PCNA、P16蛋白在卵巢癌组织中的表达及其临床价值的探讨Expressions of PCNA, P16 in ovarian tumor and their clinical significance
袁碧波,张士伟,孙保存
摘要(Abstract):
目的:研究PCNA、P16蛋白在卵巢癌中的表达及临床价值。方法:应用免疫组化法检测89份卵巢癌组织PCNA、P16蛋白的表达。结果:PCNA表达在上皮性,中、低分化以及晚期卵巢癌中的表达显著高于非上皮性,高分化及早期卵巢癌(P<0.05),PCNA表达与残存癌灶大小、是否发生淋巴结转移无关(P>0.05)。在晚期、残存癌灶≥2cm的卵巢癌中P16蛋白的表达明显低于早期、残存癌灶<2cm者(P<0.05);P16蛋白表达与组织类型、组织分化、淋巴结有无转移无关(P<0.05)。生存分析表明,PCNA、P16蛋白尚不能作为卵巢癌的独立预后因素。结论:肿瘤细胞的过度增殖在卵巢癌的发生、发展中起一定作用。P16蛋白表达的缺失与卵巢癌的进展有关。测定卵巢癌组织P16、PCNA的表达,对客观评价肿瘤的增殖状态,进行“个体化”治疗有指导价值。
关键词(KeyWords): 卵巢肿瘤;细胞增殖;增殖细胞核抗原;蛋白质P16;免疫组织化学
基金项目(Foundation):
作者(Author): 袁碧波,张士伟,孙保存
DOI: 10.13283/j.cnki.xdfckjz.1999.04.003
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