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口腔舌鳞状细胞癌患者中CD44、肿瘤预后与5年生存率之间的相关性评估

Evaluation of the Correlation between CD44, Tumor Prognosis and the 5-Year Survival Rate in Patients with Oral Tongue SCC.

作者信息

Kaboodkhani Reza, Karimi Ebrahim, Khorsandi Ashtiani Mohammad Taghi, Kowkabi Safoura, Firouzifar Mohammad Reza, Yazdani Farzad, Yazdani Nasrin

机构信息

Department of Otorhinolaryngology and Head and Neck Surgery, Shiraz University of Medical Sciences, Shiraz, Iran.

Otorhinolaryngology Research Center, Tehran University of Medical Siences, Tehran, Iran.

出版信息

Iran J Otorhinolaryngol. 2016 Nov;28(89):407-411.

PMID:28008391
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5168572/
Abstract

INTRODUCTION

90% of the tumors in the head and neck are squamous-cell carcinomas (HNSCC), which have overall 5- year survival rate between 50% -60%. CD44 has been shown to be associated with the prognosis.

MATERIALS AND METHODS

Biopsy specimens of 51 patients with oral tongue SCC were evaluated by Immunohistochemistry (IHC) for the CD44 antibody.

RESULTS

There was no significant correlation between CD44 and survival (P=0.77), age (P=0.4), CD44 and lymph node metastasis (P=0.87), sex (P=0.947), smoking (P=0.287) and tumor size (P=0.813). However, there was significant correlation between smoking and survival.

CONCLUSION

There are widespread discrepancies among the findings in the literature regarding the prognosis of CD44 expression in OCSCC. Our study shows that the expression of CD44 is not a marker of aggressive behavior in oral tongue SCC. Consequently, CD44 cannot be considered as handy tool to establish the tumor behavior, prognosis and 5- year survival rate of these tumors.

摘要

引言

头颈部90%的肿瘤为鳞状细胞癌(HNSCC),其总体5年生存率在50%至60%之间。已证明CD44与预后相关。

材料与方法

采用免疫组织化学(IHC)方法对51例口腔舌鳞状细胞癌患者的活检标本进行CD44抗体评估。

结果

CD44与生存率(P = 0.77)、年龄(P = 0.4)、CD44与淋巴结转移(P = 0.87)、性别(P = 0.947)、吸烟(P = 0.287)及肿瘤大小(P = 0.813)之间均无显著相关性。然而,吸烟与生存率之间存在显著相关性。

结论

关于口腔鳞状细胞癌中CD44表达的预后,文献中的研究结果存在广泛差异。我们的研究表明,CD44的表达并非口腔舌鳞状细胞癌侵袭性行为的标志物。因此,CD44不能被视为确定这些肿瘤的行为、预后及5年生存率的便捷工具。

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本文引用的文献

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CD44 gene polymorphisms and environmental factors on oral cancer susceptibility in Taiwan.台湾地区CD44基因多态性与环境因素对口腔癌易感性的影响
PLoS One. 2014 Apr 3;9(4):e93692. doi: 10.1371/journal.pone.0093692. eCollection 2014.
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Correlation between E-cadherin and CD44 adhesion molecules expression and cervical lymph node metastasis in oral tongue SCC: Predictive significance or not.E-钙黏蛋白和 CD44 黏附分子表达与口腔舌鳞癌颈淋巴结转移的相关性:是否具有预测意义。
Pathol Res Pract. 2011 Jul 15;207(7):448-51. doi: 10.1016/j.prp.2011.04.001. Epub 2011 May 31.
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Significance of site-specific prognosis of cancer stem cell marker CD44 in head and neck squamous-cell carcinoma.头颈部鳞状细胞癌中癌症干细胞标志物 CD44 特异性预后的意义。
Oral Oncol. 2011 Jun;47(6):510-6. doi: 10.1016/j.oraloncology.2011.03.026. Epub 2011 Apr 22.
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Global cancer statistics.全球癌症统计数据。
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Trends in head and neck cancer incidence in Denmark, 1978-2007: focus on human papillomavirus associated sites.丹麦 1978-2007 年头颈部癌症发病率趋势:重点关注人乳头瘤病毒相关部位。
Int J Cancer. 2011 Aug 1;129(3):733-41. doi: 10.1002/ijc.25699. Epub 2010 Oct 26.
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Comparative study of the expression of p53, Ki67, E-cadherin and MMP-1 in verrucous hyperplasia and verrucous carcinoma of the oral cavity.口腔疣状增生和疣状癌中p53、Ki67、E-钙黏蛋白和基质金属蛋白酶-1表达的比较研究
Head Neck Pathol. 2007 Dec;1(2):118-22. doi: 10.1007/s12105-007-0029-y. Epub 2007 Oct 26.
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Prognostic value of pretreatment CD44 mRNA in peripheral blood of patients with locally advanced head and neck cancer.局部晚期头颈部癌患者外周血中预处理 CD44mRNA 的预后价值。
Oral Oncol. 2010 May;46(5):e29-33. doi: 10.1016/j.oraloncology.2010.02.011. Epub 2010 Mar 12.
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Challenges of integrating chemotherapy and targeted therapy with radiation in locally advanced head and neck squamous cell cancer.局部晚期头颈部鳞状细胞癌中化疗、靶向治疗与放疗联合应用的挑战。
Curr Opin Oncol. 2010 May;22(3):206-11. doi: 10.1097/CCO.0b013e328338475c.
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Expression and prognostic relevance of CD44v6 in stage I non-small cell lung carcinoma.CD44v6 在 I 期非小细胞肺癌中的表达及其预后相关性。
J Cancer Res Clin Oncol. 2010 Aug;136(8):1213-9. doi: 10.1007/s00432-010-0771-5. Epub 2010 Feb 3.
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Current concepts in management of oral cancer--surgery.口腔癌治疗的当前理念——手术。
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