临床肿瘤学杂志

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Survivin、Ki-67在口腔颌面部非霍奇金淋巴瘤中的表达及竟义

刘卓星1,刘文玲2   

  1. 1 河源市人民医院肿瘤科 2 河源市人民医院血液净化中心
  • 收稿日期:2013-03-17 修回日期:2013-06-03 出版日期:2013-08-31 发布日期:2013-08-31

The expression and clinical significance of survivin and Ki-67 in non-hodgkin's lymphoma in oral and maxillofacial region

LIU Zhuoxing, LIU Wenling.   

  1. Department of Oncology, People's Hospital of Heyuan
  • Received:2013-03-17 Revised:2013-06-03 Online:2013-08-31 Published:2013-08-31

摘要: 目的 探讨Survivin、Ki-67在口腔颌面部原发性非霍奇金淋巴瘤(NHL)中的表达及其与组织学表型的关系。方法 采用免疫组织化学En Vision通用型二步法检测39例口腔颌面部原发性NHL组织中Survivin、Ki-67的表达情况,分析两者的相关性及其与组织学表型的关系。同时选取20例经病理组织学检查确诊的淋巴结炎组织作对照。 结果 NHL组织中Survivin和Ki-67的阳性表达率分别为66.7%(26/39)和71.8%(28/39),高于淋巴结炎组织的20.0%(4/20)和10.0%(2/20),差异均有统计学意义(P<0.05);NHL中结内型和结外型的Survivin和Ki-67阳性表达率亦均高于淋巴结炎组织(P<0.05),而NHL结内型与结外型阳性表达率的差异无统计学意义(P>0.05)。在NHL中,高度恶性者Survivin和Ki-67阳性表达率均高于低度恶性者(P<0.05);Survivin(r=0.471, P=0.018)和Ki67(r=0.691, P=0.000)表达均与NHL组织学表型呈正相关。结论 Survivin、Ki-67的表达在口腔颌面部NHL发生、发展过程中起重要作用,可作为判断预后的指标。

Abstract: Objective To investigate the expression of survivin,Ki-67 in the primary non-Hodgkin's lymphoma (NHL) in oral and maxillofacial region and the relationship between the expression of survivin,Ki-67 and histological phenotypes of NHL.Methods The expression of survivin and Ki-67 was determined by En Vision immunohistochemical technique in 39 cases with NHL in oral and maxillofacial region and 20 cases with lymphadenitis as the control.Results The positive expression rates of survivin and Ki-67 in NHL in maxillofacial region were 66.7%(26/39)and 71.8%(28/39),significantly higher than 20.0%(4/20) and 10.0%(2/20) in lymphadenitis tissue(P<0.05). The positive expression rates of survivin and Ki-67 in nodal and extra-nodal NHL were higher than those in the control group(P<0.05). There were statistical differences between survivin, Ki67 expression in nodal and extra-nodal NHL (P>0.05). The expression of survivin and Ki67 in highly malignant NHL was higher than that in lowly malignant (P<0.05). The expression of survivin (r= 0.471, P=0.018) and Ki-67 (r=0.691, P=0.000) was positively related to the level of histological phenotypes.Conclusion The survivin and Ki-67 expression play important roles in the occurrence and development of NHL in oral and maxillofacial region. They can be regarded as the prognostic indexes.

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