肿瘤标志物、PTTG、VEGFR-3 及血流参数 在宫颈病变中的价值
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马志君,E-mail :mzj9339@sina.com

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河北省承德市科技局项目(No :201121053)


Prognostic significance of PTTG, VEGFR-3 and hemodynamic index in cervical lesions
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    摘要:

    目的 探讨肿瘤标志物、垂体瘤转化基因(PTTG)、血管内皮生长因子受体3(VEGFR-3)及血流 动力学指标在宫颈良恶性病变患者中的表达及临床意义。方法 选取2012 年3 月-2016 年2 月该院收治且经病理 确诊的98 例宫颈病变患者的临床资料。所有患者术中均留取宫颈组织标本,入院后均采集血样,采用免疫组织 化学法测定PPTG、VEGFR-3 表达情况,并测定血清鳞状细胞癌抗原(SCC)、糖类抗原19-9(CA199)、糖类 抗原125(CA125)水平,检测微血管密度(MVD)。采用多普勒超声测定收缩期峰值血流速度(PSV)、舒张末 血流速度(EDV)及血管阻力指数(RI),分析宫颈良恶性病变患者上述指标的表达情况及临床意义。结果 ① 慢性宫颈炎患者SCC、CA199 及CA125 水平均低于宫颈上皮内瘤样病变(CIN)患者与宫颈浸润癌患者(P <0.05), CIN 患者上述水平低于宫颈浸润癌患者(P <0.05);② CIN、宫颈浸润癌PTTG、VEGFR-3 表达阳性率高 于慢性宫颈炎(P <0.05),宫颈浸润癌PTTG、VEGFR-3 表达阳性率高于CIN(P <0.05);③慢性宫颈炎MVD 低于CIN、宫颈浸润癌(P <0.05),CIN MVD 低于宫颈浸润癌(P <0.05);④ CIN、宫颈浸润癌PSV、EDV 均 高于慢性宫颈炎(P <0.05),RI 低于慢性宫颈炎(P <0.05),宫颈浸润癌PSV、EDV 高于CIN,RI 低于CIN (P <0.05)。结论 宫颈浸润癌患者血清肿瘤标志物表达水平高,癌组织PTTG、VEGFR 阳性率高、MVD 高, 血流速度快、血管阻力低,与宫颈良性病变患者有差异。

    Abstract:

    Objective To investigate the expression and clinical significance of tumor markers, pituitary tumor transforming gene (PTTG), vascular endothelial growth factor receptor -3 (VEGFR-3) and hemodynamic indexes in patients with benign or malignant cervical lesions. Methods Totally 98 patients with pathologically confirmed cervical lesions were admitted into our hospital from March 2012 to February 2016 and were involved in this study. Cervical tissuesand blood samples of all patients were collected. The expressions of PPTG and VEGFR-3 were determined by Immunohistochemistry. Levels of serum squamous cell carcinoma antigen (SCC), carbohydrate antigen 19-9 (CA199), carbohydrate antigen 125 (CA125), microvessel density (MVD), peak systolic velocity (PSV), end diastolic velocity (EDV) and vascular resistance index (RI) were identified. Clinical significance of above-mentioned indexes in patients with benign or malignant lesions were analyzed. Results Levels of SCC, CA199 and CA125 in patients with cervical intraepithelial neoplasia (CIN) were increased compared with those in patients with chronic cervicitis(P < 0.05),while those were downregulated when compared with patients with invasive cervical carcinoma (P < 0.05). The positive expression rates of PTTG and VEGFR-3 in patients with cervical intraepithelial neoplasia (CIN) were increased compared with those in patients with chronic cervicitis (P < 0.05), while those were downregulated when compared with patients with invasive cervical carcinoma (P < 0.05).MVD, PSV and EDV in patients with cervical intraepithelial neoplasia (CIN) were upregulated comparedwith those in patients with chronic cervicitis (P < 0.05), while those were decreased when compared with patients with invasive cervical carcinoma (P < 0.05). However, RI decreased in patients with CIN when compared with patients with chronic cervicitis (P < 0.05), while that was increased when compared with patients with invasive cervical carcinoma. Conclusion Patients with invasive cervical carcinoma experience increased levels of serum cancer markers, positive rates of PTTG and VEGFR, MVD, fast blood flow and decreased vascular resistance, which may be potential prognostic biomarkers.

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吉洁,申兴斌,韩冰,张玉娟,马志君.肿瘤标志物、PTTG、VEGFR-3 及血流参数 在宫颈病变中的价值[J].中国现代医学杂志,2018,(30):26-31

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  • 收稿日期:2018-04-01
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  • 在线发布日期: 2018-10-30
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