基础医学与临床 ›› 2010, Vol. 30 ›› Issue (6): 635-639.

• 研究论文 • 上一篇    下一篇

ER、PR在甲状腺乳头状癌的表达及意义

张璐 孙永亮 陈实平 董红燕 刘跃武   

  1. 中国医学科学院 北京协和医学院 北京协和医院 中国医学科学院 北京协和医学院 北京协和医院 中国医学科学院 基础医学研究所 中国医学科学院 基础医学研究所 中国医学科学院 北京协和医学院 北京协和医院
  • 收稿日期:2010-03-26 修回日期:2010-04-02 出版日期:2010-06-05 发布日期:2010-06-05
  • 通讯作者: 刘跃武

Expression and significance of ER、PR in papillary thyroid carcinoma

Lu ZHANG, Yong-liang SUN, Shi-ping CHEN, Hong-yan DONG, Yue-wu LIU   

  1. PUMC Hospital, CAMS & PUMC IBMS,CAMS & PUMC PUMC Hospital, CAMS & PUMC
  • Received:2010-03-26 Revised:2010-04-02 Online:2010-06-05 Published:2010-06-05
  • Contact: Yue-wu LIU

摘要: 目的 探讨雌激素受体(ER)、孕激素受体(PR)在甲状腺乳头状癌中的表达以及ER、PR与肿瘤生物学特征的关系。方法 取新鲜甲状腺乳头状癌标本69例,结节性甲状腺肿7例,用免疫酶组织化学方法检测ER、PR的表达。分析受体与肿瘤生物学特征的关系。结果 在甲状腺乳头状癌中ER和PR的表达率分别为52.17%和46.38%,结节性甲状腺肿没有ER和PR表达,ER和PR的表达与患者性别、肿瘤大小以及MACIS评分无关,但是PR和肿瘤浸润甲状腺包膜以及淋巴结转移成正相关(P<0.05),ER与患者年龄成负相关。结论 甲状腺乳头状癌中ER、PR的表达高于结节性甲状腺肿,甲状腺乳头状癌中PR的表达反应肿瘤浸润甲状腺包膜和淋巴结转移情况,ER表达随着患者年龄增加而减少。

关键词: 甲状腺乳头状癌, 免疫组化, 雌激素受体, 孕激素受体

Abstract: Objective The aim of this study was to determine the expression of ER、PR in human papillary thyroid carcinoma(PTC), and to explore their correlation with the clinical features of thyroid carcinoma. These features as following: sex、age、tumor size、capsular invasion、lymph nodes metastasis and tumor grade malignancy. Methods Taking 69 samples of fresh papillary thyroid carcinoma (PTC) and 7 samples of nodular goiter from surgery, the expression of ER、PR were detected in human papillary thyroid carcinoma by immunohistochemistry. And the correlation of the expression of ER / PR and the biological characteristics of tumor was analyzed. Results In PTC samples, ER and PR immunoreactivity was detected for 52.17% and 46.38% ,respectively. There was not the expression of ER、PR in nodular goiter. The expression of ER and PR was not associated with sex、tumor size and tumor grade malignancy,but the expression of PR was positively correlated with capsular invasion and lymph nodes metastasis (P<0.05),the expression of ER was negatively associated with age. Conclusion The expression of ER and PR was higher in PTC than nodular goiter. The expression of PR in PTC may be a sign of capsular invasion and lymph nodes metastasis, the expression of ER decreased as the patients grow older..

Key words: papillary thyroid carcinoma, immunohistochemistry, ER, PR