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1993年10月至1994年2月收集我院42例经病理证实的宫颈癌患者的宫颈活检标本。鳞癌41例,其中低分化11例,中分化30例;腺癌1例。临床分期Ⅱb12例,Ⅲb28例,Ⅳ期2例。绝经前患者30例,绝经后12例。采用酶联雌二醇、孕酮亲和组化法在石蜡切片上进行宫颈癌组织雌激素受体(ER)、孕激素受体(PR)半定量检测。标记切片内典型阳性细胞≥10%为ER或PR阳性,≤10%为ER或PR阴性。ER阳性率为57.1%,PR阳性率为64.3%,中分化鳞癌较低分化鳞癌ER、PR阳性率高,但无显著性差异;宫颈癌不同临床分期ER、PR阳性率无显著性差异;绝经前后ER、PR阳性率亦无显著性差异。本方法简单易行,阳性细胞定位好,可以观察阳性细胞的分布及其与组织类型的关系等优点,有一定的临床实用价值。
October 1993 to February 1994 collected 42 cases of pathologically confirmed cervical cancer patients cervical biopsy specimens. Squamous cell carcinoma in 41 cases, including poorly differentiated in 11 cases, moderately differentiated in 30 cases; adenocarcinoma in 1 case. Clinical stage Ⅱ b12 cases, Ⅲ b28 cases, 2 cases of stage Ⅳ. 30 cases of premenopausal patients, 12 cases after menopause. Semi-quantitative detection of estrogen receptor (ER) and progesterone receptor (PR) in cervical cancer tissues was performed on paraffin sections by enzyme-linked estradiol and progesterone affinity assay. Typical positive cells in labeled sections ≥10% are positive for ER or PR, ≤10% are negative for ER or PR. ER positive rate was 57.1%, PR positive rate was 64.3%, moderately differentiated squamous cell carcinoma of poorly differentiated squamous cell carcinoma ER, PR positive rate, but no significant difference; different clinical stages of cervical cancer ER, PR positive rate No significant difference; before and after menopause ER, PR positive rate also no significant difference. The method is simple and easy to operate, positive cells are located well, the distribution of positive cells can be observed and the relationship between the type of tissue and other advantages, and has certain clinical practical value.