临床肿瘤学杂志

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BRAF基因V600E突变与Ⅰ~Ⅱ期乳头状甲状腺癌临床病理特征及预后的相关性分析

王昊1,卢瑞春2,董娴宁3,梁军1   

  1. 1 青岛大学医学院附属医院肿瘤科 2 青岛市立医院神经内科 3 青岛大学医学院附属医院病理科
  • 收稿日期:2013-07-25 修回日期:2013-11-07 出版日期:2013-12-31 发布日期:2013-12-31
  • 通讯作者: 梁军

The correlation between BRAFV600E mutation and clinicopathological characteristics and prognosis of stage Ⅰ-Ⅱ papillary thyroid cancer

WANG Hao, LU Ruichun, DONG Xianning, LIANG Jun.   

  1. Department of Oncology, the Affiliated Hospital of Medical College, Qingdao University,
  • Received:2013-07-25 Revised:2013-11-07 Online:2013-12-31 Published:2013-12-31
  • Contact: LIANG Jun

摘要: 目的 探讨Ⅰ~Ⅱ期乳头状甲状腺癌(PTC)患者肿瘤组织中BRAF基因V600E突变情况,并分析其与临床病理特征及预后的关系。方法 采用RT-PCR法检测374例Ⅰ~Ⅱ期PTC患者组织样本中BRAF基因V600E突变,并分析其与临床病理特征及预后的关系。 结果 374例PTC患者标本中BRAF基因V600E的突变率为40.37%(151/374)。BRAF基因V600E突变与包膜侵犯、多灶、多次131I治疗相关(P<0.05)。374例 PTC患者中31例复发,复发患者中有BRAF基因V600E突变的22例。31例复发病例中,BRAF基因V600E突变患者的中位生存期为5.3年(95%CI:3.9~6.7年),未突变患者为7.0年(95%CI:5.1~8.9年),差异无统计学意义(P>0.05)。Logistic多因素回归分析显示,BRAF基因V600E突变及包膜侵犯是Ⅰ~Ⅱ期PTC患者复发的独立危险因素(P<0.05)。
结论 BRAF基因V600E突变可能是Ⅰ~Ⅱ期PTC患者预后的一项重要预测指标。

Abstract: Objective To investigate the status of BRAFV600E mutation in stage ⅠⅡ papillary thyroid cancer(PTC) and evaluate the correlation between BRAFV600E mutation and clinicopathological characteristics and prognosis.
MethodsThe BRAFV600E mutation of stage Ⅰ-Ⅱ PTC was detected by RTPCR. The relationship was analyzed between BRAFV600E mutation and clinicopathological characteristics and prognosis of PTC. Results The BRAFV600E mutation rate in 374 cases of PTC was 40.37%(151/374). The BRAFV600E mutation correlated with capsule invasion, multifocality, multiple radioiodine courses(P<0.05). Thirtyone patients were recurrent in 374 cases of PTC, including 22 patients with BRAFV600E mutation. The median survival time was 5.3 years(95%CI: 3.9-6.7) in the recurrent PTC patients with BRAFV600E mutation which had shorter trend compared with 7.0 years(95%CI: 5.1-8.9) in the patients without mutation. But no statistical difference was found. The BRAFV600E mutation and capsule invasion were prognostic factors in predicting the recurrence of the disease by multiple logistic regression test(P<0.05). Conclusion The BRAFV600E mutation may be an independent prognostic factor in predicting the prognosis of stage Ⅰ-Ⅱ PTC patients.

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