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子宫内膜癌组织中miRNA-302c的表达变化及其意义

发布时间:2018-09-11 15:17
【摘要】:目的观察子宫内膜癌组织中miRNA-302c的表达变化,并探讨其临床意义。方法选择2012年1月~2013年12月收治的51例子宫内膜癌患者的手术切除肿瘤组织标本为观察组,同期因子宫肌瘤行全子宫切除术的40例患者的正常子宫内膜组织标本为对照组。采用实时荧光定量PCR法检测两组标本中的miRNA-302c。分析51例子宫内膜癌患者肿瘤组织标本miRNA-302c相对表达量与临床病理参数的关系。采用受试者工作曲线和最大约登指数法确定用子宫内膜癌组织标本miRNA-302c表达量预测患者死亡和复发的截断值,将其用截断值分为高miRNA-302c表达组和低miRNA-302c表达组,采用Kaplan-Meier法计算并比较高、低miRNA-302c表达组的3年累计生存率和复发率。结果观察组、对照组miRNA-302c表达量分别为1.721±2.804、4.024±6.518,两组相比P0.05。51例子宫内膜癌患者子宫内膜癌组织标本miRNA-302c表达量与临床分期、分化程度、淋巴结转移有关(P均0.05)。用肿瘤组织标本miRNA-302c表达量预测患者死亡的截断值为1.568,用其将51例子宫内膜癌患者分为高miRNA-302c表达组(miRNA-302c表达量1.568)30例和低miRNA-302c表达组(miRNA-302c表达量≥1.568)21例,其3年累计生存率分别为96.67%(29/30)、90.47%(19/21),P0.05。用肿瘤组织标本miRNA-302c表达量预测患者复发的截断值为1.803,用其将51例子宫内膜癌患者分为高miRNA-302c表达组(miRNA-302c表达量1.803)24例和低miRNA-302c表达组(miRNA-302c表达量≥1.803)27例,其复发率分别为16.67%(4/24)、29.63%(8/27),P0.05。结论子宫内膜癌组织miRNA-302c表达降低。检测子宫内膜癌组织miRNA-302c表达有助于判断子宫内膜癌的临床分期、分化程度、淋巴结转移及预测预后、复发。
[Abstract]:Objective to investigate the expression of miRNA-302c in endometrial carcinoma and its clinical significance. Methods 51 cases of endometrial carcinoma treated from January 2012 to December 2013 were selected as observation group and 40 cases as control group. Detection of miRNA-302c. in two groups of specimens by real-time fluorescence quantitative PCR The relationship between the relative expression of miRNA-302c and clinicopathological parameters in 51 patients with endometrial carcinoma was analyzed. The truncation values of miRNA-302c expression in endometrial carcinoma tissues were determined by the method of operating curve and maximum Jordan index. The truncated values were divided into high miRNA-302c expression group and low miRNA-302c expression group. The 3-year cumulative survival rate and recurrence rate were calculated by Kaplan-Meier method in patients with high and low miRNA-302c expression. Results the expression of miRNA-302c was 1.721 卤2.804 卤4.024 卤6.518 in control group and 1.721 卤2.804 卤4.024 卤6.518 in control group. Compared with P0.05.51 cases of endometrial carcinoma, the expression of miRNA-302c was related to clinical stage, differentiation degree and lymph node metastasis. The truncation value of miRNA-302c expression in tumor tissue was 1.568. 51 cases of endometrial carcinoma were divided into high miRNA-302c expression group (miRNA-302c expression 1.568) and low miRNA-302c expression group (miRNA-302c expression 鈮,

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