A Study of Molecular Resection Margins for Esophageal Squamous Cell Carcinoma Using Large Pathologic

来源 :中国肿瘤临床(英文版) | 被引量 : 0次 | 上传用户:shayuer
下载到本地 , 更方便阅读
声明 : 本文档内容版权归属内容提供方 , 如果您对本文有版权争议 , 可与客服联系进行内容授权或下架
论文部分内容阅读
OBJECTIVE It has been shown that application of molecular biological techniques to surgical margins of some cancers could predict risk of local recurrence. However, the optimal length of surgical resection with tumor-free surgical margins for esophageal squamous cell carcinoma (ESCC) is unknown. This study was conducted to evaluate the optimal length of surgical resection for ESCC with molecularly tumor-free surgical margins marked by p53 and Ki67.METHODS Surgical specimens from 70 patients with ESCC were collected for study. The lengths of the upper margin, tumor, and lower margin of every specimen were measured during the operation. Each specimen was divided into three large pathologic sections, stained with H&E and immunohistochemically for p53 and Ki67, and examined microscopically.The lengths of the upper and lower resection ends were measured for p53 and Ki67 positive expression. The actual surgical lengths were calculated by the principle of rational shrinkage.RESULTS All surgical margins were histologically tumor-free, while the positive rates of p53 and Ki67 were 66% and 54%. The positive rates of p53 and Ki67 in the upper resection end were 17% and 20%. The mean lengths of the upper resection end showing p53 and Ki67 positive expression were 1.08 ±1.12 cm and 1.64 ±1.01 cm, and the maximum lengths were 3.73 cm and 3.26 cm. The positiver ates of p53 and Ki67 in the lower resection end were 20% and 23%. The mean lengths of the lower resection end of p53 and Ki67 with positive expression were 1 .11±1.15 cm and 1.34±0.94 cm, and the maximum lengths were 3.73 cm and 3.61 cm.CONCLUSION The optimal length of surgical resection with molecularly tumor-free surgical margins of ESCC is not more than 5 cm.
其他文献
OBJECTIVE To investigate the expression of the RECK gene in human breast (cancer) cell lines, and to determine the relationship between RECK gene expression and
期刊
OBJECTIVE Telomerase is an attractive molecular target for cancer therapy because the activation of telomerase is one of the key steps in cell immortalization a
期刊
日前,离休干部老钱告诉笔者,近来他在晚上睡觉前关掉日光灯后,灯管仍然闪烁不停,使他感到不舒服,躺在床上久久不能入睡,而且他怀疑这样是否浪费电。令他不解的是,以前从未发生过这种
期刊
颌面部缺损的修复包括颌骨缺损的修复和面部缺损的修复,其中上颌骨缺损患者占整个颌面部缺损患者的58.8%[1]。上颌骨缺损可造成严重的咀嚼、语言、吞咽等功能 Maxillofacial
期刊
期刊
期刊