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上皮糖蛋白(EGP40)在口腔上皮异型增生和口腔鳞状细胞癌(OSCC)中的表达。

Expression of epithelial glycoprotein (EGP40) in oral epithelial dysplasia and oral squamous cell carcinoma (OSCC).

机构信息

Department of Oral and Maxillofacial Pathology, KSR Institute of Dental Science and Research, Thiruchengodu, Tamil Nadu, India.

Consultant Oral Pathologist, USA.

出版信息

Indian J Dent Res. 2020 Sep-Oct;31(5):738-742. doi: 10.4103/ijdr.IJDR_929_18.

Abstract

AIM

To study the expression of Epithelial Glycoprotein (EGP40) in various grades of Oral Epithelial Dysplasia namely mild, moderate and severe epithelial dysplasia and in various grades of Oral Squamous Cell Carcinoma (OSCC) namely well, moderate & in poorly differentiated squamous cell carcinoma.

MATERIAL AND METHODS

This laboratory study comprised of 47 samples in which 27 samples were of three different grades of OSCC, Well (n=10), Moderate (n=10) and Poorly differentiated (n=7) and remaining 20 samples were of three different grades of dysplasia [Mild (n=7), Moderate (n=8), Severe dysplasia (n=5)]. All the 47 cases were subjected to immunohistochemical staining to evaluate the expression of EGP40. Chi square was used to analyze the significance of differences in different grades of oral epithelial dysplasia & in different grades of OSCC.

RESULTS

The percentage of EGP40 immuno positivity was increased from mild to severe dysplasia and the percentage of EGP40 immuno positivity was increased from well to poorly differentiated carcinoma No statistical significance was observed in the immunoreactivity and in the intensity of expression between various grades of oral epithelial dysplasia and oral squamous cell carcinoma.

CONCLUSION

The epithelial cell adhesion molecule can be considered as an early marker for predicting malignant transformation of dysplastic epithelial lesions and used as a marker in predicting the OSCC prognosis.

摘要

目的

研究上皮糖蛋白(EGP40)在不同程度的口腔上皮异型增生(轻度、中度和重度上皮异型增生)和不同分级的口腔鳞状细胞癌(OSCC)(高分化、中分化和低分化鳞状细胞癌)中的表达。

材料与方法

本实验室研究包括 47 例样本,其中 27 例为不同分级的 OSCC,高分化(n=10)、中分化(n=10)和低分化(n=7),其余 20 例为不同分级的异型增生[轻度(n=7)、中度(n=8)、重度异型增生(n=5)]。所有 47 例均进行免疫组织化学染色,以评估 EGP40 的表达。采用卡方检验分析不同分级口腔上皮异型增生和不同分级 OSCC 之间的差异。

结果

EGP40 免疫阳性率从轻度异型增生到重度异型增生逐渐增加,从高分化到低分化癌逐渐增加。在不同分级的口腔上皮异型增生和口腔鳞状细胞癌之间,免疫反应性和表达强度均无统计学意义。

结论

上皮细胞黏附分子可作为预测异型上皮病变恶性转化的早期标志物,并可作为预测 OSCC 预后的标志物。

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