| ã€Objective】carcinoma Vulva is one of the malignant tumor thatendangers women's health。Among them see much the vulvar squamouscell carcinoma。Account for 80%-90% of the malignant tumor ofvulva. It is being seen in women over 60 years of age more. In thelast few years the incidence of the disease has been taken bad therate contain up-trend. The cause of disease of the carcinoma Vulvais unclear still and incompletely. Now the generally acceptedsimplex virus II type, a form of human milk lump virus, the occurrenceof the big and small afterbirth virus etc. and the Vulvar cancer isprobably relevant. The scholars discover that many gene colon tumorsall have something to do with suppress the cancer gene PTENdepartment. This experiment passes to inquiry in to suppress thecancer gene PTEN expression level in carcinoma Vulvar. For the Vulvarcancer of immunity examine a patient to provide the refrenceaccording to, for further guide the Vulvar cancer of clinictreatment.ã€Method】 An immunohistochemical method utilizing SP technique wasused to detect PTEN protein expression in 46 cases of vulvarsquamous cell carcinoma (SCCV), 10 cases of normal vulvar tissue,10 cases of increase to living up the skin and 42 cases of vulvain traepithelial neoplasia(VIN). 46 cases of vulva squamous cellcarcinoma draw from the specimen that the second gynecologyhospitalization surgical operations of the hospitals of the jilinUniversity of 1996-2005 years cut off. 10 cases of normal vulvartissue, 10 cases of increase to living up the skin and 42 cases ofvulva in traepithelial neoplasia(VIN) draw from the specimen thatthe same period lives the check. All bring into the object to alldid not accept to put, chemotherapy, clinical and pathologic dataintegrity. 42 cases of vulva in traepithelial neoplasia(VIN) aredivided into light, medium and heavy: VINI 11 cases, VINII 16 cases,VIN3 21cases。46 cases of vulvar squamous cell carcinoma a(SCCV)have13 cases lymphoid knot transfers. Press the normal regulationspathology check in order to divide the high mark to turn ( G1)19,win to divide( G2)21, the low mark turn( G3)6 examples. The clinicexpects the III-IV to expect 18 separately, the II-I expect 28examples. The rat anti-person PTEN many clone antibody, S-Ps box,DAB box to all buy to exceed the living creature technique companyfrom Fujian. Adopting the S-P method, acting for an anti-to makethe feminine gender to check against with the PBS liquid, using tohave already know that masculine gender the slice makes the masculinegender to check againstã€Results】 The expression of PTEN protein was detected in the normalvulvar tissue, with VIN as66.66%, and SCCV as 41.30%. All positivereactions were localized in cytoplasm. Although PTEN proteinexpression was detected in all the clinical stages, histologicalgrade sand lymph node metastasis, there was no significantrelationship between all of them(P>0.05). The survival rate in theexpression of PTEN protein positivity group was much higher than thatin its negativity group (P<0.05).The masculine gender rate that has the lymphoid knot to transferhave no lymphoid knot assignor more low, but did not statistics tolearn the difference still( P>0.05).Each clinic expects the PTENmasculine gender expression separately although dissimilarity, thedifference did not show .( P>0.05)With visit 46 the vulvar cancer sufferer, get the integrity withvisit 42 of data, with visiting 81% of rate, a death. The PTENexpresses the existence of a sufferer all the rate is obvious andhigh in the PTEN expression feminine gender set, the existenceperiod obvious longer than feminine gender set of the male set, wasexamine by Log-rank a set with male PTEN dies of illness the rateobvious and low in the feminine gender set.( P<0.05)ã€Conclusions】The expression of PTEN protein might be an early eventand has played an important role in genes is and development of SCCV.The expression of PTEN protein was significantly correlated withprognosis of the neoplasia.The research of the vulvar cancer is the edge course of thegynecology research realm, seldom study up to now. The relationbetween gene of PTEN and the vulvar cancer occurrence still needsthe further research. For example the PTEN express of regulate andwith the relation that other genes express;The PTEN accurate signalthoroughfare and function mechanisms;The PTEN is in the vulvarcancer nascent and accurate mechanism etc. We believe that pass thePTEN further research, will for the objective basis that earlierperiod of vulvar cancer examine a patient, prevent from, cure toprovide the member level. |