结直肠癌Pgp、C-erbB-2蛋白表达的临床意义

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摘要 摘要目的C-erbB-2、Pgp蛋白表达与CRC临床病理特征的关系.方法免疫组化检测蛋白表达,SPSS软件分析数据.结果C-erbB-2蛋白表达与临床病理特征均无统计学相关性(P>0.05).Pgp蛋白表达在大体溃疡型(86.88%)与隆起型(75.51%)间统计学差异显著(P<0.05);在肿瘤侵润深度(肠壁浆膜层或累及临近器官90.48%、肠壁全层88.42%、肌层72.22%、粘膜下层60%)间统计学差异显著(P<0.05);在淋巴结有无转移(93.98%,75.91%)间统计学差异特别显著(P<0.01).C-erbB-2与Pgp蛋白表达间无统计学相关性(P>0.05).结论多数CRC可能有原发性多药耐药;Pgp蛋白可作反映CRC生物学行为的标志物,恶性程度较高的CRC可能易出现原发性多药耐药.关键词C-erbB-2Pgp结直肠癌多药耐药TheClinicalSignificanceofC-erbB-2andPgpProteinExpressionsinColorectalCarcinomaAbstractObjectiveExplorethefeasibilitythatC-erbB-2andPgpproteinexpressionsareusedtoassessbiologicalbehaviorsandprognosisofcolorectalcancer.MethGodsImmunohistochemistrywasusedtodetecttheproteinexpressions.SPSSstatisticsoftwarewasusedtoanalyzetherelationshipoftheproteinexpressionstoclinicalpathoGlogicalfeaturesofthecancerandthecorrelationbetweentheproteinexpressions.ResultsTheexpressionofC-erbB-2proteinhadnosignificantrelationstocharacteristicsofthecancers(P>0.05).ThepositiveratesofPgpproteinexpressioningrossshapeofulcerandprotrusionwere86.88%and75.51%andtherewasstatisticalsignificancebetweenthem(P<0.05).Thepositiveratesininvasionstoadjacentorgansorpenetrationserosa,toserosaoradventitia,tomuscleandtosubmucosawere90.48%,88.42%,72.22%and60%respectivelyandtherewerestatisticalsignificancesamongthem(P<0.05).Thepositiveratesintumorwithandwithoutlymphnodemetastasiswere93.98%and75.91%andtherewasstatisticalsignificancebetweenthem(P<0.01).TherewerenostatisticalcorrelationsbetweenexpressionsofC-erbB-2andPgpproteinincolorectalcancer(P>0.05).ConclusionsThemajorcolorectalcancersmighthaveaprimarymultidrugresistance.PgpproteincanbeseenasapotentialmarkerforjudgeGmentmKaelyignWaonrtdsbehaviorofcolorectalcancerandthecolorectalcancerwithhighmalignancymighthavebigchancetobeprimarymultidrugresistance.C-erbB-2PgpCRCmultidrugresistance中图分类号R735.3文献标识码B文章编号1008-6315(2015)12-0375-02
出处 《中国综合临床》 2015年12期
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出版日期 2015年12月22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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