结直肠腺癌组织中IMP3表达与临床病理的关系

F. Radfar, Farzad Achak, F. Rajaei
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引用次数: 4

摘要

背景:IMP3是一种癌胎蛋白,最近已被提出作为许多癌症的诊断和预后标志物,包括结直肠癌。IMP3的过表达似乎与患者的预后有关。目的:在本研究中,评估IMP3在结直肠腺癌中的表达与临床病理表现的关系。患者和方法:本研究对Rasoul-e-Akram医院的112例结直肠肿瘤石蜡块进行了IMP3染色,并对载玻片进行了阳性强度和程度的评估。评估标志物表达与临床病理表现(分化程度、肿瘤大小、浸润深度和淋巴结转移)之间的统计学关系。数据采用SPSS 21软件进行分析,采用logistic回归和卡方检验,p值< 0.05为有统计学意义。结果:在不同的临床病理表现中,IMP3的免疫反应模式为胞浆性。在不同的临床病理表现中,我们发现肿瘤分化与IMP3有统计学意义(P = 0.047);因此,低分化肿瘤对这种标记物呈阳性。肿瘤大小、浸润深度、淋巴结受累与IMP3无相关性。结论:IMP3免疫反应性与肿瘤分化不良有关,但与肿瘤大小、浸润深度及淋巴结累及无关
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The Relationship Between IMP3 Expression in Colorectal Adenocarcinoma and Clinicopathologic Findings
Background: The IMP3 is an oncofetal protein, which has been recently proposed as a diagnostic and prognostic marker in many cancers, including colorectal adenocarcinoma. The overexpression of IMP3 seems to have a correlation with patient’s prognosis. Objectives: In this study, the relationship between IMP3 expression in colorectal adenocarcinoma and clinicopathologic findings was assessed. Patients and Methods: In this study 112 colorectal tumor paraffin blocks of Rasoul-e-Akram hospital were stained for IMP3 and slides were assessed for intensity and extent of positivity. The statistical relationships between marker expression and clinicopathologic findings (degree of differentiation, tumor size, depth of invasion and lymph nodes metastasis) were assessed. Data were analyzed by the SPSS 21 software and logistic regression and chi-square test, with p-values of less than 0.05 indicating statistical significance. Results: Immunoreactivity pattern of IMP3 was cytoplasmic in different clinicopathologic findings. Among different clinicopathologic findings, we found a statistical relationship between tumor differentiation and IMP3 (P = 0.047); so that, the poorly differentiated tumors were positive for this marker. No relationship was found between tumor size, depth of invasion or lymph node involvement and IMP3. Conclusions: IMP3 immunoreactivity was associated with poor differentiation of tumor yet not associated with tumor size depth of invasion or lymph node involvement
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