The expression of EGFR and clinicopathological parameters in oral squamous cell carcinoma

Mustafa Mohammed Abdulhussain
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Abstract

Background: Oral squamous cell carcinomas (OSCCs) are the most prevalent types of oral cancers. There are a variety of clinicopathological characteristics of these types. The epidermal growth factor receptor (EGFR) is an essential diagnostic, prognostic, and therapeutic marker of OSCCs. The purpose of the research is to analyze the immunohistochemical expression of EGFR in OSCCs and to correlate its expression with clinical measures. Materials and Methods: The present research included 44 histopathologically confirmed oral squamous cell carcinoma lesions. EGFR expression was determined by using immunohistochemical technique. The spss program version (20.0) was used to correlate the expressions EGFR with the clinical and histopathological parameters. Results: 25 (57%) were men, while 19 (43%) were women. Most lesions 14(31%) cases were on the buccal mucosa. The palate had the lowest incidence rate 3(6.8%) cases. The highest frequency of OSCC was in well-differentiated samples with 23 (52.3) cases. 15 (34.1%) instances had a poor EGFR score (+1), 17 (38.6%) cases had a moderate score (+2), and 8 (18.2%) had a high score (+3). Except for tumor grade (P = 0.001), none of the studied factors were correlated with EGFR expression. Conclusion: EGFR has prognostic value and is a good target for therapeutic applications in these tumors. More research needs to be done to see if EGFR levels can be used as a marker of prognosis and a predictor of tumor recurrence in other ways.
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EGFR在口腔鳞状细胞癌中的表达及临床病理参数
背景:口腔鳞状细胞癌是最常见的口腔癌类型。这些类型有多种临床病理特征。表皮生长因子受体(EGFR)是OSCCs的重要诊断、预后和治疗标志物。本研究的目的是分析EGFR在OSCCs中的免疫组织化学表达,并将其表达与临床指标联系起来。材料与方法:本研究包括44例经组织病理学证实的口腔鳞状细胞癌。采用免疫组化技术检测EGFR的表达。应用spss 20.0软件将EGFR的表达与临床及组织病理学参数进行关联分析。结果:男性25例(57%),女性19例(43%)。14例(31%)病变位于颊黏膜。上颚发病率最低3例(6.8%)。OSCC在高分化样本中发生率最高,为23例(52.3例)。EGFR评分差15例(34.1%),中等评分17例(38.6%),高评分8例(18.2%)。除肿瘤分级(P = 0.001)外,所有因素均与EGFR表达无关。结论:EGFR具有预后价值,是治疗此类肿瘤的良好靶点。需要做更多的研究来确定EGFR水平是否可以作为预后的标志,并在其他方面预测肿瘤复发。
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