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1. 江汉大学医学院
2. 江汉大学病理诊断所
纸质出版日期:2010,
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[1]黄萱,陈莹,陈琼霞,邓昊,王成鑫,刘丽江.p16~(INK4a)在子宫颈细胞学分级的临床意义[J].重庆医科大学学报,2010,35(07):1026-1028.
HUANG Xuan, et al. The clinical significance of p16INK4a in cervical cytology staging[J]. Journal of Chongqing Medical University, 2010,35(7):1026-1028.
[1]黄萱,陈莹,陈琼霞,邓昊,王成鑫,刘丽江.p16~(INK4a)在子宫颈细胞学分级的临床意义[J].重庆医科大学学报,2010,35(07):1026-1028. DOI: 10.13406/j.cnki.cyxb.2010.07.036.
HUANG Xuan, et al. The clinical significance of p16INK4a in cervical cytology staging[J]. Journal of Chongqing Medical University, 2010,35(7):1026-1028. DOI: 10.13406/j.cnki.cyxb.2010.07.036.
目的:研究在意义不明的不典型鳞状细胞(Atypical squamous cells of undetermined significance
ASC-US)
不能排除高度上皮内瘤变的不典型鳞状细胞(Atypical squamous cells
cannot exclude high-grade squamous intraepithelial lesion
ASC-H)
低度鳞状上皮内病变(Low-grade squamous intraepithelial lesion
LSIL)
高度鳞状上皮内病变(High-grade squamous intraepithelial lesion
HSIL)中p16INK4a蛋白和HPV16/18的表达水平及意义。方法:应用免疫组织化学技术和原位分子杂交技术
对89例子宫颈细胞涂片样本中p16INK4a蛋白及HPV16/18型DNA进行检测。结果:p16INK4a蛋白阳性率随着子宫颈病变程度的加重而升高
LSIL、HSIL及ASC-H的p16INK4a蛋白阳性率均高于ASC-US(P<0.05);ASC-US和LSIL的p16INK4a阳性表达与HPV16/18阳性表达无差异性;LSIL和ASC-US的HPV16/18阳性表达无差异性。结论:子宫颈细胞涂片样本中p16INK4a蛋白检测能协助子宫颈细胞学诊断分级
尤其对于ASC-US的病例
需同时做p16INK4a免疫组织化学检查
以帮助临床医生选择恰当的处理方式。
Objective:To investigate the expression and significance ofp16INK4a and HPV16/18 in atypical squamous cells of undetermined significance(ASC-US)
atypical squamous cells
cannot exclude high-grade squamous intraepithelial lesion(ASC-H)
low-grade squamous intraepithelial lesion(LSIL)
high-grade squamous intraepithelial lesion(HSIL).Methods:p16INK4a and HPV16/18 DNA in thin-layer slides from 89 specimens were detected by immunohistochemistry and the insitu hybridization.Results:A positive correlation was found between the positive rate of p16INK4a and cervical disease progression
the positive rate of p16INK4a in LSIL
HSIL
ASC-H were higher than ASC-US(P<0.05);There were not variability between the positive rate of p16INK4a and HPV16/18 DNA in ASC-US and LSIL; p16INK4a positive rate in ASC-US was not related with p16INK4a positive rate in LSIL.Conclusion:Detecting p16INK4a in thin-layer slides could help staging in cervical cytology
p16INK4a should be detected by immunohistochemistry for ASC-US
which could help clinical doctor choose a curative treatment.
p16INK4aHPV16/18型子宫颈细胞学
p16INK4aHPV16/18Cervical cytology
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