甲状腺髓样癌中Ki67和降钙素的表达及临床意义

冯佳佳, 王家东. 甲状腺髓样癌中Ki67和降钙素的表达及临床意义[J]. 临床耳鼻咽喉头颈外科杂志, 2014, 28(24): 1921-1924. doi: 10.13201/j.issn.1001-1781.2014.24.004
引用本文: 冯佳佳, 王家东. 甲状腺髓样癌中Ki67和降钙素的表达及临床意义[J]. 临床耳鼻咽喉头颈外科杂志, 2014, 28(24): 1921-1924. doi: 10.13201/j.issn.1001-1781.2014.24.004
FENG Jiajia, WANG Jiadong. Expression and clinical significance of Ki67 and calcitonin in medullary thyroid carcinoma[J]. J Clin Otorhinolaryngol Head Neck Surg, 2014, 28(24): 1921-1924. doi: 10.13201/j.issn.1001-1781.2014.24.004
Citation: FENG Jiajia, WANG Jiadong. Expression and clinical significance of Ki67 and calcitonin in medullary thyroid carcinoma[J]. J Clin Otorhinolaryngol Head Neck Surg, 2014, 28(24): 1921-1924. doi: 10.13201/j.issn.1001-1781.2014.24.004

甲状腺髓样癌中Ki67和降钙素的表达及临床意义

详细信息
    通讯作者: 王家东,E-mail:drjiadongw@aliyun.com
  • 中图分类号: R736.1

Expression and clinical significance of Ki67 and calcitonin in medullary thyroid carcinoma

More Information
  • 目的:探讨增殖细胞相关抗原(Ki67)和降钙素在甲状腺髓样癌组织中的表达及其临床意义。方法:采用免疫组织化学SP法分别检测44例甲状腺髓样癌组织和20例癌旁组织中Ki67和降钙素的表达水平。结果:44例甲状腺髓样癌组织中Ki67和降钙素的表达率为86.36%(38/44)和100.00%(44/44),明显高于其在癌旁组织中的表达率0%(0/20)和20%(4/20)(P<0.01)。Ki67增殖指数和降钙素与患者肿瘤大小、临床分期和淋巴结转移有关(P<0.05),而与患者年龄、性别无关(P>0.05)。在甲状腺髓样癌中Ki67和降钙素的表达水平无显著相关性(P=0.081)。结论:Ki67和降钙素高表达与甲状腺髓样癌的发生、发展及浸润转移有关,可作为判断甲状腺髓样癌生物学行为的重要指标。
  • 加载中
  • [1]

    KLOOS R T, ENG C, EVANS D B, et al.Medullary thyroid cancer:management guidelines of the American Thyroid Association[J].Thyroid, 2009, 19:565-612.

    [2]

    TISELL L E, DILLEY W G, WELLS S A.Progression of postoperative residual medullary thyroid carcinoma as monitored by plasma calcitonin levels[J].Surgery, 1996, 119:34-39.

    [3]

    RINK T, TRUONG P N, SCHROTH H J, et al.Calculation and validation of a plasma calcitonin limit for early detection of medullary thyroid carcinoma in nodular thyroid disease[J].Thyroid, 2009, 19:327-332.

    [4]

    SCHEUBA C, KASERER K, MORITZ A, et al.Sporadic hypercalcitoninemia:clinical and therapeutic consequences[J].Endocr Relat Cancer, 2009, 16:243-253.

    [5]

    赵自然, 康维明.MTC外科诊治[J].中华临床医师杂志, 2012, 6 (5):126-128.

    [6]

    ESFANDIARI N H, HUGHES D T, YIN H, et al.The effect of extent of surgery and number of lymph node metastases on overall survival in patients with medullary thyroid cancer[J].J Clin Endocrinol Metab, 2014, 99:448-454.

    [7]

    ROY M, CHEN H, SIPPEL R S.Current understanding and management of medullary thyroid cancer[J].Oncologist, 2013, 18:1093-1100.

    [8]

    WELCH K, MCHENRY C R.Selective lateral compartment neck dissection for thyroid cancer[J].J Surg Res, 2013, 184:193-199.

    [9]

    KWON H, KIM W G, CHOI Y M, et al.A cut-off value of basal serum calcitonin for detecting macroscopic medullary thyroid carcinoma[J].Clin Endocrinol (Oxf), 2014.

    [10]

    TOLEDO S P, LOURENCO D M, SANTOS M A, et al.Hypercalcitoninemia is not pathognomonic of medullary thyroid carcinoma[J].Clinics (Sao Paulo), 2009, 64:699-706.

    [11]

    GIOVANELLA L, CRIPPA S, CARIANI L.Serum calcitonin-negative medullary thyroid carcinoma:role of CgA and CEA as complementary markers[J].Int J Biol Markers, 2008, 23:129-131.

    [12]

    SAWHNEY H, HALL P A.Ki67——structure, function, and new antibodies[J].J Pathol, 1992, 168:161-162.

    [13]

    杨欢, 陈晓耕, 陈新, 等.乳腺浸润性导管癌组织Ki-67表达及其分子型的意义[J].中华肿瘤防治杂志, 2012, 19 (3):212-216.

    [14]

    DE AZAMBUJA E, CARDOSO F, DE CASTRO G, et al.Ki-67as prognostic marker in early breast cancer:a meta-analysis of published studies involving 12, 155patients[J].Br J Cancer, 2007, 96:1504-1513.

    [15]

    DOWSETT M, NIELSEN T O, A'HERN R, et al.Assessment of Ki67in breast cancer:recommendations from the International Ki67in Breast Cancer working group[J].J Natl Cancer Inst, 2011, 103:1656-1664.

    [16]

    RICHARDSEN E, UGLEHUS R D, DUE J, et al.COX-2is overexpressed in primary prostate cancer with metastatic potential and may predict survival.A comparison study between COX-2, TGF-beta, IL-10and Ki67[J].Cancer Epidemiol, 2010, 34:316-322.

    [17]

    ITO Y, MIYAUCHI A, KAKUDO K, et al.Prognostic significance of ki-67labeling index in papillary thyroid carcinoma[J].World J Surg, 2010, 34:3015-3021.

    [18]

    HE W L, LI Y H, YANG D J, et al.Combined evaluation of centromere protein H and Ki-67as prognostic biomarker for patients with gastric carcinoma[J].Eur J Surg Oncol, 2013, 39:141-149.

    [19]

    SCOAZEC J Y, COUVELARD A, POUR LE RESEAU T.The new WHO classification of digestive neuroendocrine tumors[J].Ann Pathol, 2011, 31:88-92.

    [20]

    SALAMA A, BADAWY O, MOKHTAR N.Ki-67is a powerful tool for grading neuroendocrine tumors among Egyptian patients:a 10-year experience[J].J Cancer Res Clin Oncol, 2014, 140:653-661.

  • 加载中
计量
  • 文章访问数:  538
  • PDF下载数:  166
  • 施引文献:  0
出版历程
收稿日期:  2014-09-11

目录