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运用组织芯片技术检测cox-2在结直肠癌中的表达及其临床意义

, PP. 1524-1528

Keywords: 组织芯片,cox-2,结直肠癌,预后

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Abstract:

目的探讨结直肠癌组织中cox-2的表达及其与各临床病理因素的关系,评价cox-2在结直肠癌预后判断中的价值。方法应用组织芯片技术结合免疫组织化学sabc法,检测126例早中期结直肠癌组织中cox-2的表达情况,回顾性分析cox-2与各临床病理因素及预后之间的关系。结果根据免疫组化染色强度,所有病例被分为cox-2高表达组和低表达组,其中高表达组有32例(25.4%),低表达组有94例(74.6%)。cox-2在结直肠癌中表达情况与年龄、性别、肿瘤大小、肿瘤部位、组织学类型、浸润深度、淋巴是否转移、dukes分期均无相关。然而,高表达的cox-2与肿瘤复发、特别是血行转移显著相关(p<0.05)。两组之间生存率具有显著差异(p=0.0067),cox-2高表达组术后五年生存率显著低于低表达组。多因素回归模型分析结果显示,在潜在的预后因素中(年龄、性别、肿瘤大小、肿瘤部位、组织学类型、淋巴是否转移、dukes分期、cox-2表达),cox-2表达和dukes分期可作为是结直肠癌根治术后独立预后因素,cox-2的检测可作为结直肠癌患者预后判断的一个有价值的指标。结论高表达的cox-2与肿瘤复发、特别是血行转移显著相关,cox-2的检测可作为结直肠癌患者预后判断的一个有价值的指标。应用组织芯片高效检测临床组织样本具有快速、方便、经济、准确的优点。

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