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老年口腔鳞癌病员免疫状态与预后关系的初步研究

THE RELATIONSHIP OF IMMUNO-STATUS AND THE PROGNOSIS OF ELDERLY PATIENTS WITH SQUAMOUS CELL CARCINOMA OF THE ORAL CAVITY: A PRELICINARY STUDY

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【作者】 曹阳陆昌语陈莉娜殷德民周池青

【Author】 Cao ran, Lu Chan ru, Cheng Li Na ring De Min, Zhou Chi Qing School of Stomatology, Shanghai Second Medical University

【机构】 上海第二医科大学口腔医学院上海第二医科大学口腔医学院 200011200011

【摘要】 本文对204例口腔鳞癌病员进行年龄分组,做DNGB皮试及T淋巴细胞亚群测定,并进一步随访观察预后。结果发现年龄90岁以上组的老年病员DNGB反应阳性率(38.7%)明显低于30~59岁组中的青年病员(63.6%)(P<0.01)。T细胞亚群测定老年组14例,中青年组10例,老年组辅助性T细胞(CD4)明显低于中青年组(P<0.05)。随访196例病员,发现DNGB反应与预后有关,健在者的DNGB反应阳性率(58.4%)明显高于带瘤或死亡者(40.5%)(P<0.05)。但是,未发现年龄与预后有关。

【Abstract】 We studied 204 patients with squamous cell carcinoma of the oral cavity and separated the subjects by age into 2 categories: the elderly group (age above 60) and.the younger group (age between 30 and 59) We performed DNCE test and found that the DNCB reaction of the elderly group (38.7%) was significantly lower than that of the younger group (63.6%) (p<0.01), We then performed T lymphocyte subpopulation analysis on 14 cases of the elderly group and 10 cases on the younger group, and found that the relative ration of the T helper (CD) cells of the elderly group was also lower than that of the younger group (p<0.05).In the folllow-up of 196 patients, we found that the DNCB reaction correlates with the prognosis of-these patients.The disease-free survivors had an overall better DNCB response rate (58.4%) than those with recurrent cancer or those who died (40.5%) (p<0.05).However, we had not established a relationship between age and the prognosis of squamous cell carcinoma of the oral cavity.

  • 【文献出处】 口腔颌面外科杂志 ,Fournal of Oral and Maxillofacial Surgery , 编辑部邮箱 ,1991年01期
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