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浸润性巨噬细胞计数:台湾口腔鳞状细胞癌进展和预后的重要预测指标。

Infiltrating macrophage count: a significant predictor for the progression and prognosis of oral squamous cell carcinomas in Taiwan.

机构信息

Department of Periodontics, Chang-Gung Memorial Hospital, Taipei, Taiwan.

出版信息

Head Neck. 2010 Jan;32(1):18-25. doi: 10.1002/hed.21138.

DOI:10.1002/hed.21138
PMID:19484765
Abstract

BACKGROUND

Infiltrating macrophage count (IMC) is found to correlate with the progression and prognosis of many human cancers.

METHODS

This study used immunohistochemistry to measure the IMC (macrophages/high-power field [HPF]) in 92 specimens of oral squamous cell carcinoma (OSCC).

RESULTS

A significantly increased IMC was found in OSCCs with larger tumor size, positive lymph node metastasis, more advanced clinical stages, or recurrence (all ps < .05). Kaplan-Meier survival analysis found that OSCC patients with IMC >196 macrophages/HPF had a significantly shorter disease-free (p = .001, log-rank test) or overall survival (p < .001, log-rank test) than OSCC patients with IMC <196 macrophages/HPF. Multivariate Cox regression analyses showed that IMC >196 macrophages/HPF was an independent predictor for poor disease-free (p = .005) and overall survival of patients with OSCC (p = .015).

CONCLUSIONS

The IMC can predict the progression and prognosis of OSCCs in Taiwan.

摘要

背景

浸润性巨噬细胞计数(IMC)与许多人类癌症的进展和预后相关。

方法

本研究使用免疫组织化学方法测量了 92 例口腔鳞状细胞癌(OSCC)标本中的 IMC(巨噬细胞/高倍视野 [HPF])。

结果

在肿瘤较大、淋巴结转移阳性、临床分期较高或复发的 OSCC 中,IMC 显著增加(均 p <.05)。Kaplan-Meier 生存分析发现,IMC >196 个巨噬细胞/HPF 的 OSCC 患者无病生存率(p =.001,对数秩检验)或总生存率(p <.001,对数秩检验)显著短于 IMC <196 个巨噬细胞/HPF 的 OSCC 患者。多变量 Cox 回归分析显示,IMC >196 个巨噬细胞/HPF 是 OSCC 患者无病生存率(p =.005)和总生存率(p =.015)不良的独立预测因素。

结论

IMC 可预测台湾 OSCC 的进展和预后。

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