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目的探讨肝细胞性肝癌(HCC)组织中转化生长因子β2(TGFβ2)的表达及其临床病理学意义。方法ABC免疫组化方法检测52例我所1992~1995年手术切除的小肝癌中TGFβ2的免疫反应性,并根据术后2年内肝癌有无复发,将52例小肝癌分为复发组和无复发组。分析其临床病理学意义。结果有门脉癌栓者,术后2年复发率为824%(14/17),无门脉癌栓者,术后2年复发率为171%(6/35),两者统计学上有显著性差异(P<005)。复发组TGFβ2强阳性率400%(8/20),无复发组TGFβ2强阳性率125%(4/32),统计学上两组之间差异有显著性(P<005)。有门脉癌栓者,TGFβ2强阳性率471%(8/17),无门脉癌栓者,TGFβ2强阳性率114%(4/35),两者之间统计学上有显著性差异。结论TGFβ2的表达异常与肝癌复发、门脉癌栓正相关
Objective To investigate the expression of transforming growth factor-β2 (TGFβ2) in hepatocellular carcinoma (HCC) and its clinicopathological significance. Methods ABC immunohistochemical method was used to detect the immunoreactivity of TGFβ2 in 52 cases of small hepatic carcinoma surgically resected from 1992 to 1995. According to the recurrence of liver cancer within 2 years after operation, 52 cases of small hepatocarcinoma were divided into relapsed group and no recurrence. group. Analyze its clinical pathological significance. Results The patients with portal vein cancer thrombosis had a recurrence rate of 82.4% (14/17) at 2 years after operation. Without portal vein cancer thrombosis, the recurrence rate was 17.1% (6/35) at 2 years after operation. There was a statistically significant difference (P<005). The positive rate of TGFβ2 in the relapse group was 40.0% (8/20), and the strong positive rate of TGFβ2 in the non-relapse group was 12.5% (4/32). There was a statistically significant difference between the two groups (P<005). ). In portal vein tumor thromboses, the strong positive rate of TGFβ2 was 47.1% (8/17). Without portal vein tumor thrombosis, the strong positive rate of TGFβ2 was 11.4% (4/35). There was a statistically significant difference between them. Significant difference. Conclusion The abnormal expression of TGFβ2 is positively correlated with the recurrence of HCC and portal vein cancer thrombus.