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[口腔鳞状细胞癌微血管的特征及意义]

[The characteristics and significance of microvessel in oral squamous cell carcinoma].

作者信息

Li Chao, Chen Jian-Chao, Wang Zhao-hui, Zhang Bing, Li Bin, Song Yu-feng

机构信息

Department of Head and Neck Surgery, Sichuan Province Cancer Hospital, Chengdu 610041, China.

出版信息

Zhonghua Kou Qiang Yi Xue Za Zhi. 2007 Feb;42(2):70-3.

Abstract

OBJECTIVE

To investigate the characteristics of distribution status of maturation and morphology of the microvessel in oral squamous cell carcinoma (OSCC) and analyze the correlations between the characteristics and clinicopathologic parameters.

METHODS

The microvessel in 62 cases of OSCC, 30 cases of adjacent normal tissue and 10 cases of normal oral mucosa were detected by double-labeling immunohistochemistry technique. Image analysis mucosa, the microvascular density (MVD) was higher while vessel maturation system was also used for the analysis

RESULTS

Compared with adjacent normal tissues and normal oral index (VMI), vascular form factor (VFF) and vascular perimeter (VP) were lower in OSCC with significant difference (P < 0.01). The MVD was higher (P < 0.01) and VMI was lower (P < 0.05) in peritumoral site than those in intratumoral site. The MVD were correlated significantly with lymph node metastasis (P < 0.01).

CONCLUSIONS

The microvessels in OSCC were significantly different from those in normal oral tissues. The differences may contribute to the application of antiangiogenic therapy, and the peritumoral area in OSCC may become a target site of the therapy. The MVD may be hopefully used as an indicator of tumor malignancy.

摘要

目的

探讨口腔鳞状细胞癌(OSCC)微血管成熟度及形态的分布特征,并分析其与临床病理参数的相关性。

方法

采用免疫组织化学双重染色技术检测62例OSCC组织、30例癌旁正常组织及10例正常口腔黏膜组织中的微血管。运用图像分析系统分析微血管密度(MVD)、血管成熟指数(VMI)、血管形态因子(VFF)及血管周长(VP)。

结果

与癌旁正常组织和正常口腔黏膜相比,OSCC组织的MVD较高,而VMI、VFF及VP较低,差异有统计学意义(P < 0.01)。肿瘤周边部位的MVD高于肿瘤内部(P < 0.01),VMI低于肿瘤内部(P < 0.05)。MVD与淋巴结转移显著相关(P < 0.01)。

结论

OSCC组织中的微血管与正常口腔组织存在显著差异。这些差异可能有助于抗血管生成治疗的应用,OSCC肿瘤周边区域可能成为该治疗的靶点。MVD有望作为肿瘤恶性程度的指标。

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