皮肤黑色素瘤中的PRAME表达与疾病特异性存活率无关
Ourania Parra1,2, Weijie Ma1,2, Zhongze Li3
1Department of Pathology and Laboratory Medicine, Dartmouth-Hitchcock Medical Center, Lebanon, New Hampshire, USA.
Journal of cutaneous pathology
|July 11, 2023
概括
基-67是皮肤黑色素瘤的显著预后标志物,预测生存率. 虽然在黑色素瘤中偏偏表达抗原 (PRAME) 有助于区分瘤和黑色素瘤,但它不能独立预测患者的存活率.
科学领域:
- 在瘤学瘤学.
- 皮肤病理学 皮肤病理学
- 生物标志物研究 生物标志物研究
背景情况:
- 免疫组织化学生物标志物为皮肤黑色素瘤提供预后见解.
- 基-67的预后价值是有争议的;在黑色素瘤中偏偏表达抗原 (PRAME) 是黑色素瘤分化的新标志物,但其预后作用尚未研究.
研究的目的:
- 评估在肌肤黑色素瘤中作为预后标志物的偏偏表达抗原 (PRAME).
- 为了比较PRAME与Ki-67.7的预后值.
主要方法:
- 在165种黑色细胞病变中对PRAME和Ki-67进行免疫组合化学分析 (92种原发性黑色素瘤,19种转移性黑色素瘤,54种瘤).
- 通过核阳性百分比来评分PRAME,通过核扩散指数来评分Ki-67.
- 与临床病理特征和疾病特异性生存率的相关性.
主要成果:
- 无论是PRAME还是Ki-67,在黑色素瘤和瘤中都显著升高.
- 基-67指数在转移性黑色素瘤中较高,与,布雷斯洛深度和线性速率相关.
- 增加的Ki-67预测了原发性黑色素瘤的生存率更差;PRAME没有显示独立的预后意义.
结论:
- Ki-67 是皮肤黑色素瘤的独立预后标志物.
- PRAME与Ki-67和线粒速率相关,但不是一个独立的预后标志物.
- PRAME和Ki-67都是有价值的辅助工具,用于区分良性瘤和恶性黑色素瘤.
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