BMC Gastroenterology: 微血管密度在 II期和III期结肠癌患者在的预后价值

2019-10-13 不详 MedSci原创

微血管密度(MVD)是作为血管生成的标记,并与几种类型的癌症的不良预后相关。本项研究旨在评估MVD在II期和III期结肠癌中的预后价值及其与肿瘤基质百分比(TSP)以及HIF1A和VEGFA表达的关系。

背景
血管密度(MVD)是作为血管生成的标记,并与几种类型的癌症的不良预后相关。本项研究旨在评估MVD在II期和III期结肠癌中的预后价值及其与肿瘤基质百分比(TSP)以及HIF1A和VEGFA表达的关系。

方法
研究人员从53名II期和54名(接受5-氟尿嘧啶治疗的)III期患者中收集福尔马林固定的石蜡包埋(FFPE)结肠癌组织。MVD通过CD31染色的完整肿瘤切片的数字形态分析进行评分。使用苏木精-伊红染色的载玻片对TSP进行评分。通过组织芯片的免疫组织化学评估确定HIF1A和VEGFA的蛋白表达。

结果
结果显示,与II期结肠癌相比,III期MVD更高(11.1%vs 5.6%CD31阳性组织面积,p<0.001)。在单因素分析中,II期患者的高MVD往往与不良的无病生存期(DFS)相关(p= 0.056)。相反,在接受5FU治疗的III期患者中,高MVD与更好的DFS相关(p= 0.006)。在两个癌症阶段的多变量分析中均观察到MVD的预后价值。

结论
MVD是独立的预后因素,与II期结肠癌患者的DFS差有关,而在接受辅助化疗的III期结肠癌患者中,DFS得到明显改善。

原始出处:

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    2019-12-05 许安
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    2020-01-07 juliusluan78
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ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1504813, encodeId=38e4150481322, content=<a href='/topic/show?id=7730e85412' target=_blank style='color:#2F92EE;'>#Gastroenterology#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=18, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=7854, encryptionId=7730e85412, topicName=Gastroenterology)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=5fc29706655, createdName=chaojitidian, createdTime=Tue Oct 15 14:14:00 CST 2019, time=2019-10-15, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1594653, encodeId=c0b91594653d9, content=<a href='/topic/show?id=b317956200' target=_blank style='color:#2F92EE;'>#III期#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=19, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=9562, encryptionId=b317956200, topicName=III期)], attachment=null, 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  5. 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  6. 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    2019-10-15 mgqwxj
  7. 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  8. 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