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胃肠道间质瘤中Ki67和cyclinD1蛋白的表达及其病理学意义
作者:朱玉娟  
单位:江苏省宜兴市人民医院
关键词:胃肠间质瘤 免疫组化 cyclinD1 Ki67 
分类号:
出版年·卷·期(页码):2014··第十一期(0-)
摘要:

【摘要】目的 检测cyclin D1、Ki67在GIST中的表达,探讨它们在GIST发生、发展中的作用及临床病理意义,为GIST生物学行为判断、预后评估提供客观指标。方法 应用免疫组织化学SP法,检测cyclinD1和Ki67在胃肠道间质瘤中的表达情况。结果 低危组、中危组和高危组Ki67标记指数分别为(4.6±1.6)%、(19.8±7.5)%和(38.6±8.2)%,三个组Ki67标记指数比较有显著性差异(P<0.05),Ki67标记指数与核分裂相数目、肿瘤直径有关。cyclinD1蛋白在GIST组中阳性表达率显著高于肿瘤旁组织(p<0.05);低危组、中危组与高危组的cyclinD1表达率分别为36.8%,57.1%和80.0%,三个组cyclinD1蛋白阳性率比较有显著性差异(P<0.05);CyclinD1阳性率与核分裂相数目有关,但与肿瘤直径及肿瘤坏死无关。结论 Ki67和cyclinD1的表达情况能够提示GIST的恶性程度的高低,与GIST生物学行为密切相关, 有可能成为判断GIST生物学行为的评价指标。

【Abstract】Objective It is to approach the relationships of protein expression of cyclinD1 and Ki67 with development of gastrointestinal stromal tumors by detecting the expression of CyclinD1 and Ki67,and to provide objective indicators of GIST biologic behavior judgment and prognosis. Methods The expression of CyclinD1 and Ki67 in GIST were detected by S-P immunohistochemical method.Results The Ki67 labeling index in the Low-risk group,risk group and high-risk group was(4.6±1.6)%、(19.8±7.5)% and(38.6±8.2)% respectively, showing a significant difference between the three groups( P <0.05) . The Ki67 labeling index was related to the tumor size and mitotic count. The expression of cyclin D1 was significantly higher in GISTs than in normal group( P <0.05) .The positive rate of cyclinD1 protein in the Low-risk group,risk group and high-risk group was 36.8%,57.1% and 80.0% respectively. There was a significant difference in the cyclinD1 protein between the three groups. ( P <0.05) . The positive rate of cyclinD1 protein was related to mitotic count, but not related to the tumor size and tumor necrosis. Conclusion Ki67 and cyclinD1 expression could prompt malignant GIST level,the expression of Ki67 and cyclinD1 are closely related with the biological behavior of GIST and may be considered as potential markers for the biological behavior of GIST.

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