皮肤鳞状细胞癌和基底细胞癌中上皮性钙粘素、细胞周期蛋白D1表达及临床意义分析
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山西省卫生健康委员会项目(SX2022MH57);


Expressions and clinical significance of E-cadherin and cyclin D1 in cuta-neous squamous cell carcinoma and basal cell carcinoma
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    摘要:

    目的:探究皮肤鳞状细胞癌(SCC)和基底细胞癌(BCC)中上皮性钙粘素(E-cadherin)、细胞周期蛋白D1(cyclin D1)表达及临床意义。方法:收集96例BCC患者的标本作为BCC组,并纳入同期收集80例SCC患者的标本作为SCC组,所有标本均已明确诊断,采用免疫组化法检测标本内E-cadherin和cyclin D1的表达水平,并通过Spearman相关分析探讨其与临床病理特征的相关性,Kaplan-Meier分析法评估其与生存预后关系。结果:BCC组E-cadherin阳性表达率为58.33%,高于SCC组的42.50%(P<0.05);BCC组cyclin D1为30.21%,低于SCC组的60.00%(P<0.05)。E-cadherin阳性与分化程度正相关(P<0.05),与TNM分期、淋巴结转移均呈负相关关系(P<0.05);cyclin D1阳性与分化程度负相关(P<0.05),与TNM分期、淋巴结转移均呈正相关关系(P<0.05)。随访1年后,E-cadherin阳性患者无进展生存期长于阴性者(P<0.05);cyclin D1阳性患者无进展生存期短于阴性者(P<0.05)。Ⅰ-Ⅱ期E-cadherin阴阳患者生存期无差异(P>0.05),III期阳性者长于阴性者(P<0.05)。Ⅰ-Ⅱ期cyclin D1阳性患者生存期短于阴性者(P<0.05),III期的阳性与阳性患者无统计学差异(P>0.05)。结论:在BCC和SCC中,E-cadherin和cyclin D1的表达水平存在差异,且与临床病理特征密切相关,提示E-cadherin高表达且cyclin D1低表达,预示BCC/SCC患者相对较好的预后,可作为预后判断指标。

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    Objective:To investigate the expressions and clinical significance of E-cadherin and cyclin D1 in cutaneous squa-mous cell carcinoma(SCC)and basal cell carcinoma(BCC).Methods:The specimens of 96 patients with BCC were collected as BCC group,and the specimens of 80 patients with SCC were collected as SCC group.All specimens were clearly diagnosed.Im-munohistochemistry was used to detect the expression levels of E-cadherin and cyclin D1 in the specimens,and an analysis of correlation with clinicopathological characteristics was conducted by Spearman correlation analysis.Kaplan-Meier analysis was used to evaluate the relationship with survival prognosis.Results:In BCC and SCC groups,the positive expression rates of E-cadherin were 58.33%and 42.50%,and the positive expression rates of cyclin D1 were 30.21%and 60.00%,respectively(P<0.05).A positive correlation was observed between positive state of E-cadherin and differentiation degree(P<0.05),and showed a negative correlation with TNM staging as well as lymph node metastasis(P<0.05),but Cyclin D1 revealed the op-posite correlation(P<0.05).After 1 year of follow-up,patients with positive E-cadherin expression had longer progression-free survival time compared to those with negative expression(P<0.05).Patients with positive cyclin D1 had shorter progres-sion-free survival time than those with negative expression(P<0.05).There was no difference in survival time between stage I-Ⅱ patients with negative and positive E-cadherin(P>0.05),and the survival time in stage Ⅲ patients with positive expres-sion was longer than that in patients with negative expression(P<0.05).The survival time in stage I-Ⅱ patients with positive expression of cyclin D1 was shorter than that in patients with negative expression(P<0.05),but there was no difference in stage Ⅲ patients(P>0.05).Conclusion:The expressions of E-cadherin and cyclin D1 in BCC and SCC are different,and are closely related to clinicopathological characteristics,suggesting that the high expression of E-cadherin and low expression of cyc-lin D1 indicate a relatively good prognosis in BCC/SCC patients,which can be used as indicators for prognosis judgement.

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常丽珍;赵芳芳;杨达;.皮肤鳞状细胞癌和基底细胞癌中上皮性钙粘素、细胞周期蛋白D1表达及临床意义分析[J].川北医学院学报,2025,40(9):1134-1138.

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  • 在线发布日期: 2025-10-14
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