86例肝内胆管细胞癌临床病理学分析

Clinicopathological features of intrahepatic cholangiocarcinoma: Analysis of 86 cases

  • 摘要: 目的 探讨肝内胆管细胞癌(intrahepatic cholangiocarcinoma,ICC)临床病理学特征及肿瘤相关蛋白表达。 方法 回顾性分析86例肝内胆管细胞癌临床病理学特征;免疫组织化学SP法观察肿瘤相关蛋白Her-1、Her-2、P170、血管内皮生长因子(VEGF)、突变型P53、Ki-67、Top-Ⅱα的表达情况;Kappa和Kruskal-Wallis法分别检验Ki-67、Top-Ⅱα对肿瘤细胞增殖程度的检验效果和肿瘤相关蛋白表达与分化程度的关系。 结果 86例ICC中,中低分化肿瘤占95.3%;Her-1、Her-2、P170、VEGF和突变型P53蛋白阳性表达率分别为34.3%、25.0%、66.7%、80.4%和68.8%;Ki-67、Top-Ⅱα阳性表达率分别为96.2%和88.9%,两者对肿瘤细胞增殖程度检验效果一致性差(P=0.001,K=0.291);突变型P53、Ki-67、Top-Ⅱα蛋白的表达与肿瘤分化程度无关(P=0.178)。 结论 肝内胆管细胞癌恶性程度高,肿瘤相关蛋白的高表达与其恶性生物学特性相关,Ki-67检测ICC肿瘤细胞增殖程度效果优于Top-Ⅱα。

     

    Abstract: Objective To study the clinicopathological features of intrahepatic cholangiocarcinoma(ICC) and expression of tumorassociated proteins. Methods Clinicopathological features of 86 ICC patients were retrospectively analyzed.Expression of tumor-associated proteins(Her-1,Her-2,P170,VEGF,mutant P53,Ki-67,and Top-Ⅱα) was detected with immunohistochemical method.Efficiency of Ki-67 and Top-Ⅱα in detecting proliferation of ICC cells was analyzed with Kappa method and correlation between expression of tumor-associated proteins and tumor differentiation was analyzed with Kruskal-Wallis method. Results Of the 86 patients,82(95.3%) were diagnosed with moderately or poorly differentiated adenocarcinoma.The positive expression rate of Her-1,Her-2,P170,VEGF,mutant P53,Ki-67 and Top-Ⅱα was 34.3%,25.0%,66.7%,80.4%,68.8%,96.2% and 88.9%,respectively.Kappa and Kruskal-Wallis methods showed a high concordance in detection of their expression(P=0.001,K=0.291).The expression of mutant P53,Ki-67 and Top-Ⅱα was not correlated with the differentiation of ICC(P=0.178). Conclusion ICC is a highly malignant tumor.The high expression level of P170,VEGF and mutant P53 is closely related with its malignant biological nature.Ki-67 is better than Top-Ⅱα in detecting the proliferation of ICC cells.

     

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