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[绝经前后鳞状上皮内病变及宫颈癌患者治疗后预后中的孕激素受体]

[Progesterone receptors in the prognosis after therapy of pre- and post-menopausal patients with squamous intraepithelial lesions and cancer of the uterine cervix].

作者信息

González Sánchez J L, Román A M, Salazar Esquivel E L

机构信息

Hospital de Gineco Obstetricia Luis Castelazo Avala Instituto Mexicano del Seguro Socia, México, D.F.

出版信息

Ginecol Obstet Mex. 1999 Feb;67:75-9.

Abstract

The objective of this study was to know if there is a correlation in contents progesterone receptors (RPg) in biopsies from patients pre and postmenopausal, with normal cervix, Low-Grade squamous intraepithelial lesions (LGESIL) and High-Grade (HGSIL), and invasive cancer. Sixty three patients with abnormal cytology; colposcopy was carried out and two biopsies were taken from the suspicious lesion, they were sent for histopathological study, and for RPg; both studies were correlated later. Both pre and postmenopausal with LGSIL, the RPg the mean values were 16.81 fmol/mg, protein, and values negative, respectively. With regard to HGSIL, the RPg content, the mean values was 20.31 fmol/mg, protein in pre-menopausal patients, whereas it was 3.8 fmol/mg, protein in postmenopausal patients. It was seen that RPg concentration is higher in invasive cancer than to LGSIL and HGSIL patients in pre and postmenopausal. It is concluded that this study on quantification to RPg receptor level measurement may well be to select poor prognostic groups of patients for inclusion in the management of squamous intraepithelial lesions and invasive cancer.

摘要

本研究的目的是了解绝经前后宫颈正常、低度鳞状上皮内病变(LGESIL)、高度鳞状上皮内病变(HGSIL)及浸润癌患者活检组织中孕激素受体(RPg)含量是否存在相关性。63例细胞学异常患者接受了阴道镜检查,并从可疑病变处取了两份活检组织,分别送去做组织病理学检查和RPg检测,之后将两项研究结果进行关联分析。绝经前后患有LGSIL的患者,RPg平均值分别为16.81 fmol/mg蛋白和阴性。对于HGSIL,绝经前患者的RPg含量平均值为20.31 fmol/mg蛋白,而绝经后患者为3.8 fmol/mg蛋白。结果发现,浸润癌患者的RPg浓度高于绝经前后LGSIL和HGSIL患者。结论是,这项关于RPg受体水平定量测量的研究很可能有助于选择预后不良的患者群体,以纳入鳞状上皮内病变和浸润癌的管理。

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