雌激素受体在男性肝细胞癌中的表达及临床意义

Expression of estrogen receptor in male hepatocellular carcinoma and its clinical significance

  • 摘要: 目的 探讨雌激素受体β在男性肝细胞癌中的表达及临床意义。方法 采用免疫组化二步法检测36例男性原发性肝细胞癌组织中ER-β蛋白的表达,分析表达率与临床病理参数及预后的关系。结果 ER-β的阳性表达率为16.7%,与AFP正常与否呈明显负相关(P<0.05),AFP异常增高患者的ER-β的表达率明显降低,与年龄、肿瘤分化程度、HBsAg阳性、肝硬化与否、癌周包膜、门脉癌栓、肿瘤大小等临床因素无关(P>0.05);生存分析显示ER-β阳性表达组对阴性表达组的中位PFS有延长趋势,但无统计学意义(P>0.05)。结论 雌激素受体表达的降低或缺失可能是肝癌发生的重要促进因素之一。

     

    Abstract: Objective To study the expression of estrogen receptor ER-β in male hepatocellular carcinoma(HCC) and its clinical significance. Methods Expression of ER-β in samples from 36 male patients with primary HCC was detected by immunohistochemistry.Correlation between ER-β expression,clinical and pathological parameters and prognosis of patients was analyzed with SPSS16.0 statistical software. Results The positive expression rate of ER-β was 16.7% in HCC tissue samples,which was negatively correlated with serum AFP level(P<0.05).The expression rate of ER-β was significantly lower in patients with an abnormal serum AFP level.However,it was not correlated with the age of patients,tumor differentiation,HBsAg,hepatic cirrhosis,tumor capsule,portal embolism or tumor size.Cox regression analysis showed that patients with positive ER-β expression tended to have a longer median progress free survival(PFS) time than those with negative ER-β expression(P>0.05). Conclusion Low or absent ER-β expression may be one of the important factors for the occurrence and development of human HCC.

     

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