华西口腔医学杂志

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CD31、CD34和CD105在舌鳞癌微血管中的表达及其与颈淋巴结转移的关系

张宇英1, 2, 孙长伏1, 彭娟2   

  1. 1.中国医科大学附属口腔医院口腔颌面外科, 辽宁沈阳110002; 2.辽宁省锦州市中心医院口腔科, 辽宁锦州121001
  • 收稿日期:2008-04-25 修回日期:2008-04-25 出版日期:2008-04-20 发布日期:2008-04-20
  • 通讯作者: 孙长伏Tel:024 22891022
  • 作者简介:张宇英(1974-),女,辽宁人,主治医师,硕士
  • 基金资助:

    国家自然科学基金资助项目(30672331)

Expr ession of CD31, CD34 and CD105 in squamous cell car cinoma of tongue and their r elationships with lymph node metastasis

ZHANG Yu- ying1,2, SUN Chang- fu1, PENG Juan2   

  1. 1. Dept. of Oral and Maxillofacial Surgery, The Affiliated Stomatological Hospital, China Medical University, Shenyang 110002, China; 2. Dept. of Stomatology,Jinzhou Central Hospital of Liaoning Province, Jinzhou 121001, China
  • Received:2008-04-25 Revised:2008-04-25 Online:2008-04-20 Published:2008-04-20
  • Contact: SUN Chang- fuTel:024 22891022

摘要:

目的探讨CD31、CD34和CD105在舌鳞癌微血管中的表达及其与颈淋巴结转移的关系。方法采用免疫组织化学SP法对40例舌鳞癌组织标本进行标记染色,按Weidner法计算CD31、CD34和CD105标记的肿瘤组织微血管密度(MVD)。结果CD31、CD34和CD105在舌癌组织区的表达明显高于正常区组织(P<0.01),CD31与CD34标记的MVD值相比较差异无统计学意义(P>0.05),而它们与CD105之间差异有统计学意义(P<0.01)。不同血管标记物标记的舌癌组织MVD值在男、女患者之间差异无统计学意义(P>0.05),CD31、CD34标记的MVD值在不同的病理分级、临床分期之间差异没有统计学意义(P>0.05),CD105标记的MVD值在不同的病理分级、临床分期之间差异有统计学意义(P<0.05)。不同血管标记物标记的舌癌组织MVD值在有或无淋巴结转移之间差异具有统计学意义(P<0.05),而CD105组差异更为显著(P<0.01)。结论CD105是一种更为理想的血管内皮细胞标记物,它能够更为准确地提示患者发生转移的可能性,可能与舌癌的发生发展有密切的关系。

关键词: 舌鳞状细胞癌, 淋巴结转移, 微血管密度

Abstract:

Objective To research the expression of CD31, CD34 and CD105 in squamous cell carcinoma of tongue(TSCC) and discuss their relationships with lymph node metastasis. Methods All the specimens′segments were stained by immunohistochemical method SP, and then the tumor′s microvessel density(MVD)marked by CD31, CD34 and CD105 were counted by the Weidner′s method. Results The expression of CD31, CD34 and CD105 in the tumor′s tissue was much higher than that in the normal tissue(P<0.01). There was no obvious difference between the MVD values marked by CD31 and CD34(P>0.05), but they were obviously different from which marked by CD105(P<0.01). The MVD values between the male and female patients had no statistical difference(P>0.05). The MVD values marked by CD31 and CD34 had no statistical difference in different pathological grades and clinical stages(P>0.05), but there was statistical difference in different pathological grades and clinical stages marked by CD105(P<0.05). Although the MVD value of the cases with lymph node metastasis was different from that without metastasis marked by CD31 and CD34(P<0.05), there was much higher difference between the cases with lymph node metastasis and those without metastasis marked by CD105(P<0.01). Conclusion CD105 is a more satisfying vascular endothelial marker than others. It can predict the metastasis possibility of the TSCC patients, thus it may be particularly important in the development of TSCC.

Key words: squamous cell carcinoma of tongue, lymph node metastasis, microvessel density