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利用临床和病理特征将摩洛哥人群中的幽门螺杆菌与胆囊和胆道癌联系起来。

Linking Helicobacter pylori with gallbladder and biliary tract cancer in Moroccan population using clinical and pathological profiles.

作者信息

Cherif Soumia, Rais Hanane, Hakmaoui Abdelmalk, Sellami Souad, Elantri Said, Amine Abdessamad

机构信息

Department of Pathology, ARRAZI Hospital, Biopathology Laboratory-Clinical Research Center, Mohammed VI University Hospital, Marrakech, Morocco.

Laboratory of Biochemistry, Environment, and Agrifood, Faculty of Sciences and Techniques-Mohammedia, Hassan II University, Morocco/URAC-36.

出版信息

Bioinformation. 2019 Oct 31;15(10):735-743. doi: 10.6026/97320630015735. eCollection 2019.

Abstract

It is of interest to assess the clinical and pathological aspects of Gallbladder and biliary tract carcinomas confirmed by histological data. It is also of further interest to evaluate the link between Helicobacter pylori and biliary tract cancers. Eighty-nine (89) cases (mean age 60±12 years) of Gallbladder and biliary tract cancer confirmed by histological data were enrolled for the study at the Department of Pathology in Mohammed VI University Hospital, in Morocco. The data such as age, sex, clinical and histo pathological features were collected. Bile duct specimens were investigated for H. pylori using Giemsa and immuno histo chemistry staining. Results show that bile duct stones were found in 53.9% of cases. It is known using histological data that adeno carcinoma is common accounting for 70 % of all bile duct tumors. Moreover, Helicobacter pylori was detected in 54% of cases linking with the presence of bile duct stones characterized by the histological subtype, the macroscopic classification and lymph node's presence (p<0.001). Thus, data collected suggest the potential association of Helicobacter pylori with gallbladder cancer possibly through the formation of bile duct stones.

摘要

评估经组织学数据证实的胆囊和胆管癌的临床及病理特征具有重要意义。评估幽门螺杆菌与胆管癌之间的联系也具有进一步的研究价值。在摩洛哥穆罕默德六世大学医院病理科,选取了89例经组织学数据证实的胆囊和胆管癌病例(平均年龄60±12岁)纳入研究。收集了年龄、性别、临床及组织病理学特征等数据。采用吉姆萨染色和免疫组织化学染色对胆管标本进行幽门螺杆菌检测。结果显示,53.9%的病例发现有胆管结石。根据组织学数据可知,腺癌较为常见,占所有胆管肿瘤的70%。此外,54%的病例检测到幽门螺杆菌,其与胆管结石的存在有关,具体表现为组织学亚型、大体分类及淋巴结情况(p<0.001)。因此,所收集的数据表明幽门螺杆菌可能通过胆管结石的形成与胆囊癌存在潜在关联。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/24da/6900325/123faaffe3ad/97320630015735F1.jpg

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