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HBME-1高表达在甲状腺乳头状癌中的诊断意义

Diagnostic significance of elevated expression of HBME-1 in papillary thyroid carcinoma.

作者信息

Chen Yang-Jing, Zhao Rui-Min, Zhao Qian, Li Bai-Ya, Ma Qing-Yong, Li Xiao, Chen Xia

机构信息

Department of Ent Head and Neck Surgery, First Affiliated Hospital of Xi'an Jiaotong University, Xi'an, 710061, People's Republic of China.

Department of Liver and Gallbladder Surgery, First Affiliated Hospital of Xi'an Jiaotong University, Yanta Xi Road No. 277, Xi'an, 710061, People's Republic of China.

出版信息

Tumour Biol. 2016 Jul;37(7):8715-20. doi: 10.1007/s13277-015-4169-5. Epub 2016 Jan 7.

Abstract

This study examined the association between hector battifora mesothelial antigen-1 (HBME-1) expression and papillary thyroid carcinoma (PTC). A total of 206 patients were enrolled in the current study including 96 PTC patients and 110 patients with benign thyroid nodules (BTN). Immunohistochemistry (Envision) were performed to assess the expression of HBME-1. Receiver operating characteristic curve (ROC) curves were applied to evaluate the diagnostic tumor node metastasis (TNM) value of HBME-1. Specimens from 96 patients with PTC and 110 patients with BTC were reviewed. HBME-1 was positively immunostained in PTC tissue, which was significantly higher than that in BTN tissues (77.1 vs. 5.77 %, P < 0.05). Immunohistochemistry also identified that HBME-1 expression did not show any statistically significant differences based on gender, age, tumor size, TNM stage, and lymph node metastasis (P > 0.05). Importantly, HBME-1 expression was correlated with infiltration levels and differential levels in PTC (both P < 0.05). HBME-1 was found to have high sensitivity (94.5 %) and specificity (77.08 %) for PTC diagnosis. Moreover, HBME-1 had a high specificity (83.33 %) at identifying the differential levels of PTC, but a low sensitivity (22.92 %). The sensitivity and specificity of HBME-1 identifying the infiltration levels of PTC were, respectively, 72.70 and 72.00 %. HBME-1 was highly expressed in PTC tissues, and HBME-1 can serve as a potential biomarker in the diagnosis of PTC.

摘要

本研究检测了赫克托·巴蒂福拉间皮抗原-1(HBME-1)表达与甲状腺乳头状癌(PTC)之间的关联。本研究共纳入206例患者,其中包括96例PTC患者和110例甲状腺良性结节(BTN)患者。采用免疫组织化学法(Envision法)评估HBME-1的表达。应用受试者工作特征曲线(ROC)评估HBME-1对肿瘤淋巴结转移(TNM)的诊断价值。回顾性分析了96例PTC患者和110例BTC患者的标本。HBME-1在PTC组织中呈阳性免疫染色,显著高于BTN组织(77.1%对5.77%,P<0.05)。免疫组织化学还显示,HBME-1表达在性别、年龄、肿瘤大小、TNM分期和淋巴结转移方面无统计学差异(P>0.05)。重要的是,HBME-1表达与PTC的浸润程度和分化程度相关(均P<0.05)。发现HBME-1对PTC诊断具有高敏感性(94.5%)和特异性(77.08%)。此外,HBME-1在鉴别PTC分化程度方面具有高特异性(83.33%),但敏感性较低(22.92%)。HBME-1鉴别PTC浸润程度的敏感性和特异性分别为72.70%和72.00%。HBME-1在PTC组织中高表达,可作为PTC诊断的潜在生物标志物。

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