结直肠癌组织中肿瘤出芽与恶性程度分析
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江苏省卫生厅科研基金面上项目(H200744)


Analysis between the malignant degree and tumor budding in colorectal carcinoma
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    目的:探讨结直肠癌组织中肿瘤出芽的临床病理意义-方法:应用光镜和免疫组化EnVision法观察83例结直肠癌组织中肿瘤出芽的情况-结果:83例结直肠癌中有46例肿瘤发生了出芽(55.4%)-肿瘤出芽的发生率在有淋巴结转移者明显高于无淋巴结转移者(P < 0.01);有淋巴管侵犯者肿瘤出芽的发生率明显高于无淋巴管侵犯者(P < 0.01),pTNM分期中,Ⅲ期结直肠癌中肿瘤出芽的检出率明显高于Ⅱ期(P < 0.01)-肿瘤出芽与患者年龄-性别-肿瘤部位-大小-分化程度和血管侵犯均无关(P > 0.05)-结论:肿瘤出芽是提示侵袭性或浸润性生长的组织学特征,应用CKpan进行免疫标记可提高肿瘤出芽的检出率-

    Abstract:

    Objective:To study the clinical pathologic significance of tumor budding in colorectal carcinoma. Methods:The tumor budding of 83 cases of colorectal carcinoma were detected by HE staining and EnVision immunohistochemical staining. Results: Tumor budding was found in 46 cases of colorectal carcinoma(55.4%). Tumor budding was more frequently observed in colorectal carcinoma with lymph node metastasis than in those without lymph node metastasis(P < 0.01). The incident of tumor budding was higher in colorectal carcinoma with lymphatic involvement than in those without lymphatic involvement(P < 0.01). Among pTNM staging,the detection rate of tumor budding in colorectal carcinoma with Ⅲ stage was higher than those with Ⅱ stage(P < 0.01). Tumor budding were not associated with sex,age,tumor size,site,differentiation and venous invasion(P > 0.05). Conclusion:Tumor budding was a potential pathological marker suggesting aggressive or invasive growth of colorectal carcinoma. The detection rates of tumor budding was improved by CKpan immunohistochemistry.

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黄文斌,赵建华,黄 悦,李 莉,杨小兵,王劲松,张 琦.结直肠癌组织中肿瘤出芽与恶性程度分析[J].南京医科大学学报(自然科学版),2007,(12):1422-1424

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  • 收稿日期:2007-06-01
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