外周血SBEM的表达与乳腺癌微转移关系的研究
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尤小兰

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The correlation between micrometastasis and SBEN expression in the peripheral blood of patients with breast cancer
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    摘要:

    目的:探讨乳腺癌患者外周血中小黏蛋白(SBEM-mRNA)的表达与乳腺癌微转移的关系。
    方法:利用Nested-RT-PCR技术检测92例乳腺癌术后患者,20例乳腺良性肿瘤患者,10例其他系统恶性肿瘤患者,10例健康人群外周血SBEM-mRNA的表达。
    结果:乳腺癌组外周血SBEM-mRNA表达率为46.7%(43/92),其他各组均为阴性。SBEM表达与ER和PR状态、患者月经状况和肿瘤大小无关;与CEA,CA15-3和Her-2在外周血中的表达状况、患者年龄、腋窝淋巴结转移状况有关,上述5因素分组间差异有统计学意义(P<0.05和0.01)。
    结论:外周血中SBEM-mRNA的表达可作为乳腺癌微转移的一个辅助检测指标。

    Abstract:

    Objective:To study the expression of small breast epithelial mucin(SBEM) in the peripheral blood of  the patients with breast cancer, and explore the correlation between micrometastasis and SBEM.
    Methods:Peripheral blood samples were obtained from 92 patients with breast carcinoma, 20 patients with benign breast diseases,10 patients with malignant tumor not originating from breast,and 10 normal healthy volunteers. SBEM-mRNA expression was detected by nested reverse transcription-polymerase chain reaction (Nested-RT PCR).
    Results:Among 92 breast carcinoma patients, 43 (46.7%) were Nested-RT-PCR positive for SBEM-mRNA, but it was negative in all the other groups. The expression of  SBEM-mRNA in peripheral  blood did not  correlate  with ER or PR status, menstruation state or primary tumour size. but correlated  with  patient′s age, the state of Her-2,CEA, CA15-3 and axillary lymph node metastasis of breast cancer.
    Conclusions:The expression of  SBEM-mRNA in peripheral blood of  breast cancer can be of potential use to monitor the micrometastasis of  breast cancer.

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尤小兰, 范健.外周血SBEM的表达与乳腺癌微转移关系的研究[J].中国普通外科杂志,2009,18(11):1122-1125.
DOI:10.7659/j. issn.1005-6947.2009.11.004

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  • 收稿日期:2009-08-10
  • 最后修改日期:2009-10-15
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  • 在线发布日期: 2009-11-15