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Meme Karsinomunda VEGF ve CD44 Ekspresyonunun Aksiller Lenf Nodu Metastazına Etkisi
2019
Journal:  
Fırat Tıp Dergisi
Author:  
Abstract:

Amaç: Bu çalışmada, CD44 ve VEGF ekspresyonunun meme karsinomunda önemli prognostik faktörlerinden biri olan aksiller lenf nodu metastazı ile ilişkisinin araştırılması amaçlanmıştır. Gereç ve Yöntem: Bu retrospektif çalışmaya, Atatürk Üniversitesi Tıp Fakültesi (FÜTF) Patoloji Anabilim Dalı'nda 1990-2000 yılları arasında modifiye radikal mastektomi ve aksiller lenf nodu diseksiyonu yapılan 62 invaziv meme karsinomu hastası dahil edildi. Bu hastalara ait patolojik örnekler meme karsinomunun prognostik faktörleri açısından değerlendirildi. Daha sonra tümör hücrelerinde CD44 ve VEGF ekspresyonunu belirlemek için streptavidinbiotin peroksidaz yöntemi uygulanarak immunohistokimyasal boyama yapıldı. Bulgular: Hastaların ortalama yaşı 50.7±10.66 olarak belirlendi. Olguların 17'sinde (%27.4) lenf nodu metastazı saptanmadı. Lenf nodu tutulumu olan 45 hastanın 21'inde (%33.9) 1-3 metastaz, 24'ünde ise (%38.7) 4-9 metastaz vardı. Yaş, makroskopik tümör çapı, lenfovasküler invazyon ve inflamatuvar reaksiyon gibi bazı klasik prognostik faktörler ile CD44 ve VEGF ekspresyonu arasında anlamlı korelasyon yoktu. Bununla birlikte, lenf nodu metastazı ile CD44 ve VEGF ekspresyonu istatistiksel olarak ilişkili bulunmuştur (sırasıyla, Anova p <0.001, p =0.013). Dahası CD44 ve VEGF ekspresyonunun histolojik tip, histolojik derece ve evre ile de korele olduğu belirlenmiştir. Sonuç: Sonuç olarak; meme karsinomunda, CD44 ve VEGF ekspresyonu, prognoz göstergesi olarak araştırmaya değer niteliktedir.

Keywords:

Meme Karsinomunda VEGF is CD44 Expressionun Accelerator Lens Node Metastazına Search
2019
Author:  
Abstract:

Purpose: This study aims to investigate the relationship between CD44 and VEGF expression and lymphatic nod metastasis, which is one of the important prognostic factors in breast cancer. Tools and Methods: In this retrospective study, 62 invasive breast carcinoma patients were included in the 1990-2000 years of modification of radical mastectomy in the Ataturk University Faculty of Medicine (FÜTF) Department of Pathology. The pathological samples of these patients were evaluated in terms of the prognostic factors of breast cancer. Immunohistochemical painting was subsequently performed by the method of streptavidinbiotin peroxidase to determine the expression of CD44 and VEGF in tumor cells. The average age of patients was 50.7±10.66. In 17 cases (27% of the cases). The metastasis of the lymphatic nodes has not been detected. In 45 patients with lymphatic nodus shrinking, 21 (33.9%) had 1-3 metastases and 24 (38.7%) had 4-9 metastases. There was no meaningful correlation between some classical prognostic factors such as age, macroscopic tumor diameter, lymphovascular invasion and inflammatory reaction and CD44 and VEGF expression. However, lymphatic nod metastasis and CD44 and VEGF expression have been statistically linked (as a result, Anova p <0.001, p =0.013). Additionally, the CD44 and VEGF expressions are also identified as coral with the histological type, histological degree and stage. As a result; in breast cancer, the expression of CD44 and VEGF is worth research as a prognosis indicator.

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Fırat Tıp Dergisi

Field :   Sağlık Bilimleri

Journal Type :   Ulusal

Metrics
Article : 453
Cite : 743
Fırat Tıp Dergisi