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[人胃癌中表皮生长因子及其受体的临床研究]

[Clinical study on epidermal growth factor and its receptor in human gastric cancer].

作者信息

He S W, Guo L Y, Li J Q

机构信息

Department of General Surgery, Third Affiliated Hospital, Third Military Medical University, Chongqing.

出版信息

Zhonghua Yi Xue Za Zhi. 1994 Jul;74(7):413-5, 455.

PMID:7987713
Abstract

We detect the expression of epidermal growth factor (EGF) and epidermal growth factor receptor (EGFR) in 104 specimens of gastric cancer by avidin biotin-peroxides complex technique (ABC). The positive rates of EGF, EGFR and synchronous EGF and EGFR were 35.6%, 42.3%, 30.8% respectively. The positive expression of EGF and EGFR to gastric cancer tissue was inclined to occur in patients who were in advanced stages, of poorly-differentiated types, Borrmann III, IV types, scirrhous type, seroinvasive type or lymph node metastasic types. The survival rates at 1, 3, 5 years after gastrectomy in the patients with expression of EGF were significantly lower than the survival rates of the patients with negative expression (P < 0.05). The patients with synchronous expression of EGF and EGFR had the worst prognosis. After gastrectomy, all of them died within 4 years. It is indicated that EGF and EGFR could serve as biological indicators of gastric cancer malignancy and an index for evaluating, the prognosis of the patients with gastric cancer.

摘要

我们采用抗生物素蛋白-生物素-过氧化物酶复合物技术(ABC法)检测了104例胃癌标本中表皮生长因子(EGF)和表皮生长因子受体(EGFR)的表达情况。EGF、EGFR以及EGF与EGFR同时表达的阳性率分别为35.6%、42.3%、30.8%。EGF和EGFR在胃癌组织中的阳性表达倾向于出现在晚期、低分化型、Borrmann III型、IV型、硬癌型、浆膜浸润型或有淋巴结转移型的患者中。EGF表达阳性的患者胃切除术后1年、3年、5年生存率显著低于表达阴性的患者(P<0.05)。EGF与EGFR同时表达的患者预后最差。胃切除术后,他们均在4年内死亡。提示EGF和EGFR可作为胃癌恶性程度的生物学指标以及评估胃癌患者预后的指标。

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