• 1.上海第二醫(yī)科大學附屬瑞金醫(yī)院外科(上海200025);;
  • 2.江西醫(yī)學院第二附屬醫(yī)院普外科(南昌330006);

淋巴結轉移是胃癌行根治性切除術后轉移和復發(fā)的主要途徑之一,有無淋巴結轉移及轉移淋巴結數目的多少與胃癌的預后密切相關[1]。常規(guī)組織學檢查淋巴結有可能忽略微轉移的存在,這將直接影響著臨床分期的準確性、預后預測以及輔助治療的選擇。為此,我們采用靶向癌胚抗原(CEA)mRNA的巢式逆轉錄聚合酶鏈反應(Nested RTPCR)方法,檢測常規(guī)病理檢查淋巴結陰性胃癌的淋巴結微轉移情況并探討其臨床意義。

引用本文: 肖衛(wèi)東,彭承宏,王夢龍,鄒葉青,程華,朱培謙. RT-PCR法檢測常規(guī)病理檢查淋巴結陰性胃癌的淋巴結微轉移. 中國普外基礎與臨床雜志, 2003, 10(5): 487-488. doi: 復制

1. Kwon SJ, Kim GS. Prognostic significance of lymph node metastasis in advanced carcinoma of the stomach [J]. Br J Surg, 1996; 83(11)∶1600.
2. Mori M, Mimori K, Inoue H, et al. Detection of cancer micrometastasis in lymph nodes by reverse transcriptasepolymerase chain reaction [J]. Cancer Res, 1995; 55(15)∶3417.
3. Brown DC, Purushotham AD, Birnie GD, et al. Detection of intraoperative tumor cell dissemination in patients with breast cancer by use of reverse transcription and polymerase chain reaction [J]. Surgery, 1995; 117(1)∶95.
4. Japanses Gastric Carcinoma Association. Japanese Classification of gastric carcinoma2nd English Edition [J]. Gastric Cancer, 1998; 1(1)∶10.
5. Roder JD, Bottcher K, Busch R, et al. Classification of regional lymph node metastasis from gastric carcinoma [J]. Cancer, 1998; 82(4)∶621.
6. Baba H, Maehara Y, Takeuchi H, et al. Effect of lymph node dissection on the prognosis in patients with nodenegative early gastric cancer [J]. Surgery, 1995; 117(2)∶165.
7. Mori M, Mimori K, Ueo H, et al. Clinical significance of molecular detection of carcinoma cells in lymph nodes and peripheral blood by reverse transcriptionpolymerase chain reaction in patients with gastrointestinal or breast carcinomas [J]. J Clin Oncol, 1998; 16(1)∶128.
8. Harrison LE, Choe JK, Goldstein M, et al. Prognostic significance of immunohistochemical micrometastases in node negative gastric cancer patients [J]. J Surg Oncol, 2000; 73(3)∶153.
9. Nakajo A, Natsugoe S, Ishigamis S, et al. Detection and prodiction of micrometastasis in the lymph nodes of patients with pN0 gastric cancer [J]. Ann Surg Oncol, 2001; 8(2)∶158.
  1. 1. Kwon SJ, Kim GS. Prognostic significance of lymph node metastasis in advanced carcinoma of the stomach [J]. Br J Surg, 1996; 83(11)∶1600.
  2. 2. Mori M, Mimori K, Inoue H, et al. Detection of cancer micrometastasis in lymph nodes by reverse transcriptasepolymerase chain reaction [J]. Cancer Res, 1995; 55(15)∶3417.
  3. 3. Brown DC, Purushotham AD, Birnie GD, et al. Detection of intraoperative tumor cell dissemination in patients with breast cancer by use of reverse transcription and polymerase chain reaction [J]. Surgery, 1995; 117(1)∶95.
  4. 4. Japanses Gastric Carcinoma Association. Japanese Classification of gastric carcinoma2nd English Edition [J]. Gastric Cancer, 1998; 1(1)∶10.
  5. 5. Roder JD, Bottcher K, Busch R, et al. Classification of regional lymph node metastasis from gastric carcinoma [J]. Cancer, 1998; 82(4)∶621.
  6. 6. Baba H, Maehara Y, Takeuchi H, et al. Effect of lymph node dissection on the prognosis in patients with nodenegative early gastric cancer [J]. Surgery, 1995; 117(2)∶165.
  7. 7. Mori M, Mimori K, Ueo H, et al. Clinical significance of molecular detection of carcinoma cells in lymph nodes and peripheral blood by reverse transcriptionpolymerase chain reaction in patients with gastrointestinal or breast carcinomas [J]. J Clin Oncol, 1998; 16(1)∶128.
  8. 8. Harrison LE, Choe JK, Goldstein M, et al. Prognostic significance of immunohistochemical micrometastases in node negative gastric cancer patients [J]. J Surg Oncol, 2000; 73(3)∶153.
  9. 9. Nakajo A, Natsugoe S, Ishigamis S, et al. Detection and prodiction of micrometastasis in the lymph nodes of patients with pN0 gastric cancer [J]. Ann Surg Oncol, 2001; 8(2)∶158.