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[nm23-H1基因表达与子宫内膜癌临床预后的关系]

[The expression of nm23-H1 genes with clinical prognosis in endometrial carcinoma].

作者信息

Guo C, Wei L, Fu Q

机构信息

Frist Hospital Baotou Medical College, Baotou 014010.

出版信息

Zhonghua Fu Chan Ke Za Zhi. 1999 Jul;34(7):423-5.

Abstract

OBJECTIVE

To study the expression of nm23-H1 gene in endometrial carcinoma and its relationships between the clinicopathological parameter and prognosis of endometrial carcinoma.

METHODS

The endometrial specimens of 60 cases with endometrial carcinoma were studied retrospectively by immunohistochemical stainings.

RESULTS

The positive expression rate of nm23-H1 gene in endometrial carcinoma was 55.0% (33/60). The positive rate of nm23-H1 in early endometrial carcinoma was significantly higher than that in advanced cases (65.9% and 25.0%, respectively, P < 0.05). Positive rates in the well and moderately differentiated endometrial carcinoma were also higher than those of poorly differentiated (66.7%, 63.6%, 29.4%, P < 0.05). 20.0% of the cases with and 64.9% of the cases without lymph node metastasis showed positive for nm23-H1 (P < 0.05). The expression of nm23-H1 was not correlated with histological type, myometrial invasion, estrogen receptor and progesterone receptor. The survival rate of patients with nm23-H1 expression was significantly higher than that of patients without nm23-H1 expression. The 5-year survival rate was 90.5% and 55.3% respectively (P < 0.05).

CONCLUSION

nm23-H1 gene may play a role in the inhibitory effect on the development and the lymph node metastasis of endometrial carcinoma, and may be related to be prognosis of endometrial carcinoma.

摘要

目的

研究nm23-H1基因在子宫内膜癌中的表达及其与子宫内膜癌临床病理参数和预后的关系。

方法

采用免疫组织化学染色法对60例子宫内膜癌患者的子宫内膜标本进行回顾性研究。

结果

nm23-H1基因在子宫内膜癌中的阳性表达率为55.0%(33/60)。早期子宫内膜癌中nm23-H1的阳性率显著高于晚期病例(分别为65.9%和25.0%,P<0.05)。高分化和中分化子宫内膜癌的阳性率也高于低分化癌(分别为66.7%、63.6%、29.4%,P<0.05)。有淋巴结转移的病例中20.0%的nm23-H1呈阳性,无淋巴结转移的病例中64.9%呈阳性(P<0.05)。nm23-H1的表达与组织学类型、肌层浸润、雌激素受体和孕激素受体无关。nm23-H1表达阳性患者的生存率显著高于无nm23-H1表达的患者。5年生存率分别为90.5%和55.3%(P<0.05)。

结论

nm23-H1基因可能在抑制子宫内膜癌的发生发展及淋巴结转移中发挥作用,且可能与子宫内膜癌的预后有关。

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