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首页> 外文期刊>Surgical Endoscopy >Assessment of cyclin D1 overexpression as a prognostic factor in soft tissue sarcomas: role of laparoscopy and core needle biopsy.
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Assessment of cyclin D1 overexpression as a prognostic factor in soft tissue sarcomas: role of laparoscopy and core needle biopsy.

机译:评估细胞周期蛋白D1过表达作为软组织肉瘤的预后因素:腹腔镜检查和穿刺活检的作用。

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BACKGROUND: This study was designed to test cyclin D1 as a prognostic marker in patients with soft tissue sarcomas (STS), and to evaluate the usefulness of laparoscopy for determining cyclin D1 overexpression. METHODS: The records of 62 patients with STS were collected: 28 with retroperitoneal STS (RSTS) and 34 with extremity STS (ESTS). A total of 51 patients underwent surgical resection, whereas 11 did not undergo surgery because of advanced tumor stage. Preoperative-intraoperative laparoscopic staging was performed for patients judged to be resectable at preoperative imaging. RESULTS: Cyclin D1 was overexpressed in 30 (58.8%) of 51 resected patients and in 10 (90.9%) of 11 nonresected patients. Laparoscopy avoided unnecessary laparotomy in 9 (32.1%) of 28 RSTS patients. CONCLUSIONS: High tumor grade, positive surgical margins, local recurrence, distant metastases, and cyclin D1 overexpression were related to poor survival. Multivariate analysis demonstrated cyclin D1 to be the only independent factor. Laparoscopy was shown to be useful for avoiding useless laparotomies.
机译:背景:这项研究旨在测试细胞周期蛋白D1作为软组织肉瘤(STS)患者的预后指标,并评估腹腔镜检查确定细胞周期蛋白D1过表达的有效性。方法:收集62例STS患者的记录:28例腹膜后STS(RSTS)和34例四肢STS(ESTS)。共有51例患者接受了手术切除,而11例由于晚期肿瘤未进行手术。对术前影像学可切除的患者进行术前腹腔镜分期。结果:Cyclin D1在51例切除的患者中有30(58.8%)和11例未切除的患者中的10(90.9%)过表达。腹腔镜检查避免了28例RSTS患者中的9例(32.1%)进行不必要的剖腹手术。结论:高肿瘤分级,手术切缘阳性,局部复发,远处转移和细胞周期蛋白D1过表达与不良的生存率有关。多变量分析表明,cyclin D1是唯一的独立因素。腹腔镜检查对于避免无用的腹腔镜手术是有用的。

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