文章摘要
杭振宁 童超 徐斌 王士琪 白槟 赵青川.E-cadherin 在胃癌术后复发预测中的临床意义[J].,2014,14(32):6260-6264
E-cadherin 在胃癌术后复发预测中的临床意义
The Clinical Significance of E-cadherin in Predicting the Recurrence ofGastric Cancer after Curative Resection
  
DOI:
中文关键词: E-cadherin  胃癌  复发  预后
英文关键词: E-cadherin  Gastric cancer  Recurrence  Prognosis
基金项目:国家自然科学基金项目(81370564)
作者单位
杭振宁 童超 徐斌 王士琪 白槟 赵青川 第四军医大学西京消化病医院消化外科 
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中文摘要:
      目的:探讨E-cadherin 在胃癌术后复发预测中的临床意义。方法:选择我院2006 年1月至2010 年7 月收治的胃癌或者胃食 管连接部癌行胃癌根治性切除术后259 例患者为研究对象,将其分为术后复发组(115 例)和术后未复发组(144 例),采用免疫组织 化学方法检测其E-cadherin 的表达,并分析E-cadherin 的异常表达与胃癌术后复发的相关性。结果:胃癌癌旁正常组织与胃癌组 织间E-cadherin 的表达有显著差异(P<0.05);胃癌术后复发与未复发患者的胃癌组织E-cadherin 的表达比较有显著差异(P<0.05)。 E-cadherin 的异常表达与胃癌的浸润深度、淋巴结转移和TNM 分期显著相关(P<0.05)。单因素Logistic 回归分析发现,E-cadherin 的异常表达的与胃癌术后复发有显著的相关性(P=0.039,RR=1.711,95%Cl为1.486-1.970)。结论:E-cadherin的异常表达与胃癌根 治性切除术后复发显著相关。
英文摘要:
      Objective:To study the clinical significance of E-cadherin in predicting the recurrence of gastric cancer after curative resection.Methods:We studied 259 patients, including 115 patients inrecurrent group and 144 patients in non-recurrent group, who suffered gastric or gastroesophageal junction cancer after radical resection in our hospital fromJanuary 2006 to July 2010, the expression of E-cadherin in gastric cancer patients with recurrence and non-recurrence after radical resectionby were detected by immunohistochemistry and the correlation between abnormal expression of E-cadherin and gastric cancer recurrencewere analyzed.Results:There were significant differences of E-cadherin expression between normal gastric tissues and gastric cancer tissues (P<0.05); the E-cadherin expression of gastric cancer tissues of recurrent and non-recurrent patients with gastric cancer after surgery also had significant differences (P<0.05). Abnormal E-cadherin expression was significantly associated with the depth of invasion, lymph node metastasis and TNM staging of patients with gastric cancer (P<0.05); Univariate Logistic regression analysis showed that abnormal expression of E-cadherinwas correlated with the recurrence of gastric cancer after surgery (P=0.039, RR=1.711, 95% Cl=1.486-1.970).Conclusion:The abnormal expression of E-cadherin may be associated with the recurrence of gastric cancer after curative resection.
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