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细胞角蛋白19、波形蛋白和E-钙黏蛋白在分化型甲状腺癌中的表达

The expression of CK19, vimentin and E-cadherin in differentiated thyroid carcinomas.

作者信息

Calangiu Cristina Mariana, Simionescu Cristiana Eugenia, Stepan Alex Emilian, Cernea Daniela, Zăvoi Roxana Eugenia, Mărgăritescu Claudiu

机构信息

Department of Pathology, University of Medicine and Pharmacy of Craiova, Romania;

出版信息

Rom J Morphol Embryol. 2014;55(3):919-25.

Abstract

Thyroid carcinomas constitute lesions with an ascending incidence, for which many prognosis assessment systems were developed. This study focused on analyzing the immunoexpression of CK19, vimentin and E-cadherin in a number of 43 differentiated thyroid carcinomas, of which 39 papillary carcinomas and four follicular carcinomas, and assessed the relationship of these markers with clinico-pathological parameters of interest, such as age and gender of patients, the histological type and subtype, tumor size and extension, metastases in regional lymph nodes and tumor stage. CK19 immunostaining indicated higher scores in conventional and follicular papillary carcinomas compared with tall cell variant. In relation to the size and extension of the tumor, we found significantly higher values of vimentin and E-cadherin scores in T1-T2 carcinomas compared with T3-T4 category and a positive linear distribution of these markers, which sustain their involvement in common mechanisms of tumor progression.

摘要

甲状腺癌的发病率呈上升趋势,针对这一情况开发了许多预后评估系统。本研究着重分析了43例分化型甲状腺癌中细胞角蛋白19(CK19)、波形蛋白和E-钙黏蛋白的免疫表达情况,其中包括39例乳头状癌和4例滤泡状癌,并评估了这些标志物与相关临床病理参数的关系,如患者的年龄和性别、组织学类型和亚型、肿瘤大小和范围、区域淋巴结转移情况以及肿瘤分期。CK19免疫染色显示,与高细胞变体相比,传统型和滤泡状乳头状癌的得分更高。关于肿瘤的大小和范围,我们发现T1-T2期癌中波形蛋白和E-钙黏蛋白得分显著高于T3-T4期癌,且这些标志物呈正线性分布,这表明它们参与了肿瘤进展的共同机制。

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