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VEGF在甲状腺肿瘤组织中的表达及其与肿瘤血管生成的相关性研究
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摘要
目的:分析VEGF(内皮生长因子)在甲状腺肿瘤组织中的表达和肿瘤血管生成的相关性,为临床检测提供参考。方法:选取我院甲状腺肿瘤患者211例为研究对象,依照肿瘤性质不同分为良性肿瘤组92例、甲状腺癌组119例,另外选取同期健康体检人员80例作为对照组,采用免疫组化方法测定VEGF含量,并分析VEGF与肿瘤血管生成关系。结果:甲状腺肿瘤良性组VEGF蛋白表达阳性率(14.1%)和甲状腺癌组患者(77.3%)显著高于对照组(2.5%)(P<0.05)。甲状腺癌不同病理分期类型VEGF表达存在显著差异(P<0.05),未分化癌患者VEGF阳性表达显著高于其他三组(P<0.05)。年龄、性别、肿瘤大小等与VEGF表达无明显相关性(P>0.05),VEGF表达与颈部存在淋巴结转移、AJCC分期以及侵润深度存在密切关系(P<0.05)。结论:VEGF检测对于甲状腺肿瘤诊断有重要价值,甲状腺癌患者VEGF阳性率高,VEGF表达升高预示高侵袭性和易转移性,可以作为预测甲状腺转移和预后参考指标之一。
Objective:To analysize the expression of VEGF and correlation with tumor angiogenesis in thyroid tumors,and provide reference for clinical testing.Methods:211 patients with thyroid tumors in hospital were selected,patients were divided into Benign group(92 cases) and thyroid cancer group(119 cases),80 cases Healthy volunteers were selected as control group.VEGF levels were measured by immunohistochemistry,VEGF positive rate and tumor angiogenesis were compared.Results:Benign thyroid tumor VEGF protein positive rate(14.1%) and thyroid cancer patients(77.3%) were significantly higher than control group(2.5%)(P < 0.05).VEGF expression in different types of staging of thyroid cancer were significant differences(P < 0.05),VEGF expression in patients with undifferentiated carcinoma was significantly higher than the other three groups(P < 0.05).Age,gender,tumor size and VEGF expression was not significantly correlated(P > 0.05),there was a close relationship between VEGF expression and the presence of cervical lymph node metastasis,depth of invasion,AJCC stage(P < 0.05).Conclusion:VEGF detection for thyroid cancer diagnosis has important value,VEGF positive rate of thyroid cancer,VEGF expression increases indicate highly invasive and easy portability,can be used as one of the reference predict thyroid metastasis and prognostic factors.
引文
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