1. 血清 HE4、B7H4 表达水平及全身免疫炎症指数与卵巢癌患者临床 病理特征及肿瘤转移的关系.
- Author
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朱 琳, 杨 柳, 卞 军, 李 蕊, 程晓丽, and 辛毅娟
- Subjects
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LYMPHATIC metastasis , *OVERALL survival , *METASTASIS , *BLOOD proteins , *STATISTICAL correlation , *OVARIAN cancer - Abstract
Objective: To investigate the expression levels of serum Epididymal protein 4 (HE4) and B7 homolog 4 (B7H4), as well as the relationship between systemic immune inflammation index (SII) and clinical pathological characteristics and tumor metastasis in ovarian cancer patients. Methods: 80 ovarian cancer patients admitted to our hospital from January 2017 to January 2020 were divided into malignant group, 80 patients with benign ovarian lesions in the same period were divided into benign group, and 80 healthy patients were selected as the control group. The serum expression levels of HE4, B7H4 and SII were compared in the three groups. The expression levels of HE4, B7H4 and SII in patients with tumor metastasis, and Spearman correlation between HE4, B7H4 and SII and the clinicopathological features of ovarian cancer and tumor metastasis. And followed up for 3 years, record the overall survival time, and analyze the relationship between HE4, B7H4 and SII and ovarian cancer survival. Results: There were differences in the expression levels of HE4, B7H4, and SII among the three groups of patients. The malignant group was significantly higher than the benign group and the control group (P<0.05); There was no difference in the expression levels of HE4, B7H4, and SII among ovarian cancer patients of different ages and histological types (P>0.05). However, there were differences in the expression levels of HE4, B7H4, and SII among patients with different FIGO stages, lymph node metastasis, distant metastasis, and tumor differentiation degree (P<0.05); The Spearman correlation analysis results showed that HE4, B7H4, and SII were not significantly correlated with the histological type of ovarian cancer, but were positively correlated with FIGO staging, lymph node metastasis, distant metastasis, and tumor differentiation degree(P<0.05); All patients were followed up for 4 years, and the median overall survival time of patients with high HE4 levels was 23.53 (6.42-42.13) months, which was lower than that of patients with low HE4 levels, which was 32.54 (14.53-42.13) months. The median overall survival time of B7H4 high-level patients was 21.32 (6.42-42.13) months, which was lower than that of low-level patients at 31.32 (14.63-42.13) months. The median overall survival time of patients with high-level SII was 20.36 (6.42-42.13) months, which was lower than that of patients with low-level SII at 34.68 (13.56-42.13) months(P<0.05). Conclusion: Serum expression of HE4, B7H4 and SII are correlated with clinical stage of ovarian cancer, lymph node metastasis, distant metastasis and degree of tumor differentiation, and high expression of the three may mean poor prognosis of patients. [ABSTRACT FROM AUTHOR]
- Published
- 2024
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