RELATIONSHIP BETWEEN EFFICENCIES OF SEGMENTAL HEPATIC ARTERY CHEMOEMBOLIZATION AND PCNA LABELING INDEX IN HCC

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摘要 Objective:ToevaluatetherelationshipbetweentheefficienciesofsubsegmentalTAEandtheexpressionofPCNAwithABCimmunohistochemicalstaininginHCCs.Methods:Ultrasound-guidedneedlebiopsieswereperformedin43patients(41men,2women;agerange:32~75years,mean,55.6years).PCNAwereexaminedusingABCimmunohistochemicalstaining.TumorscoresofPCNAwereassessedbycountingthepositivenucleiper1,000cells.AllthecasesreceivedsubsegmentalTAEwithiodizedoilandgelatinsponge.AcorrelationbetweentheexpressionofPCNAandtheefficienciesofsubsegmentalTAEwassought.Normalitytest,ranksumtestandChi-squaretestwereusedinstatisticalanalyseswithSASpackage.Results:ThemeanPCNAlabelingindexwas58±29(range,27-100%)in43patients.Whencomparedwiththemacroscopicandpathologicparameters,PCNAlabelingindexwasfoundtobesignificantlyrelatedtothepresenceandactivityofcirrhosis.PCNAlabelingindexdidnotrelatedtopatients'age,sex,HbsAgstatusorserumα-fetoproteinlevel.ThePCNAlabelingindexcorrespondedtothedegreeofhistologicaldifferentiation(Edmenderson-Steinergrading).ThesurvivalratesaftersubsegmentalTAEwererespectively86.05%,65.12%and51.16%inone-,two-andthree-years,andweresignificantlyhigherinthelowlabelingindexgroupthanthatinthehighlabelingindexgroup.Conclusion:ThePCNAlabelingindexwasshowntobecloselyrelatedtohistologicalcharacteristicsandsurvivalofthepatients.
机构地区 不详
出版日期 2004年02月12日(中国期刊网平台首次上网日期,不代表论文的发表时间)
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