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基于脱落细胞DNA倍体定量分析的口腔鳞状细胞癌筛查及效果评价

李淑薇 李兴强 辛颖 张佳 郭小梅 赵倩 齐红

临床口腔医学杂志2024,Vol.40Issue(2):93-96,4.
临床口腔医学杂志2024,Vol.40Issue(2):93-96,4.DOI:10.3969/j.issn.1003-1634.2024.02.007

基于脱落细胞DNA倍体定量分析的口腔鳞状细胞癌筛查及效果评价

Screening and efficacy evaluation of oral squamous cell carcinoma based on quantitative analysis of DNA ploidy in exfoliated cells

李淑薇 1李兴强 2辛颖 1张佳 3郭小梅 1赵倩 1齐红1

作者信息

  • 1. 西安交通大学口腔医院 陕西省颅颌面精准医学研究重点实验室,陕西 西安 710004||陕西省牙颌面疾病临床研究中心,陕西 西安 710004||西安交通大学口腔医院病理科,陕西 西安 710004
  • 2. 西安交通大学口腔医院 陕西省颅颌面精准医学研究重点实验室,陕西 西安 710004||陕西省牙颌面疾病临床研究中心,陕西 西安 710004||西安交通大学口腔医院头颈肿瘤外科,陕西 西安 710004
  • 3. 西安交通大学口腔医院 陕西省颅颌面精准医学研究重点实验室,陕西 西安 710004||陕西省牙颌面疾病临床研究中心,陕西 西安 710004||西安交通大学口腔医院口腔黏膜病科,陕西 西安 710004
  • 折叠

摘要

Abstract

Objective:To explore the application and effectiveness evaluation of DNA ploidy quantitative analysis technology in screening oral squamous cell carcinoma.Methods:From March 2022 to June 2023,DNA ploidy screening and liquid based cytology examinations were performed on 107 outpatient and inpatient patients at the Stomatological Hospital of Xi'an Jiaotong University.Patients with DI>2.5 were considered positive and undergo pathological tissue biopsy,with DI<2.5 considered negative if there are no clear clinical malignant indications.The results of DNA ploidy screening were com-pared with the results of liquid based cytology and pathological biopsy.Results:Am ong the 107 patients,28 underwent path-ological examination,and 27 of them had DNA ploidy diagnosis opinions that were consistent with the pathological report re-sults,with a coincidence rate of 96.43%.A total of 24 patients with DI>2.5 and pathological results were malignant.The di-agnostic opinion of DNA ploidy was consistent with the pathological report results,with a coincidence rate of 100%.One case with DI>2.5 and no clear malignancy in pathological results was squamous papillary hyperplasia,with some epithelial moder-ate to severe atypical hyperplasia.Two patients with DI<2.5 and pathological results as benign,the pathological result showed 1 patient with malignancy,indicating effective detection of insufficient cells.There were total of 22 cases of oral squamous cell carcinoma,and the diagnostic opinion of DNA ploidy in 21 cases were consistent with the pathological report results,with a coincidence rate of 95.45%.Conclusion:For oral squamous cell carcinoma,the coincidence rate between DNA ploidy screening results and pathological biopsy results is high.DNA ploidy quantitative analysis is more sensitive than traditional cytological examinations.It is a reliable and objective non-invasive screening method for oral squamous cell carcinoma.

关键词

DNA倍体定量分析技术/口腔鳞状细胞癌/筛查

Key words

DNA ploidy quantitative analysis technology/Oral Squamous Cell Carcinoma/Screening

分类

医药卫生

引用本文复制引用

李淑薇,李兴强,辛颖,张佳,郭小梅,赵倩,齐红..基于脱落细胞DNA倍体定量分析的口腔鳞状细胞癌筛查及效果评价[J].临床口腔医学杂志,2024,40(2):93-96,4.

基金项目

西安交通大学口腔医院2021年医疗新技术(编号:xjkqxjs2021-27) (编号:xjkqxjs2021-27)

临床口腔医学杂志

OACSTPCD

1003-1634

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