Yang Xielan, Yan Zhiling, Yang Hongying, Ni Huijing, Zhang Lei, Wang Yufeng
Department of Gynecology, The Third Affiliated Hospital of Kunming Medical University and Yunnan Cancer Hospital, Kunming, Yunnan 650106, P.R. China.
Department of Oncology for the Elderly, The Third Affiliated Hospital of Kunming Medical University and Yunnan Cancer Hospital, Kunming, Yunnan 650106, P.R. China.
Oncol Lett. 2019 Mar;17(3):3387-3391. doi: 10.3892/ol.2019.9956. Epub 2019 Jan 22.
The clinical value of the combined detection of miR-1202 and miR-195 in the early diagnosis of cervical cancer was studied. A retrospective analysis of 70 cervical cancer patients treated in the The Third Affiliated Hospital of Kunming Medical University and Yunnan Cancer Hospital from October 2015 to December 2017 was performed, and the lesion tissues were used as the experimental group. Normal cervical tissues from another 67 healthy females confirmed by physical examination at the same period were selected as the control group. The FIGO staging criteria were used for staging of the cervical cancer patients, reverse transcription-quantitative polymerase chain reaction (RT-qPCR) method was used for the detection of the expression of miR-1202 and miR-195 in different tissues, and the receiver operating curve (ROC) was used for the analysis of the application values of miR-1202 and miR-195 diagnosis alone and their combined diagnosis in early cervical cancer patients. The levels of miR-1202 and miR-195 in the experimental group were lower than those in the control group (P<0.05). The differences were significant in the different stages of cervical cancer tissues (P<0.05). The later the staging of cervical cancer tissues were, the lower the levels of miR-1202 and miR-195 were. The sensitivities and area under the curve (AUC) values of miR-1202 and miR-195 in the combined diagnosis of early cervical cancer were significantly higher than those of miR-1202 and miR-195 alone. The expression levels of miR-1202 and miR-195 in the cervical cancer patients are different in different stages. Guiding clinical treatment and prognosis according to the results of combined detection is beneficial for the development of treatment for cervical cancer patients and for prognostic judgement, worthy of popularization and application.
研究了miR-1202和miR-195联合检测在宫颈癌早期诊断中的临床价值。对2015年10月至2017年12月在昆明医科大学第三附属医院和云南省肿瘤医院接受治疗的70例宫颈癌患者进行回顾性分析,将病变组织作为实验组。选取同期经体格检查确诊的67例健康女性的正常宫颈组织作为对照组。采用国际妇产科联盟(FIGO)分期标准对宫颈癌患者进行分期,采用逆转录-定量聚合酶链反应(RT-qPCR)法检测不同组织中miR-1202和miR-195的表达,并采用受试者工作特征曲线(ROC)分析miR-1202和miR-195单独诊断及其联合诊断在早期宫颈癌患者中的应用价值。实验组中miR-1202和miR-195的水平低于对照组(P<0.05)。宫颈癌组织不同分期之间差异有统计学意义(P<0.05)。宫颈癌组织分期越晚,miR-1202和miR-195的水平越低。miR-1202和miR-195联合诊断早期宫颈癌的灵敏度和曲线下面积(AUC)值显著高于miR-1202和miR-195单独诊断。宫颈癌患者不同分期中miR-1202和miR-195的表达水平不同。根据联合检测结果指导临床治疗和预后,有利于宫颈癌患者治疗方案的制定和预后判断,值得推广应用。