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目的:研究突变型p53癌基因在垂体腺瘤中的表达。方法:应用免疫组化ABC法检测64例垂体腺瘤(复发组31例,非复发组33例),6例正常垂体、2例垂体癌中p53蛋白表达情况。结果:复发组中有10例p53蛋白表达阳性,非复发组中有2例p53蛋白表达阳性,两组差异有显著性。2例垂体癌p53蛋白强阳性表达,6例正常垂体无阳性表达。p53蛋白在不同激素类型垂体腺瘤中的阳性表达率差异无显著性。结论:p53蛋白高表达与少数垂体腺瘤的潜在恶性及复发有关,与垂体腺瘤激素类型无关。
Objective: To study the expression of mutant p53 oncogene in pituitary adenomas. Methods: Immunohistochemical ABC method was used to detect the expression of p53 protein in 64 cases of pituitary adenoma (31 cases in recurrence group and 33 cases in non-recurrence group), 6 cases of normal pituitary and 2 cases of pituitary carcinoma. RESULTS: There were 10 cases of p53 protein positive in the recurrent group, and 2 cases of positive p53 protein in the non-relapse group. There was a significant difference between the two groups. Two cases of pituitary carcinoma had strong positive expression of p53 protein, and 6 cases of normal pituitary showed no positive expression. The positive expression rate of p53 protein in pituitary adenomas of different hormone types showed no significant difference. Conclusion: The high expression of p53 protein is associated with the potential malignant recurrence of a small number of pituitary adenomas and has nothing to do with the hormone type of pituitary adenomas.