国际肿瘤学杂志 ›› 2013, Vol. 40 ›› Issue (10): 788-792.

• 综述 • 上一篇    下一篇

生物学标志物在宫颈癌前病变诊断中的

张楚悦, 吴丹, 王丽华   

  1. 200030上海交通大学附属国际和平妇幼保健院妇科
  • 出版日期:2013-10-08 发布日期:2013-09-23
  • 通讯作者: 王丽华,E-mail: drwanglh0420@163.com E-mail:drwanglh0420@163.com
  • 基金资助:

    上海市科学技术委员会科研计划项目(09411966900)

Application of biomarkers in the diagnosis of cervical precancerous lesions

ZHANG  Chu-Yue, WU  Dan, WANG  Li-Hua   

  1. Department of Gynecology, The International Peace Maternity and Child Health Hospital, Affiliated to Shanghai Jiaotong University School of Medicine, Shanghai 200030, China

  • Online:2013-10-08 Published:2013-09-23
  • Contact: WANG Li-hua, E-mail: drwanglh0420@163.com E-mail:drwanglh0420@163.com

摘要: 宫颈癌前病变中存在表达异常的生物学标志物(p16INK4a、Ki-67等),大多与人乳头瘤病毒(HPV)感染导致的分子改变相关。宫颈上皮内瘤变(CIN)并不能准确预测癌前病变的进展,临床上对意义不明不典型鳞状细胞(ASCUS)以及低级别鳞状上皮内病变(LSIL)常过度解读,对有较高进展可能的癌前病变缺少准确的筛查方法。细胞学诊断分级联合生物学标志物检测,有助于预测癌前病变进展,排除形态学上难以鉴别的良性病变,为宫颈癌前病变筛查提供新的途径。

关键词: 宫颈上皮内瘤变, 生物学标记物, p16INK4a, ki-67, HPV

Abstract: Several molecular biomarkers (p16INK4a, Ki-67, and so on) are abnormally expressed in cervical precancerous lesions, many of which are involved in human papilloma virus (HPV)-induced molecular alterations. Cervical intraepithelial neoplasia (CIN) can not accurately predict the possibility of progress in precancerous lesions. Atypical squamous cells of undetermined significance (ASCUS) and low-grade squamous intraepithelial lesions (LSIL) are often over-treated clinically, while it lacks accurate screening methods to identify the precancerous lesions with high possibility of progression. Combining cytology diagnosis with biomarkers can help predict the progress of precancerous lesions and distinguish benign lesions which are difficult to identify morphologically. It appears promising to consider biomarkers as potential cervical precancerous lesions screening method.

Key words: Cervical intraepithelial neoplasia, Biomakers, p16INK4a, ki-67, HPV