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p16INK4A 和bcl-2 蛋白在CIN 和宫颈鳞癌中的表达

The Expression and Value of p16 INK4A and bcl-2 in Cervical Intraepithelial Neoplasia and Cervical Squamous Carcinoma

  • 摘要: 目的 探讨p16INK4A和bcl-2在宫颈上皮内瘤(CIN)和宫颈鳞癌的表达状态及其在病理诊断中的意义。方法 采用免疫组化SP法对39例CIN、24例浸润性宫颈鳞癌和20例正常官颈组织进行p16INK4A和bck2检测。结果 正常宫颈组织不表达p16INK4A,CINⅠ阳性表达率很低并为局灶表达,但几乎所有的CINⅡ/Ⅲ和浸润性宫颈鳞癌均弥漫大量表达p16INK4A。正常宫颈组织只有基底细胞层表达bcl-2蛋白,CINⅢ和Ⅰ~Ⅱ期浸润癌bcl-2阳性细胞弥漫分布,阳性袁达率分别为53.8%和57.1%。Ⅲ~Ⅳ期浸润癌bcl-2阳性率下降,阳性细胞局限。结论 p16INK4A过表达与宫颈鳞癌恶性特性密切相关,检测p16INK4A有助于及时发现高级别CIN和宫颈鳞癌。

     

    Abstract: Objective  To study the expression and value of p16 IN K4A and bcl-2 in CIN and cervical squamous carcinoma. Methods  39 cases of CIN, 24 cervical invasive squamous carcinoma and 20 normal cervical tissues were stained for p16 IN K4A and bcl-2 by immunohistochemistry method. Results  p16 IN K4A immunoreactivity was absent in all normal cervical tissues, its positive rate in CIN Ⅰwas very low too, but p16 IN K4A expressed almost in all of CIN Ⅱ/ Ⅲand invasive carcinoma. Bcl-2 immunoreactivity in normal cervical tissues was only seen in cells of basal layer. It s positive rate in CIN Ⅲand Ⅰ~Ⅱstage invasive carcinoma were 53. 8 %and 57. 1 % respectively, which positive cells were diffuse and its staining intensity was higher than in normal cervical tissues. It s positive rate in Ⅲ~ Ⅳ stage invasive carcinoma was striking decreased, which positive cells were focal. Conclusion  p16 IN K4A over expression may be seen as a marker of CIN Ⅱ/ Ⅲand invasive carcinoma which is useful in pathological diagnosis.

     

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