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人类白细胞抗原(HLA)抗原是预测胃癌淋巴结转移的候选标志物。

HLA antigens are candidate markers for prediction of lymph node metastasis in gastric cancer.

作者信息

Ogoshi K, Tajima T, Mitomi T, Tsuji K

机构信息

Department of Surgery, Tokai University, School of Medicine, Kanagawa, Japan.

出版信息

Clin Exp Metastasis. 1996 May;14(3):277-81. doi: 10.1007/BF00053901.

Abstract

We investigated the association between human leucocyte antigen (HLA) antigens and lymph node metastasis in 724 gastric cancer patients. Among patients who had poorly differentiated adenocarcinoma with or without HLA-DR4 antigen, lymph node metastasis was detected in 80.8 and 54.9%, respectively (relative risk (RR) = 3.5, P = 0.0005, corrected P = 0.0285). It was more common in patients with a family history of cancer death (RR = 7.7). Among signet ring cell carcinoma patients with or without HLA-B52 antigen, lymph node metastasis was detected in 57.7 and 19.7%, respectively (RR = 5.6, P = 0.0001, corrected P = 0.0086). It was more common in patients who were smokers (RR= 8.3). Our findings suggest that HLA-DR4 and HLA-B52 antigens are associated with lymph node metastasis in gastric cancer.

摘要

我们调查了724例胃癌患者中人类白细胞抗原(HLA)与淋巴结转移之间的关联。在患有或不患有HLA-DR4抗原的低分化腺癌患者中,淋巴结转移率分别为80.8%和54.9%(相对风险(RR)= 3.5,P = 0.0005,校正P = 0.0285)。在有癌症死亡家族史的患者中更常见(RR = 7.7)。在患有或不患有HLA-B52抗原的印戒细胞癌患者中,淋巴结转移率分别为57.7%和19.7%(RR = 5.6,P = 0.0001,校正P = 0.0086)。在吸烟者中更常见(RR = 8.3)。我们的研究结果表明,HLA-DR4和HLA-B52抗原与胃癌淋巴结转移有关。

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