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目的:研究人类乳头状瘤病毒(HPV)与肺鳞癌发生的病因关系。方法:采用聚合酶链反应(PCR)技术检测石蜡包埋肺鳞癌组织标本50份,肿瘤组织旁鳞状化生上皮标本30份,正常支气管粘膜30份中的HPVDNA。结果:上述三种标本中,HPVDNA的检出率分别为26%、37%和10%,其中以HPV16型所占比例最高。结论:结果表明HPV感染与肺鳞癌的发生有一定的联系,鳞状上皮化生似可视为癌前病变,PCR技术较体外杂交技术和DNA探针有更高的敏感性
Objective: To study the etiology of human papillomavirus (HPV) and lung squamous cell carcinoma. METHODS: Polymerase chain reaction (PCR) was used to detect 50 paraffin-embedded lung squamous cell carcinoma specimens, 30 specimens of squamous metaplastic epithelium beside the tumor tissue, and HPV DNA in 30 specimens of normal bronchial mucosa. Results: Among the above three types of samples, the detection rates of HPV DNA were 26%, 37% and 10%, respectively, of which HPV16 accounted for the highest proportion. Conclusions: The results suggest that HPV infection is associated with the development of lung squamous cell carcinoma. Squamous metaplasia may be seen as a precancerous lesion. PCR technique has higher sensitivity than in vitro hybridization and DNA probes.