子宫内膜癌ProMisE分子分型与淋巴结转移和临床特征的相关性
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广东省基础与应用基础研究基金项目(2023A1515220157);


Correlation study on ProMisE molecular subtyping of endometrial cancer with lymph node metastasis and clinical features
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    摘要:

    目的:探讨子宫内膜癌ProMisE分子分型与淋巴结转移和临床特征的相关性。方法:选取1 056例子宫内膜癌患者为研究对象。检测并分析子宫内膜癌患者的ProMisE分子分型、淋巴结转移情况及临床特征;分析患者ProMisE分子分型与淋巴结转移和临床特征的相关性。结果:1 056例患者中,ProMisE分子分型为MMRD 384例,占比36.36%;POLE EDM亚型72例,占比6.82%;p53abn 96例,占比9.09%;p53wt 504例,占比47.73%。其中p53wt的比例较POLE EDM及p53abn更高(P<0.05)。子宫内膜癌ProMisE分子分型阳性与淋巴结转移、临床分期、糖类抗原(CA125、CA199)均呈正相关关系(r=0.572、0.641、0.778、0.804;P=0.002、0.002、0.002、0.001),与年龄、WBC、ANC均无明显相关性(r=0.119、0.251、0.187;P=0.104、0.573、0.311)。结论:子宫内膜癌ProMisE分子分型与淋巴结转移、临床分期、CA125、CA199具有紧密的关联,与其他临床特征无明显联系,值得临床关注。

    Abstract:

    Objective:To study the correlation between ProMisE molecular classification of endometrial cancer and lymph node metastasis and clinical features.Methods:1,056 endometrial cancer patients were selected as the research subjects.The ProMisE molecular typing results,lymph node metastasis,and indicators of clinical characteristics were analyzed.The correla-tion of patient ProMisE molecular subtyping with lymph node metastasis and clinical characteristics was analyzed.Results:A-mong the 1,056 patients,the ProMisE molecular typing as MMRD totaled 384 cases,accounting for 36.36%.In total,72 cases were POLE EDM subtype,accounting for 6.82%,p53abn was total of 96 cases,accounting for 9.09%.The p53wt totaled 504 cases,accounting for 47.73%.The proportion of p53wt was higher than that of POLE EDM and p53abn(P<0.05).The posi-tive ProMisE molecular classification of endometrial cancer was positively associated with lymph node metastasis,clinical sta-ges,CA1 2 5 and CA199(r=0.572,0.641,0.778,0.804,P=0.002,0.002,0.002,0.001),and showed no obvious correlation with age,WBC and ANC(r=0.119,0.251,0.187,P=0.104,0.573,0.311).Conclusion:The ProMisE molecular classification of endometrial cancer is closely associated with lymph node metastasis,clinical stages,CA125 and CA199,and has no obvious association with other clinical features,which deserves clinical attention.

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何满珠;李境;潘如;.子宫内膜癌ProMisE分子分型与淋巴结转移和临床特征的相关性[J].川北医学院学报,2025,40(9):1130-1133.

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  • 在线发布日期: 2025-10-14
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