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目的:探讨喉鳞状细胞癌中P16蛋白表达的情况及临床相关性。方法:用免疫组化的方法检测42例喉鳞癌组织中P16蛋白的表达情况。结果:P16蛋白表达的阳性率为47.62%(20/42)。其中声门上型组为40.00%(4/10),声门型组为57.89%(11/19),声门下型组为38.46%(5/13);细胞分化Ⅰ级组为75.00%(12/16),Ⅱ~Ⅲ级组为30.77%(8/26);伴有颈淋巴结转移组为20.00%(3/15),无颈淋巴结转移组为62.96%(17/27);临床Ⅰ期组为40.00%(8/20),Ⅱ~Ⅳ期组为54.54%(12/22)。结论:提示P16蛋白的表达与癌细胞的分化程度及肿瘤的转移情况有关,与临床分型及分期无关。
Objective: To investigate the expression and clinical significance of P16 protein in laryngeal squamous cell carcinoma. Methods: The expression of P16 protein in 42 cases of laryngeal squamous cell carcinoma was detected by immunohistochemistry. Results: The positive rate of P16 protein expression was 47.62% (20/42). Among them, 40.00% (4/10) in the supraglottic group, 57.89% (11/19) in the glomerular gland type and 38.46% (5/13) in the supraglottic type; 75.00% (12/16) in grade group, 30.77% (8/26) in grade Ⅱ ~ Ⅲ group, 20.00% (3/15) in cervical lymph node metastasis group, no lymph node metastasis Group was 62.96% (17/27). The clinical stage Ⅰ group was 40.00% (8/20), while the stage Ⅱ ~ Ⅳ group was 54.54% (12/22). Conclusion: The expression of P16 protein is related to the differentiation degree of tumor cells and tumor metastasis, but not to clinical classification and stage.