高级搜索

胃癌中神经内分泌细胞的临床病理学意义

The clinicopathological significance of neuroendocrine cells in gastric carcinoma

  • 摘要: 本文应用铬粒素A(CgA)、胃泌素(GAS)、生长抑素(SS)及5-羟色胺(5-HT)对120例普通型胃癌用免疫组化SP法标记其神经内分泌细胞。结果表明:四种激素抗体检测,以CgA最敏感、阳性率最高为31.7%;高分化腺癌CgA阳性率显着高于低分化和未分化癌(P<0.05),但高分化腺癌CgA阳性病例以(+)为主,未分化癌以(++)为主;而SS.5HT的阳性率,高、低分化腺癌均高于未分化癌(P>0.05).CgA及5-HT阳性病例淋巴结转移率高于阴性病例(P<0.05),CgA(++)病例术后生存期明显短于CgA(+)及CgA(-)者(P<0.05),GAS、5-HT及SS阳性与阴性病例术后生存期无显着差异。

     

    Abstract: One hundred and twenty cases of gastric carcinoma were examined with immunohistochemical SP method for chromogranin A (CgA),gastrin (GAS),somatostain (SS) and serotonin(5-HT)follows:Among four antibodies,CgA was most specific,31.7%gastric carcinoma had CgA-positive cells;the positive rate of CgA in the well differentiated carcinomas was higher than that of the poorly differentiated ones and undifferentiated carcinomas (P<0.05),CgA-positive undifferentiated carcinomas had more NE cells(++);but among different histological type,the positive rate of HT and SS in undifferentiated carcinomas was lower (P>0.05).CgA and HT positive cases had higher lymph node metastasis rate than the negative ones (P<0.05).The cases with CgA-positive cells(++)exhibited shorter survival time than those with few CgA-positive cells(+)and without CgA-positive cells

     

/

返回文章
返回