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子宫平滑肌瘤与健康子宫肌层中KI-67表达的评估:一项试点研究。

Evaluation of KI-67 expression in uterine leiomyoma and in healthy myometrium: a pilot study.

作者信息

Eulálio Filho Walberto Monteiro Neiva, Soares Eduardo Augusto Sousa, Lima Maria Simone Oliveira, Brazil Emerson Davi do Nascimento, Rodrigues Rodolfo Myronn de Melo, Zeron Rubens Moura Campos, Silva Benedito Borges, Costa Pedro Vitor Lopes

机构信息

. Programa de Pós-Graduação em Ciências da Saúde, Universidade Federal do Piauí, Teresina, PI, Brasil.

. Universidade Federal do Piauí, Departamento de Ginecologia, Teresina, PI, Brasil.

出版信息

Rev Assoc Med Bras (1992). 2019 Dec;65(12):1459-1463. doi: 10.1590/1806-9282.65.12.1459.

Abstract

OBJECTIVE

Evaluate the expression of KI-67 in uterine leiomyomas and adjacent myometrial tissue and verify the existence of a correlation between clinical parameters and KI-67 expression in tumors.

METHODS

This is a cross-sectional, controlled, analytical study. Samples of leiomyomas and myometrium were obtained from patients who underwent hysterectomy. The samples were processed by immunohistochemistry using KI-67 antibody, and the expression was evaluated by two blinded observers. Student›s T-test was used for comparison of means, and Pearson›s P test for correlation with clinical parameters.

RESULTS

A total of 9 patients were included in the study. The mean age was 40.7 years, ranging from 35 to 44 years. The mean expression of KI-67 in myometrium was 1.63%, and, in leiomyomas, 5.96% (p <0.001). The highest expression of KI-67 was moderately related to the severity of anemia, bleeding, and pain level.

CONCLUSION

The expression of KI-67 in normal myometrium was significantly lower than in leiomyomas. The highest expression of KI-67 was moderately related to the severity of anemia, bleeding, and pain level in the patients of this study.

摘要

目的

评估KI-67在子宫平滑肌瘤及邻近子宫肌层组织中的表达,并验证临床参数与肿瘤中KI-67表达之间的相关性。

方法

这是一项横断面、对照性分析研究。平滑肌瘤和子宫肌层样本取自接受子宫切除术的患者。样本采用KI-67抗体进行免疫组织化学处理,由两名不知情的观察者评估其表达情况。采用学生t检验比较均值,采用皮尔逊P检验分析与临床参数的相关性。

结果

本研究共纳入9例患者。平均年龄为40.7岁,范围在35至44岁之间。子宫肌层中KI-67的平均表达为1.63%,在平滑肌瘤中为5.96%(p<0.001)。KI-67的最高表达与贫血严重程度、出血情况及疼痛程度呈中度相关。

结论

正常子宫肌层中KI-67的表达明显低于平滑肌瘤。本研究患者中KI-67的最高表达与贫血严重程度、出血情况及疼痛程度呈中度相关。

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