直肠癌直肠系膜中CK20的表达及临床意义
直肠癌;直肠系膜;CK20;逆转录聚合酶链式反应,康悦,杨维良,蒋伟,通讯作者:,ExpressionofCK20inmesorectumofpatientswithrectalcanceranditsclinicalsignificance,YueK
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康悦, 杨维良, 哈尔滨医科大学附属第二医院普外三科 黑龙江省哈尔滨市 150086
蒋伟, 哈尔滨医科大学附属肿瘤医院内科 黑龙江省哈尔滨市 150040
通讯作者: 康悦, 150086, 黑龙江省哈尔滨市学府路246号, 哈尔滨医科大学附属第二医院普外三科. kangyue2002@yahoo.com.cn
电话: 0451-86605575
收稿日期: 2007-06-11 修回日期: 2007-09-29
Expression of CK20 in mesorectum of patients with rectal cancer and its clinical significance
Yue Kang, Wei Jiang, Wei-Liang Yang
Yue Kang, Wei-Liang Yang, the Third Department of General Surgery, the Second Affiliated Hospital of Harbin Medical University, Harbin 150086, Heilongjiang Province, China
Wei Jiang, Department of Medicine, Tumor Hospital of Harbin Medical University, Harbin 150040, Heilongjiang Province, China
Correspondence to: Yue Kang, the Third Department of General Surgery, the Second Affiliated Hospital of Harbin Medical University, 246 Xuefu Road, Harbin 150086, Heilongjiang Province, China. kangyue2002@yahoo.com.cn
Received: 2007-06-11 Revised: 2007-09-29
Abstract
AIM: To detect the expression of CK20 in the mesorectum of patients with rectal cancer to establish an anatomical and pathological basis for selecting the optimal surgical procedure for the management of rectal cancer.
METHODS: CK20 was detected by reverse-transcriptase polymerase chain reaction in tissue specimens of tumour and outer pelvic fascia in 50 patients with rectal cancer. The pathological data were retrospectively analyzed.
RESULTS: CK20 was highly expressed in tissues from rectal cancer and the proximal mesorectal margin, and was lowly expressed in tissue from the distal mesorectal and pots mesorectal fascia. CK20 expression was related to tumor morphology, TNM stage, depth of invasion, and tumor diameter and differentiation, unrelated to the original site.
CONCLUSION: It is necessary to routinely perform TME in the surgical management of rectal cancer.
Key Words: Rectal cancer; Mesorectum; CK20; Reverse-transcriptase polymerase chain reaction ......
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