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分化型甲状腺癌组织中雌激素受体和孕激素受体表达的临床意义 被引量:8

Clinical Significance of the Expression of Estrogen Receptor and Progesterone Receptor in Differentiated Thyroid Carcinoma(with a 52-case report)
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摘要 目的:探讨分化型甲状腺癌是否为女性激素依赖性肿瘤,分析ER、PR的表达与分化型甲状腺癌患者的肿瘤大小、组织学类型、有否淋巴结转移、性别、年龄等的关系。方法:应用免疫组织化学方法(SP法)检测分析正常甲状腺、甲状腺良性肿瘤和分化型甲状腺癌组织中ER、PR的表达。结果:分化型甲状腺癌中ER和PR阳性表达分别为19.3%(10/52)和30.8%(16/52),其表达比正常甲状腺与良性肿瘤组织多,有显著性差异(P<0.01)。分化型甲状腺癌的肿瘤直径>1 cm的ER、PR阳性率明显高于≤1 cm的病例,有显著性差异(P<0.01)。而ER和PR的表达与患者的性别、年龄、组织类型和淋巴结转移无关。结论:分化型甲状腺癌组织中ER和PR的表达较正常甲状腺、甲状腺良性肿瘤组织高,有显著差异性(P<0.01),且肿瘤直径>1 cm者的ER和PR表达高于肿瘤直径≤1 cm者,揭示分化型甲状腺癌可能是雌激素和孕激素依赖性肿瘤。 Objective: ATo investigate whether differentiated thyroid carcinoma (DTC) is a hormone-dependent neoplasm, and analyze the relationship between the expressions of ER/PR in DTC with tumor size, histology types, lymph node metastasis, and gender, age. Methods: To detect the expression of estrogen receptor(ER)/Progesterone Receptors(PR) in normal thyroid tissue, thyroid benign tumor, and DTC by using the immunohistochemical staining technique (SP method). Results: There was no expression of ER/PR in most cases of normal thyroid tissue and benign tumor. The positive rates of ER/PR were 19.3% (10/52)/30.8% (16/52) in DTC. The positive rate of ER/ PR was significantly higher in DTC than in the normal thyroid tissue, nodular goiter, and follicular adenoma; there was a significant difference among them (P〈0.01). The positive rate of ER/PR in cases of tumor with diameter of more than 1 cm was significantly higher than those of tumor with diameter of not more than 1 cm; there was a significant difference between them (P〈0.01). However, the expression positive rate of ER/PR in DTC was related to gender, age, histology types, and lymph node metastasis. Conclusion: The positive rate of ERfPR in DTC was higher than those in normal thyroid tissue, nodular goiter, and follicular adenoma; there was a statistical significance among them (P〈0.01). The positive rate of ER/PR in cases of tumor with diameter of more than 1 cm was significantly higher than those of tumor with diameter of not more than 1 cm. The result suggested that DTC may be a kind of estrogen/progesterone-dependent neoplasm.
出处 《中国肿瘤临床》 CAS CSCD 北大核心 2012年第24期2091-2093,共3页 Chinese Journal of Clinical Oncology
基金 2004年中山市科技局科研项目(编号:2004A075)资助~~
关键词 分化型甲状腺癌 雌激素受体 孕激素受体 免疫组织化学 Differentiated thyroid carcinoma Estrogen receptor Progesterone receptor Immunohistochemistry
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