度(MVD)数,分析VEGF-C、HIF-1α表达与临床病理特征及MVD的关系。结果:乳腺癌患者乳腺组织中VEGF-C、HIF-1α阳性表达率及MVD数均高于乳腺纤维瘤患者,差异有统计学意义(P<0。05)。VEGF-C阳性与阴性表达者年龄、肿瘤直径、组织学分级、ER表达、PR表达等临床病理特征比较,差异无统计学意义(P>0。05);VEGF-C阳性表达者有淋巴结转移、TNM分期为Ⅲ~Ⅳ期、分子分型(Luminal B、HER-2 阳性、基底细胞)的患者占比及MVD均高于VEGF-C阴性表达者,差异有统计学意义(P<0。05)。HIF-1α阳性与阴性表达者年龄、肿瘤直径、ER表达、PR表达、分子分型等临床病理特征比较,差异无统计学意义(P>0。05);HIF-1α阳性表达者组织学分级为Ⅱ级、Ⅲ级、有淋巴结转移、TNM分期为Ⅲ~Ⅳ期的患者占比及MVD均高于HIF-1α阴性表达者,差异有统计学意义(P<0。05)。结论:乳腺癌患者组织内VEGF-C、HIF-1α阳性表达率明显升高,并且还与肿瘤血管生成存在显著相关性。
Correlation between the Expression of VEGF-C,HIF-1 α and Angiogenesis in Breast Cancer Tissues
Objective:To investigate the relationship between the expression of vascular endothelial growth factor-C(VEGF-C),hypoxia inducible factor-1α(HIF-1α)and angiogenesis in breast cancer tissues.Method:A total of 198 female patients with breast cancer admitted to Tai'an Central Hospital from January 2022 to December 2023 were selected,and 50 patients with breast fibroma diagnosed pathologically in the same period were selected as controls.Immunohistochemical S-P method was used to detect the expression of VEGF-C,HIF-1α and microvessel density(MVD)in breast cancer and breast fibroma.The relationship between the expression of VEGF-C,HIF-1α and clinicopathological features and MVD were analyzed.Result:The positive expression rate of VEGF-C and HIF-1 α and the number of MVD in breast tissue of breast cancer patients were higher than those of breast fibroma patients,and the differences were statistically significant(P<0.05).There were no significant differences in clinical pathological characteristics such as age,tumor diameter,histological grading,ER expression,PR expression between VEGF-C positive and negative expression patients(P>0.05);the proportion of patients with lymph node metastasis,TNM stage Ⅲ-Ⅳ,molecular typing(Luminal B,HER-2 positive,basal cell),and MVD were higher in patients with positive expression of VEGF-C than in those with negative expression of VEGF-C,the differences were statistically significant(P<0.05).There were no significant differences in clinical pathological characteristics such as age,tumor diameter,ER expression,PR expression,and molecular typing between HIF-1 α positive and negative expression patients(P>0.05);the proportion of patients with histological grading of grade Ⅱ-Ⅲ,lymph node metastasis,and TNM stage Ⅲ-Ⅳ,as well as the number of MVD in HIF-1 α positive expression patients were higher than in HIF-1 α negative expression patients,the differences were statistically significant(P<0.05).Conclusion:The positive expression rates of VEGF-C and HIF-1 α in breast cancer tissues were significantly increased,and there was also a significant correlation with tumor angiogenesis.

Breast cancerVascular endothelial growth factor-CHypoxia inducible factor-1 αClinical pathological featuresMicrovascular density

刘焱、宋璐、林敏

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泰安市中心医院 山东 泰安 271000

乳腺癌 血管内皮生长因子-C 缺氧诱导因子-1α 临床病理特征 微血管密度

山东省自然科学基金资助项目

ZR2016HB48

2024

中外医学研究
中国医院管理杂志社

中外医学研究

影响因子:1.149
ISSN:1674-6805
年,卷(期):2024.22(28)