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目的研究EGF受体(EGFR)在大肠癌中表达的意义,并探讨其对细胞增殖的影响.方法用免疫组化LSAB法检测86例大肠癌组织EGFR,PCNA的表达.结果在86例被检组织中,EGFR阳性表达44例(512%),低分化癌(800%,40/50)、淋巴结转移癌(688%,22/32)较高分化(389%,14/36)、淋巴结未受累大肠癌(407%,22/54)有更高的EGFR表达(P<005).DukesA,B,C期大肠癌的EGFR表达率分别为320%,483%,688%,C期与A期比较差异显著;EGFR阳性大肠癌较阴性癌有更高的PCNA标记(两者PCNAⅠ,Ⅱ,Ⅲ,Ⅳ级的例数分别为4,8,17,15;14,16,7,5;P<005).结论EGFR过表达与大肠癌恶性程度、转移趋势密切相关,并可促使癌细胞过度增生.
Objective To study the significance of EGF receptor (EGFR) expression in colorectal cancer and to explore its effect on cell proliferation. Methods The expression of EGFR and PCNA in 86 cases of colorectal cancer tissue was detected by immunohistochemistry LSAB method. Results Of the 86 tissues examined, 44 were positive for EGFR (51. 2%), poorly differentiated (80.0%, 40/50), and metastatic lymph nodes (68.8%, 22/32). Differentiation (38.9%, 14/36), lymph node-insensitive colorectal cancer (40.7%, 22/54) had higher EGFR expression (P < 0.05). The expression of EGFR in Dukes A, B, and C colorectal cancers was 32.0%, 48.4%, 68.8%, respectively. There was significant difference between C and A phase. EGFR positive colorectal cancer had higher PCNA than negative cancer. Markers (the number of PCNAI, II, III, IV grades were 4, 8, 17, 15, 14, 16, 7, 5; P<005). Conclusion Overexpression of EGFR is closely related to the degree of malignancy and metastasis of colorectal cancer, and can promote the hyperplasia of cancer cells.