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腺瘤-癌序列:铁蛋白免疫组化表达的重新评估

Adenoma-carcinoma sequence: a reappraisal with immunohistochemical expression of ferritin.

作者信息

Yang H B, Hsu P I, Lee J C, Chan S H, Lin X Z, Chow N H

机构信息

Department of Pathology, National Cheng Kung University, Tainan, Taiwan, Republic of China.

出版信息

J Surg Oncol. 1995 Sep;60(1):35-40. doi: 10.1002/jso.2930600108.

DOI:10.1002/jso.2930600108
PMID:7545255
Abstract

To examine the biological significance of ferritin (FRN) expression, a retrospective immunohistochemical study was performed in normal colonic mucosae (n = 8), adenomas (n = 88), and colorectal carcinomas (n = 104). FRN was present in some epithelia in the crypt base of normal colonic mucosae. Significant cytoplasmic staining for FRN was revealed in 26 (29.5%) cases of adenoma and 54 cases (51.9%) of adenocarcinoma. The cancer cells had a higher proportion of FRN expression than those of adenomas or non-neoplastic mucosae (P < 0.001). Expression of FRN showed a positive association with the degree of dysplasia (P = 0.039) and the distal location of adenoma (P = 0.013). FRN expression tended to be associated with the tumor size (P = 0.083), but no substantial difference was observed among the histologic types of adenoma (P = 0.754). The results suggest that cytoplasmic FRN expression is associated with cellular proliferation. The proliferative index shows a significant difference through the adenoma-carcinoma sequence. Further investigation is necessary to clarify the clinical implication of FRN expression in tumor cells and normal-appearing mucosae.

摘要

为了研究铁蛋白(FRN)表达的生物学意义,我们对正常结肠黏膜(n = 8)、腺瘤(n = 88)和结直肠癌(n = 104)进行了一项回顾性免疫组织化学研究。FRN存在于正常结肠黏膜隐窝底部的一些上皮细胞中。在26例(29.5%)腺瘤和54例(51.9%)腺癌中发现了显著的FRN细胞质染色。癌细胞中FRN的表达比例高于腺瘤或非肿瘤性黏膜中的细胞(P < 0.001)。FRN的表达与发育异常程度(P = 0.039)和腺瘤的远端位置(P = 0.013)呈正相关。FRN表达倾向于与肿瘤大小相关(P = 0.083),但在腺瘤的组织学类型之间未观察到实质性差异(P = 0.754)。结果表明,细胞质FRN表达与细胞增殖有关。增殖指数在腺瘤 - 癌序列中显示出显著差异。有必要进一步研究以阐明FRN在肿瘤细胞和外观正常黏膜中表达的临床意义。

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