Abstract
宣世英,辛永宁,陈桦,史光军,孙樱,张健.肝癌组织、癌旁组织中HBsAg、HCV抗原表达与肝组织纤维化分期的相关性研究[J].Chinese journal of Epidemiology,2006,27(2):157-160
肝癌组织、癌旁组织中HBsAg、HCV抗原表达与肝组织纤维化分期的相关性研究
Study on the correlations between HBsAg and hepatitis C virus expression as well as fibrotic staging in hepatocellular carcinoma and pericarcinomatous tissues
Received:January 24, 2005  
DOI:
KeyWord: 乙型肝炎表面抗原  丙型肝炎抗原  肝纤维化分期  免疫组织化学  肝细胞瘤
English Key Word: Hepatitis B virus surface antigen  Hepatitis Cvirus antigen  Fibrotic staging  Immunohistochemistry  Hepatocellular carcinoma
FundProject:
Author NameAffiliation
Xuan Shiying Department of Liver Disease, Qingdao Municipal Hospital, Qingdao 266011, China 
Xin Yong-ning Department of Liver Disease, Qingdao Municipal Hospital, Qingdao 266011, China 
Chen Hua 青岛市市立医院病理科 
Shi Guangjun 青岛市市立医院肝胆外科 
Sun Ying Department of Liver Disease, Qingdao Municipal Hospital, Qingdao 266011, China 
Zhang Jian Department of Liver Disease, Qingdao Municipal Hospital, Qingdao 266011, China 
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Abstract:
      目的研究肝癌组织、癌旁组织中乙型肝炎表面抗原(HBsAg)、丙型肝炎病毒(HCV)抗原表达与肝组织纤维化分期的相关性。方法采用免疫组织化学方法对肝癌组织及癌旁组织中的HBsAg、HCV抗原表达进行了标记和分析,同时对肝癌组织及癌旁组织进行肝组织纤维化分期。结果肝组织纤维化程度与HBV、HCV感染有明显相关(rs=0.32,P=0.001);HBsAg和HCV抗原在癌组织及癌旁组织中表达有差异,HBsAg主要在癌旁组织表达(79%),高于癌组织(23%);而HCV抗原在癌组织(15%)与癌旁组织表达(23%)水平相当。结论有病毒感染背景的肝癌组织,其纤维化程度高于无病毒感染的肝癌组织;病毒的感染是肝癌发生的原因,长期的病毒血症会加速肝纤维化的进展。
English Abstract:
      Objective To study the co rrelation between hepatitis B virus surface antigen (HBsAg) and hepatitis C vir us(HCV) expression as w ell as fibrosis staging in hepatocellular carcinoma(HCC) and pericar cinomatous tissues. Methods The patterns o f HBsAg and HCV in 100 cases of HCC and their surrounding liv er tissues were studied on par affin- embeded sect ions with immunohistochemistr y technique, and liver tissues were also staged. Results HBV, HCV virus infection w ere positively correlated w ith the fibrotic stag ing (rs =0. 32, P=0. 001 ). HBsAg and HCV were detected both in HCC and pericar cinomatous tissues. The positive r ate of HBsAg in Pericarcinomatous Tissues(79%) was higher than that of in HCC tissues(23%). HCV ex pressions in HCC (15%) and pericarcinomatous tissues (23%) show ed no sig nificant differences. Conclusion The fibrotic degree in the tissues of liver cancer with previous virus infection was obviously higher t han that without virus infection。Viral infectio n seemed to be one of the reasons causing liver cancer while perennial virusemia would aggravate pathological changes of the liver tissue.
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