The correlation between stanniocalcin 2 expression and prognosis in laryngeal squamous cell cancer
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摘要: 目的:本研究通过检测喉癌和癌旁正常组织中斯钙素2(STC2)的表达水平,探讨其与喉癌临床病理相关因素及预后之间的关系。方法:回顾性分析2005-01-2009-03期间收治的81例喉癌病例,癌旁正常标本30例作为对照组。采用免疫组织化学的方法检测喉癌组织和癌旁正常组织中STC2的表达。结果:①STC2在喉癌组中的表达显著高于对照组,2组差异有统计学意义(P<0.05);②喉癌中STC2的表达与肿瘤淋巴结转移、临床分期、T分期、病理分级、肿瘤的部位相关,组间差异有统计学意义P<0.05),而与性别、年龄无明显相关,差异无统计学意义(P>0.05);③在肿瘤表达STC2分组生存分析中,STC2表达阳性的喉癌患者比表达阴性的患者预后差(P<0.05);④喉癌的临床分期作为喉癌预后的预测因子之一(P<0.05),而STC2表达水平不能作为喉癌预后的独立预测因子(P>0.05)。结论:STC2表达水平与喉癌患者累积生存时间呈负相关。Abstract: Objective: In this study, we have detected the expression of STC2 protein in laryngeal cancer and the safe incisal margin by immunohistochemical staining, to evaluate its correlation with clinical features and the prognosis value in laryngeal squamous cell cancer.Method: Eighty-one paraffin-embedd specimens of patients who underwent surgery for laryngeal cancer were collected. Clinical data, including date of birth, gender, tumor subsite, tumor stage, RT, and survival status have been recorded. The samples including laryngeal cancer tissues and the safe incisal margin were analyzed for the expression of STC2 protein by immunohistochemical staining. We analyzed the correlations with STC2 expression level and clinical data with software SPSS 18.0.Result: ①Fifty-six cases in 81 cases(69.1 %)are positive. In 30 cases of the safe incisal margin tissues, STC2 is not expressed, which shows statistically significant differences between the two groups (P<0.05).②Overexpression of STC2 in laryngeal cancer were correlated with the tumor clinical stage and N stage, T stage, tumor site location and histological grade (P<0.05), but not with genderor age (P> 0.05).③The result showed that the 3-year survival rate is 74.1%, according to the survival analysis by STC2, STC2 positive group has poorer outcome versus the negative group.④The clinical stage displayed the independent value in predicting the tumor prognosis of laryngeal cancer (P<0.05), not the expression level of STC2.Conclusion: Overexpression of STC2 in laryngeal cancer patients is correlated with poor outcome, which means STC2 positive group has poorer prognosis than the STC2 negative group.
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Key words:
- STC2 /
- laryngeal squamous cell carcinoma /
- prognosis
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