文章摘要

喉癌组织淋巴管生成与其转移和患者预后的关系

作者: 1杜瑞霞, 1侯学东, 1富公弼, 1安宁, 1高磊
1 沈阳医学院附属中心医院耳鼻咽喉科,沈阳 110024
通讯: 杜瑞霞 Email: liuzhe4321@126.com
DOI: 10.3978/j.issn.2095-6959.2016.03.012

摘要

目的:探讨喉癌组织的淋巴管生成与其肿瘤转移及患者临床预后间的可能联系。方法:采用免疫组织化学方法(IHC)对60例喉癌组织进行淋巴管内皮细胞透明质酸受体l(LYVE-1)特异性染色,并对淋巴管计数,进一步分析淋巴管密度(LVD)与患者临床病理及预后间的关系。结果:喉癌组织LYVE-l染色LVD为14.98±5.12,明显高于癌旁正常组织(6.76±3.01)(P<0.001);分层分析示喉癌组织LVD与患者年龄、性别、分化程度、临床分型和远隔转移无关(P>0.05),与淋巴结转移和肿瘤分期密切相关(P<0.05);高LVD组患者5年生存率为23.3%,低LVD组5年生存率为66.7%,两组5年生存率有统计学意义(P<0.001);进一步Cox生存风险模型分析示,肿瘤分期和LVD可能是影响喉癌患者5年临床预后的独立因素(均P<0.05)。结论:喉癌淋巴管生成可能参与淋巴结转移等过程,且LVD可能是影响患者临床预后的独立因素。
关键词: 喉癌 淋巴管生成 转移 预后

The relationship between lymphangiogenesis and transfer and the prognosis of patients in human laryngeal carcinoma

Authors: 1DU Ruixia, 1HOU Xuedong, 1FU Gongbi, 1AN Ning, 1GAO Lei
1 Department of Otorhinolaryngology, Central Hospital Affiliated to ShenYang Medical College, Shenyang 110024, China

CorrespondingAuthor: DU Ruixia Email: liuzhe4321@126.com

DOI: 10.3978/j.issn.2095-6959.2016.03.012

Abstract

Objective: To investigate the potential relationship between lymphangiogenesis and transfer and the prognosis of patients in human laryngeal carcinoma. Methods: Sixty specimens of human laryngeal cancer were used to observe the expression of LYVE-1 by immunohistochemistry IHC method. The lymphatic vessels density (LVD) was counted. The correlation between LVD and clinical characteristics of patients with laryngeal carcinoma was analyzed. Results: The positive rate of LVD expression (14.98±5.12) was significantly higher than that in the normal tissue (6.76±3.01) (P<0.001). LVD was closely correlated with lymph node metastasis and clinical staging (P<0.05). Whereas no significant differences were observed between LVD and patient age, gender, tumor differentiation, clinical classification and distant metastasis (P>0.05). Five-year survival rate of high LVD group were 23.3%, and low LVD group were 66.7%, there were significant differences (P<0.001). Cox proportional hazard model was used to identify the statistically significant prognostic factors of patients with laryngeal carcinoma indicated that clinical staging and LVD may be an independent factor to predict the prognosis of patients (P<0.05). Conclusion: These results indicate a possible connection between LVD and lymphatic metastasis in laryngeal cancer and suggest that LVD can serve as an independent factor to predict the prognosis of patients.

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