[Immunohistochemical study of PCNA, p53 gene product and c-erbB-2 gene product in endometrial carcinoma].

Nihon Sanka Fujinka Gakkai zasshi Pub Date : 1996-04-01
M Miyazaki
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Abstract

I have investigated 84 endometrial specimens (from 15 cases of normal endometrium, 20 cass of hyperplasia and 49 cases of endometrial carcinoma) to determine the relationship between three proteins (proliferating cell nuclear antigen (PCNA), p53 gene product and c-erB-2 gene product) and endometrial carcinoma by immuno-histochemical staining. In 49 cases of endometrial carcinoma, the positive rates for PCNA, p53 protein (mutant type) and c-erbB-2 protein were 65.3%, 59.2% and 22.4%. I could not find the expression of p53 protein besides endometrial carcinoma. And I could find the expression of c-erbB-2 protein in 11 cases of endometrial carcinoma and 1 case of atypical hyperplasia, but not in normal endometrium. p53 protein was more common in such a case, as with lymphnode metastasis, deep myometral invasion and undifferentiated adenocarcinoma. c-erbB-2 was also more common in a case with deep myometrial invasion. In conclusion, PCNA, p53 protein and c-erbB-2 protein are related to the proliferation of endometrial carcinoma. So they can be useful factors in making the prognosis.

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子宫内膜癌中PCNA、p53基因产物和c-erbB-2基因产物的免疫组化研究。
我研究了84例子宫内膜标本(来自15例正常子宫内膜、20例增生子宫内膜和49例子宫内膜癌),通过免疫组化染色确定增殖细胞核抗原(PCNA)、p53基因产物和c- erb2基因产物三种蛋白与子宫内膜癌的关系。49例子宫内膜癌中PCNA、p53蛋白(突变型)和c-erbB-2蛋白的阳性率分别为65.3%、59.2%和22.4%。除子宫内膜癌外,未发现p53蛋白的表达。我在11例子宫内膜癌和1例非典型增生中发现了c-erbB-2蛋白的表达,但在正常子宫内膜中没有发现。P53蛋白在此类病例中更为常见,如淋巴结转移、深部肌层浸润和未分化腺癌。c-erbB-2在深肌层浸润的病例中也更为常见。综上所述,PCNA、p53蛋白和c-erbB-2蛋白与子宫内膜癌的增殖有关。所以它们在做出预后时是有用的因素。
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