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egfr和egfrviii在人胃癌组织表达及其临床意义word格式论文
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lymph node metastasis.According to the standard of TNM staging, the number of patients with stage 0,I,II,111,IV were 8, l9,10,10,11,respectively.As for infiltrative depth,18 patients had invad- ed through the serosa.
20 cases of normal gastric mucosa were obtained from healthy volunteers who received gastroscopy biopsy over the same period(All confirmed by pathology).
2.methods:immunohistochemistry (MaxvisionTM2) was used to detect the expression of
EGFR and EGFRvⅢ protein in 58 gastric carcinoma tissues as well as 20 normal gastric tissues specimens from non-cancer patients was performed by immunohis- tochemical staining.
3.SPSS l7.0 statistical software was used to analyze the data.and χ2 test was used to assess the association between the irnn1unohistochernical status and the clinicopathologica characteristics.
Results:Positive expression rate of EGFR and EGFRvⅢ in gastric carcinoma tissues were
higher than normal gastric tissues (P0.01), their positive expression rate were 65.5%,58.6% and 30%,0%. Their expression were irrelated with gender, age, size,and site of gastric carcinoma (P0.05),but were closely related with the degree of differentiation,depth of invasion node metastasis and clinical stages and distant metastasis of gastria cancer patients (P0.05).The radical resection rate in gastric cancers with both positive EGFR and EGFRvⅢwas 37.9%.significantly lower than that with both negative EGFR and EGFRvⅢ (P=0.000).
Conclusion:EGFR and EGFRvⅢhave been found in many gastric carcinoma tissues.Over- expressed EGFR and EGFRvⅢ may be really related to initiation and progression of gastric carci- noma.These results were indicated that,whereas,EGFR and EGFRvⅢcould be regarded as the marker for predicting the initiation and prognosis of human gastric carcinoma.And the specificity expression of EGFRvⅢcan make it become the ideal target treatment of gastric carcinoma.
KEY WORDS:EGFR,EGFRvⅢ,Gastric carcinoma,Immunohistochemistry
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