文章摘要
Yingying Li,Sunan Wang,Peking University Shenzhen Hospital. Pathological characteristics and immunophenotype analysis of cervical intraepithelial neoplasia. Oncol Transl Med, 2016, 2: 285-289.
子宫颈上皮内瘤变临床病理特点及免疫表型分析
Pathological characteristics and immunophenotype analysis of cervical intraepithelial neoplasia
Received:May 15, 2015  Revised:May 15, 2015
DOI:10.1007/s10330-015-0096-6
中文关键词: 子宫颈上皮内瘤变;临床病理;基因蛋白;免疫组织化学
英文关键词: cervical intraepithelial neoplasia; clinical pathology; protein; immunohistochemistry
基金项目:
Author NameAffiliationE-mail
Yingying Li Shenzhen Polytechnic College wyk_150@163.com 
Sunan Wang* Shenzhen Polytechnic College wyk_150@163.com 
Peking University Shenzhen Hospital Peking University Shenzhen Hospital  
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中文摘要:
  目的:探讨子宫颈上皮内瘤变临床病理特点及免疫表型。方法:采用免疫组织化学技术检测了59例上皮内瘤病变(CIN) 、20例宫颈鳞癌和20例正常宫颈组织中p16、p53、bcl-2、和C-erbB-2表达情况。结果:p16、p53、bcl-2和C-erbB-2在CIN、宫颈鳞癌和正常宫颈组织中阳性率分别为76.3%(45/59)、28.8%(17/59)、61.0%(36/59)、40.0%(23/59);60.0%(12/20)、60.0%(12/20)、75.0%(15/20)、65.0%(13/20);0.0%(0/20)、0.0%(0/20)、35.0%(7/20)、0.0%(0/20)。p16、p53、 bcl-2在鳞癌、CIN中的表达与正常组织之间差异有显著性(p﹤0.001), 鳞癌与CIN之间差异无显著性(p﹥0.05);C-erbB-2、p53在鳞癌、CIN与正常组织中的表达有显著差异(p﹥0.05);bcl-2、C-erbB-2、p53在CIN 3级组与CINI 1级、CIN 2级组之间差异有显著性(p﹤0.05)。结论: bcl-2过表达是宫颈癌发生的早期事件,p16 、C-erbB-2过表达是细胞恶性变的标志,p53的表达与宫颈癌发生、发展有关。
英文摘要:
    Objective To explore the clinical pathological features and immunophenotypes of cervical intraepithelial neoplasia (CIN). Methods The protein expression of p16, p53, Bcl-2, and c-erbB-2 in 59 cases of CIN, 20 cases of cervical squamous cell carcinoma, and 20 cases of normal cervical tissues were tested using immunohistochemistry staining. Results The expression rates of p16, p53, Bcl-2, and c-erbB-2 in CIN tissues were 76.3% (45/59), 28.85 (17/59), 61.0% (36/59), and 40.0% (23/59), respectively. The expression rates of p16, p53, Bcl-2, and c-erbB-2 in cervical squamous cell carcinoma tissues were 60.0% (12/20), 60.0% (12/20), 75.0% (15/20), and 65.0% (13/20), respectively. The expression rates of p16, p53, Bcl-2, and c-erbB-2 in normal cervical tissues were 0.0% (0/20), 0.0% (0/20), 35.0% (7/20), 0.0% (0/20), respectively. In comparison to normal tissues, the differential expressions of p16, p53, and Bcl-2 in squamous cell carcinoma and CIN were statistically significant (P <0.001), whereas the difference between the squamous cell carcinoma and CIN was not significant (P >0.05). In comparison to normal tissues, the differential expressions of c-erbB-2 and p53 in squamous cell carcinoma and CIN were statistically significant (P >0.05). The differential expressions of Bcl-2, c-erbB-2, and p53 in CIN 3 were statistically significant in comparison to CIN 1 and CIN 2 (P <0.05). Conclusion Overexpression of Bcl-2 occurs early in the development of cervical cancer, whereas p16 and c-erbB-2 overexpression are markers for cell malignancy. The expression of p53 is correlated with the development of cervical cancer.
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