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纸质出版:2015
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蒋梅,肖何,张志敏,陈川,毛必静,张辉,李建,肖华亮,王阁.c-met和EGFR蛋白表达与声门型喉磷癌术后复发的关系[J].陆军军医大学学报(原第三军医大学学报),2015,37(06):553-557.
Jiang Mei,Xiao He,Zhang Zhimin,Chen Chuan,Mao Bijing,Zhang Hui,Li Jian,Xiao Hualiang,Wang Ge.Relationship between c-met and EGFR expression and postoperative recurrence in glottic laryngeal squamous cell carcinoma[J].J Amry Med Univ (J Third Mil Med Univ),2015,37(06):553-557.
蒋梅,肖何,张志敏,陈川,毛必静,张辉,李建,肖华亮,王阁.c-met和EGFR蛋白表达与声门型喉磷癌术后复发的关系[J].陆军军医大学学报(原第三军医大学学报),2015,37(06):553-557. DOI:
Jiang Mei,Xiao He,Zhang Zhimin,Chen Chuan,Mao Bijing,Zhang Hui,Li Jian,Xiao Hualiang,Wang Ge.Relationship between c-met and EGFR expression and postoperative recurrence in glottic laryngeal squamous cell carcinoma[J].J Amry Med Univ (J Third Mil Med Univ),2015,37(06):553-557. DOI:
目的 探讨表皮生长因子受体(epidermal growth factor receptor,EGFR)和肝细胞生长因子受体(mesenchymal-epithelial transition factor,c-Met)在声门型喉鳞癌中的表达及与术后复发之间的关系。 方法 共纳入66例声门型喉磷癌患者,复发组和未复发组各33例。免疫组化法检测c-Met及EGFR在原发灶组织的表达情况,用H评分法对免疫组化结果进行评估。定义H评分值高于中位值为高表达,相反为低表达。 结果 在总群体中,c-Met 和EGFR的 H评分中位值分别为150 (0~270)和225 (0~270)。单变量Logistic回归分析表明,c-Met或EGFR高表达患者的复发风险显著高于低表达患者(OR=7.111
P0.001; OR=5.290
P=0.002)。逐步回归分析表明c-Met或EGFR的高表达均可作为声门型喉癌术后复发的独立危险因素(OR=5.909
P=0.002; OR=4.231
P=0.013)。ROC曲线分析显示联合检测c-Met和EGFR的表达情况对评估术后复发风险具有良好的预测效能(AUC=0.795
95%CI: 0.685~0.905)。 结论 c-Met和EGFR的表达均与声门型喉磷癌术后复发密切相关,可作为术后复发的有效预测指标。
Objective To explore the relationship between mesenchymal-epithelial transition factor (c-Met) and epidermal growth factor receptor (EGFR) expression and postoperative recurrence in glottic laryngeal squamous cell carcinoma (LSCC). Methods Immunohistochemistry accompanied with H scores was utilized to evaluate the expression of c-Met and EGFR in primary focus tissues of 66 patients with glottic LSCC
who were equally divided into a recurrence group and a non-recurrence group. If H scores were greater than the median values
the c-met and EGFR expression was defined as high expression
and conversely
low expression was defined. Results The median values of H-scores of c-Met and EGFR were 150 (0-270) and 225 (0-270)
respectively. The univariate logistic regression analysis showed that the recurrence risk was significantly increased in the patients with high expression of c-Met or EGFR compared with the patients with low expression (OR=7.111
P0.001; OR=5.290
P=0.002). Stepwise regression analysis suggested that high expression of c-Met or EGFR was independent prognostic factor for recurrence after LSCC operation (OR=5.909
P=0.002; OR=4.231
P=0.013). ROC curve analysis showed that combined detection of c-Met and EGFR expression had moderate predictive value for postoperative recurrence (AUC=0.795
95%CI: 0.685-0.905). Conclusion The expression levels of c-Met and EGFR are closely correlated with postoperative recurrence of glottic LSCC
and can be used as indicators for recurrence of glottic LSCC.
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