临床肿瘤学杂志 ›› 2018, Vol. 23 ›› Issue (8): 701-705.

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βcatenin和Ecadherin表达预测早期胃癌切除术后复发的临床意义#br#
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  1. 四川遂宁遂宁市中心医院肿瘤一病区

  • 出版日期:2018-08-31 发布日期:2018-09-07

Clinical significance of expression of βcatenin and Ecadherin in predicting recurrence after resection of gastric cancer#br#
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  1. Department of Oncology, Suining Central Hospital
  • Online:2018-08-31 Published:2018-09-07

摘要: 目的探讨β连环蛋白(βcatenin)和上皮型钙黏蛋白(Ecadherin)对早期胃癌(T1~2N0期)患者行根治术后复发的预测价值。
方法选择2012年7月至2014年6月期间在遂宁市中心医院行手术切除的早期胃癌组织样本366例,随访患者复发情况。采用免疫组化染色法检测胃癌组织βcatenin和Ecadherin表达,及其表达与胃癌临床病理特征的关系。多因素Logistic回归模型分析影响复发的独立危险因素。
结果随访期内共有42例患者复发,复发和未复发患者在病理类型、浸润深度、分化程度、受教育程度以及居住地之间差异存在统计学意义(P<005)。366例患者中221例βcatenin高表达,150例Ecadherin高表达,且βcatenin和Ecadherin表达与浸润深度、分化程度以及复发情况密切相关(P<005)。多因素Logistic回归分析结果显示,浸润深度、βcatenin和Ecadherin异常表达是胃癌术后复发的独立因素(P<005)。复发胃癌患者中βcatenin和Ecadherin表达无相关性(r=-0033,P=0836)。
结论βcatenin和Ecadherin表达异常可作为早期胃癌患者术后复发的预测指标,有助于筛选术后复发的高危患者。


关键词: 胃癌, 复发, 预测, β连环蛋白, 上皮型钙黏蛋白

Abstract: ObjectiveTo investigate the predictive value of βcatenin and Ecadherin in patients with early gastric cancer (stage T12N0) undergoing radical resection. 
MethodsThree hundred and sixtysix patients with early gastric cancer who underwent surgical resection from July 2012 to June 2014 in Suining central hospital were selected. The recurrence of the patients was followed up. Immunohistochemical staining was used to detect the expression of βcatenin and Ecadherin in gastric cancer tissues and their relationship with the clinicopathological characteristics of gastric cancer. Multivariate Logistic regression analysis was used to analyze the independent risk factors for recurrence. 
ResultsA total of 42 patients relapsed during the followup period. There was a significant difference in pathological type, depth of invasion, degree of differentiation, education level and place of residence between recurrent and non recurrent patients (P<005). Of the 366 patients, 221 had high expression of βcatenin and high expression of Ecadherin in 150 cases, and the expression of βcatenin and Ecadherin was closely related to the depth of infiltration, degree of differentiation and recurrence (P<005). Multivariate Logistic regression analysis showed that invasion depth, abnormal expression of βcatenin and Ecadherin were independent factors for postoperative recurrence of gastric cancer (P<005). There was no correlation between the expression of βcatenin and Ecadherin in recurrent gastric cancer (r=-0033, P=0836). 
ConclusionAbnormal expression of βcatenin and Ecadherin can be used as predictors of postoperative recurrence in early gastric cancer patients, and it is helpful for screening highrisk patients with postoperative recurrence.


Key words: Gastric cancer, Recurrence, Predictor, βcatenin, Ecadherin

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