胃癌腹膜转移与相关因素表达及预后的关系
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郑军

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Expression of factors related to peritoneal metastasis of gastric cancer and its relationship to prognosis
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    摘要:

    目的:探讨进展期胃癌腹膜转移的分子生物学特征及临床病理特征与预后的关系,寻找一种能早期诊断腹膜转移的临床可行方法。
    方法:对193例胃癌患者的分子生物学特征、临床特征及预后进行单因素及相关因素分析,并进行风险评估。
    结果:年龄越低,胃癌腹膜转移的越早;ICAM-1和MMP-2在胃癌发生腹膜转移的患者中高表达;TIMP-1,p53在胃癌发生腹膜转移的患者中表达降低。
    结论:测定ICAM-1,MMP-2,TIMP-1,p53能较好的预测是否发生转移及其预后;血清ICAM-1,TIMP-1,MMP-2,p53作为术前判断胃癌是否发生转移提供了一种可行的方法。

    Abstract:

    Objective: To study molecular biology and clinicopathologic characters of peritoneal metastasis of advanced gastric cancer and their relationship to prognosis.
    Methods: Based on the molecular biology and the clinicopathologic characters and prognosis  single-factor analysis of relevant factors and risk assessment was made in  193 cases of gastric cancer.
    Results: The younger the patient was with the earlier the time of occurrence of peritoneal metastasis of gastric cancer. There was a high expression of ICAM-1 and MMP-2, but low expression of TIMP-1 and p53 in gastric cancer patients with peritoneal metastasis.
    Conclusions: ICAM-1,MMP-2,  TIMP-1 and p53 can well predict the occurrence of metastasis and the prognosis of patients with gastric cancer, and these factors can be used for preoperative assessment of the development of metastasis of gastric cancer.

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郑军, 陈旭, 韩朝阳.胃癌腹膜转移与相关因素表达及预后的关系[J].中国普通外科杂志,2009,18(10):1039-1042.
DOI:10.7659/j. issn.1005-6947.2009.10.010

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  • 收稿日期:2009-02-20
  • 最后修改日期:2009-08-26
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  • 在线发布日期: 2009-10-15