文章摘要
血管抑制蛋白2在乳腺癌中的表达情况及其对患者预后的影响
Expression of vasohibin-2and its effect on prognosisof breast cancer
投稿时间:2020-07-22  
DOI:10.3969/j.issn.1000-0399.2021.02.007
中文关键词: 乳腺癌  癌旁组织  血管抑制蛋白2  无病进展生存期
英文关键词: Breast cancer  Pericarcinomatous tissues  Vasohibin-2  Progression-free survival
基金项目:自治区卫生计生委青年医学科技人才专项(项目编号:WJWY-201805)
作者单位E-mail
沈鑫鑫 830011 乌鲁木齐 新疆医科大学第三临床医学院(附属肿瘤医院)乳腺外科一病区  
金磊 830011 乌鲁木齐 新疆医科大学第三临床医学院(附属肿瘤医院)乳腺外科一病区  
赵倩 830011 乌鲁木齐 新疆医科大学第三临床医学院(附属肿瘤医院)乳腺外科一病区  
迪力夏提·金斯汗 830011 乌鲁木齐 新疆医科大学第三临床医学院(附属肿瘤医院)乳腺外科一病区  
朱丽萍 830011 乌鲁木齐 新疆医科大学第三临床医学院(附属肿瘤医院)乳腺外科一病区  
杨亮 830011 乌鲁木齐 新疆医科大学第三临床医学院(附属肿瘤医院)乳腺外科一病区 xjzlyangliang@sina.com 
摘要点击次数: 1173
全文下载次数: 0
中文摘要:
      目的 探讨血管抑制蛋白2(VASH-2)在乳腺癌患者中的表达及其对患者预后的影响。方法 选取2012年1月至2013年12月新疆医科大学附属肿瘤医院接受标准手术治疗的185例原发乳腺癌患者术后组织标本,采用免疫组化方法对所有患者进行乳腺癌组织和癌旁组织VASH-2检测;在术前所有患者行B超引导下乳腺癌组织富血供病灶穿刺和乏血供病灶穿刺,采用免疫组化方法检测VASH-2蛋白在乳腺癌组织不同血供中的表达情况;分析不同临床病理参数患者VASH-2表达的差异,并采用Kaplan-Meier法分析VASH-2不同表达情况对患者5年无病进展生存期(PFS)的影响。结果 VASH-2在乳腺癌组织中表达率为52.43%(97/185),而在癌旁组织中表达率为27.03%(50/185),差异有统计学意义(χ2=24.933,P<0.001)。VASH-2在乳腺癌组织富血供病灶表达率为60.82%(59/97),而在乏血供病灶中表达率为38.64%(34/88),差异有统计学意义(χ2=9.087,P<0.05)。不同肿块大小、分子分型及HER-2是否阳性的乳腺癌患者VASH-2表达情况比较,差异有统计学意义(P<0.05)。乳腺癌VASH-2低表达者5年PFS优于VASH-2高表达者,差异有统计学意义(χ2=5.635,P<0.05)。结论 VASH-2在乳腺癌组织及其富血供病灶中多呈高表达,且此类患者5年PFS较低,可为乳腺癌患者预后判断提供参考。
英文摘要:
      Objective To investigate the expression and its effect on prognosis of vasohibin-2(VASH-2) in breast cancer tissues. Methods Postoperative tissue specimens of 185 patients with primary breast cancer who underwent surgical treatment at the Cancer Hospital of Xinjiang Medical University from January 1, 2012 to December 31, 2013 were retrospectively analyzed. Breast cancer tissues and paraneoplastic tissues VASH-2 were detected in all patients by immunohistochemistry. Preoperative ultrasound-guided puncture of different lesions of breast cancer was performed by immunohistochemistry to analyze the expression of VASH-2 protein in breast cancer lesions with abundant blood flow and breast cancer lesions with lack of blood supply. The relationship between VASH-2 high expression and clinicopathological features was analyzed. The influence of high VASH——2 expression on 5-year progression-free(PFS) survival of patients with breast cancer was analyzed by Kaplan-Meier method. Results The high expression rate of VASH-2 in breast cancer tissues was 52.43% (97/185), while that in paraneoplastic tissues was 27.03% (50/185), and the difference between the two groups was statistically significant (χ2=24.933, P<0.001). The high expression rate of VASH-2 was 60.82% (59/97) in breast cancer tissues with rich blood supply, and 38.64% (34/88) in breast cancer tissues with poor blood supply, with statistical significance (χ2=9.087, P<0.05).VASH-2 high staining was not associated with age, lymph node metastasis, tumor stage, ER expression, menopause or not, and tumor cytology grade (P>0.05), but with mass size, molecular staging, and CerbB-2 expression (P<0.05).The 5-year PFS of breast cancer with VASH-2 low expression was better than that of VASH-2 high expression, and the difference was statistically significant (χ2=5.635, P<0.05). Conclusions VASH-2 is highly expressed in breast cancer tissues and is positively correlated with angiogenesis of breast cancer, and its expression level can provide reference for prognosis of breast cancer.
查看全文   查看/发表评论  下载PDF阅读器
关闭