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目的:探讨生存素(survivin)、血管内皮生长因子-C(VEGF-C)在卵巢上皮性癌发生、发展及腹腔转移中的作用,以及两蛋白表达的相关性。方法:采用免疫组化法检测132例原发性卵巢上皮性癌、50例交界性上皮性肿瘤及50例良性上皮性肿瘤组织中survivin和VEGF-C蛋白的表达,分析其表达与临床病理特征的关系。结果:卵巢癌组织中survivin和VEGF-C阳性表达率分别为90.1%(119/132)和87.9%(116/132),明显高于良性肿瘤组[22.0%(11/50),35.0%(15/50)]和交界性肿瘤组[48.0%(24/50),56.0%(28/50)](P<0.05)。卵巢癌组织中survivin和VEGF-C表达呈正相关(r=0.592,P<0.05)。肿瘤分化越低、临床分期越高、脉管内有癌栓及有淋巴结转移的卵巢癌组织中,survivin和VEGF-C蛋白的阳性率越高。结论:VEGF-C与survivin可能在卵巢癌的发生发展过程中发挥着协调作用,两者联合检测可作为判断卵巢癌恶性程度、侵袭、预后的重要指标。
OBJECTIVE: To investigate the role of survivin and VEGF-C in the genesis, development and peritoneal metastasis of ovarian epithelial carcinoma and the correlation between the two proteins. Methods: The expressions of survivin and VEGF-C protein in 132 cases of primary epithelial ovarian cancer, 50 cases of borderline epithelial tumor and 50 cases of benign epithelial tumor were detected by immunohistochemistry. The expression and clinicopathological features Relationship. Results: The positive rate of survivin and VEGF-C in ovarian cancer was 90.1% (119/132) and 87.9% (116/132) respectively, which was significantly higher than that in benign tumor [22.0% (11/50) and 35.0% 15/50)] and borderline tumors [48.0% (24/50), 56.0% (28/50)] (P <0.05). The expression of survivin and VEGF-C in ovarian cancer was positively correlated (r = 0.592, P <0.05). The higher the positive rates of survivin and VEGF-C protein were, the lower the tumor differentiation, the higher the clinical stage, the intravascular thrombus and the ovarian cancer with lymph node metastasis. Conclusions: VEGF-C and survivin may play a coordinating role in the development and progression of ovarian cancer. The combined detection of VEGF-C and survivin may be used as an important index to judge the malignancy, invasion and prognosis of ovarian cancer.