实用肿瘤学杂志 ›› 2010, Vol. 24 ›› Issue (5): 422-424.doi: 10.3969/j.issn.1002-3070.2010.05.007

• 论著 • 上一篇    下一篇

Survivin、Ki-67和COX-2在结直肠腺瘤旁鸡皮样黏膜中的表达及意义

吕丽艳, 韩波, 关景明, 赵春波   

  1. 哈尔滨医科大学附属第一临床医学院肿瘤二病房(哈尔滨 150001)
  • 收稿日期:2010-07-30 出版日期:2010-10-28 发布日期:2015-01-24
  • 通讯作者: 吕丽艳,E-mail:lvliyan_126@126.com
  • 作者简介:吕丽艳,女,(1980-),硕士,住院医师,从事消化道肿瘤诊断和治疗研究

The expression and significance of Survivin,COX-2 and Ki-67 proteinum in colorectal chicken skin mucosa beside adenoma

LV Liyan, HAN Bo, GUAN Jingming, ZHAO Chunbo   

  1. Department of Radiation Oncology,The First Affiliated Hospital of Harbin Medical University,Harbin 150001
  • Received:2010-07-30 Online:2010-10-28 Published:2015-01-24

摘要: 目的 探讨结直肠腺瘤旁鸡皮样黏膜与腺瘤癌变关系及临床意义。方法 采用免疫组化法检测肠镜下息肉电凝电切除标本90例(腺瘤旁鸡皮样黏膜35例;腺瘤癌变组织30例;正常结直肠黏膜25例)中Survivin、COX-2及Ki-67蛋白的表达。结果 Survivin在正常结直肠黏膜中无表达,在鸡皮样黏膜和腺瘤癌变组织中的表达差别无统计学意义(P>0.05);Ki-67和COX-2蛋白在正常结直肠黏膜、腺瘤旁CSM和腺瘤癌变组织中均有较高表达,且二者在前两组中的表达差别有统计学意义(P<0.05),在后两组中的表达差别无统计学意义(P>0.05)。结论 结直肠腺瘤病灶旁CSM可能是一种原发性癌前病变,在结直肠腺瘤内镜下电凝电切除时应同时处理,以减少结直肠腺瘤癌变的机率。

Abstract: Objective To explore the correlation of chicken skin mucosa beside adenoma and adenoma canceration tissue,debate clinical significance of chicken skin mucosa beside colorectal carcinoma.Methods To observe the expression of Survivin,COX-2 and Ki-67 in 90 cases(chicken skin mucosa beside adenoma 35 cases;adenoma canceration tissue,30 cases;normal colorectal mucosa 25 cases)by immunohistochemistry staining.Results The expression of Survivin was 0 in normal colorectal mucosa,and the expression of Survivin in chicken skin mucosa by the side of adenoma and adenoma canceration tissue was non statistically significant(P>0.05);The expression of Ki-67 and COX-2 in normal colorectal mucosa,chicken skin mucosa by the side of adenoma and adenoma canceration tissue was positive,non statistically significant between fore two groups(P<0.05),statistically significant between last two groups(P>0.05)statistically significant between last two groups(P>0.05).Conclusion Chicken skin mucosa by the side of colorectal adenoma maybe primarily lesion precancerous and a risk factor of colorectal adenoma canceration,should be early treated by the operation of electric coagulation and electroblation colorectal adenoma.

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