前列腺癌发生发展中基底细胞层和基底膜的改变

Changes of basal cell layer and basement membrane during the occurrence and development of prostate cancer

  • 摘要: 目的 探讨前列腺局部基底细胞层破坏(Focal Basal Cell Layer Disruption,FBCLD)相邻基底膜的完整性及其在前列腺癌发生发展中的关系。方法 选取前列腺癌切除标本25例,切片HE染色及P63和CK34βE12免疫组化染色,观察基底细胞层的完整性;同时行Ⅳ型胶原染色判断基底膜的性状。结果 25例标本中检出89个FBCLD病灶,其中85%显示基底膜局部破坏,15%基底膜变薄或免疫着色减弱;P63标记的基底细胞层正常时,基底膜厚度比P63阴性者较厚且均匀一致。60%的PIN存在局部基底细胞层和基底膜破坏,正常和良性增生病变组织中局部破坏较小。结论 FBCLD与基底膜变性密切相关,伴有FBCLD和基底膜缺失的导管或腺体具有发展为癌的极大风险。

     

    Abstract: Objective To investigate the focal basal cell layer disruption(FBCLD) in prostate and the integrity of its adjacent basement membrane and their relation with the occurrence and development of prostate cancer. Methods HE,and double P63 and CK34βE12 immnostaining were performed for the selected 25 samples of prostate cancer.The integrity of basal cell layer was observed.Basement membrane was stained with Ⅳ collagen to determine its change. Results Among the 89 FBCLD foci detected in the 25 samples,basement membrane disruption was found in 76(85%),thinner basement membrane or weak immunostaining was observed in 13(15%).Positive P63-labelled basal cell layer was thicker than negative P63-labelled basal cell layer when the P63 labelled basal cell layer was normal.Sixty percent of PIN showed FBCLD and basement membrane disruption.The focal disruption in normal and benign tumor tissues was milder. Conclusion FBCLD is closely related with changes in basement membrane.Duct or gland with FBCLD and basement membrane disruption may be a greater risk of developing cancer.

     

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