突触素阳性胃癌患者血清学指标及生存分析:一项回顾性研究

iLABMED Pub Date : 2025-04-12 DOI:10.1002/ila2.70008
Xuemei Wei, Xu Zhang, Jiaqi Zhang, Lin Zhu, Guanghong Guo
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摘要

本研究旨在通过分析SYN阳性与SYN阴性胃癌患者血清学指标及生存期的差异,确定突触素(syntophysin, SYN)阳性神经内分泌型胃癌的预后指标,为患者的预后提供理论依据。方法对2019年1月至2021年12月在中国人民解放军总医院第一医疗中心接受手术治疗的1298例胃癌患者的病历进行评估,并纳入59例患者,分析syn阳性和syn阴性胃癌患者的血清学指标和生存差异。结果SYN表达与遗传史、肿瘤分化程度、Lauren分型差异均有统计学意义(p = 0.036、0.040、0.017)。syn阳性患者神经元特异性烯醇化酶水平高于syn阴性患者(p = 0.027)。syn阳性患者血红蛋白(Hb)和平均红细胞血红蛋白(MCH)水平低于syn阴性患者(p分别为0.023和0.019)。syn阳性胃癌患者的生存时间与syn阴性胃癌患者的生存时间差异有统计学意义(p = 0.0255)。结论胃癌患者SYN表达与分化程度及Lauren分型相关。syn阳性胃癌患者的预后较syn阴性胃癌患者差。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

Serological Indicators and Survival Analysis of Synaptophysin-Positive Gastric Cancer Patients: A Retrospective Study

Serological Indicators and Survival Analysis of Synaptophysin-Positive Gastric Cancer Patients: A Retrospective Study

Background

This study aims to determine prognostic indicators of synaptophysin (SYN) positive gastric cancer with neuroendocrine type by analyzing differences in serological indicators and survival between SYN-positive and SYN-negative gastric cancer patients and to provide a theoretical basis for the prognosis of patients.

Methods

The medical records of 1298 gastric cancer patients who had received surgical treatment between January 2019 and December 2021 at The First Medical Center of Chinese PLA General Hospital were assessed, and 59 patients were enrolled in this study, to analyze serological indices and survival differences between patients with SYN-positive and SYN-negative gastric cancer.

Results

There were statistically significant differences between the expression of SYN and genetic history, tumor differentiation degree, and Lauren's typing (p = 0.036, 0.040, and 0.017, respectively). The level of neuron-specific enolase in SYN-positive patients was higher than that in SYN-negative patients (p = 0.027). The level of hemoglobin (Hb) and mean corpuscular hemoglobin (MCH) was lower in SYN-positive patients when compared with SYN-negative patients (p = 0.023 and 0.019, respectively). The survival time of SYN-positive gastric cancer patients was statistically significantly different from that of SYN-negative gastric cancer patients (p = 0.0255).

Conclusions

SYN expression in patients with gastric cancer is correlated with the degree of differentiation and Lauren's typing. The prognosis of SYN-positive gastric cancer patients is worse than that of SYN-negative patients.

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