ABSTRACT
Objective:To detect the expressions of COX-2 protein and BCL-2 protein in transitional mucosa adjacent to rectal carcinoma,and determine whether the transitional mucosa was the cancer precursor event.Methods:Mucin histochemical method was employed to detect the distal mucosa 2 cm away from rectal tumor and the transitional mucosa was found in 54 cases of rectal carcinoma.Immunohistochemical method was used to investigate the expressions of BCL-2 and COX-2 protein in the specimen of rectal carcinoma mass,transitional mucosa and non-transitional mucosa,and 20 cases of normal rectal mucosa,and the points of the expressions of COX-2 protein and BCL-2 protein were counted.Results:35.19%(19/54)of distal mucosa were characterized as the transitional mucosa.The expressions of COX-2 and BCL-2 protein were detected in carcinoma mass and distal mucosa.Significant difference was observed in carcinoma mass and transitional mucosa(p<0.01).But there were no significant differences between the expressions of those in transitional mucosa and non-transitional mucosa(p>0.05),as well as transitional mucosa and normal mucosa(p>0.05).Conclusion:The performance of transitional mucosa was not the cancer precursor event,but the non-specificity reaction of carcinoma or inflammation.
ABSTRACT
Two hundred specimens of the "transitional mucosa" of colorectal carcinoma were studied with mucohistochemical methods of HID/AB and PAT/KOH/PAS,immunohistochemical methods of MC3,CEA,lectin receptor PNA,UEA-1 and DBA,and scanning electron microscopy.10 specimens of normal colonic mucosa.130 specimens of colorectal carcinoma,155 specimens of various types of colorectal adenoma and polyp,and 24 sepcimens of normal colonic mucosa of fetus aged 3 to 5 months were also examined to serve as controls.It was found that in every stage of the malignant deterioration of the colorectal mucosa,there was significant difference between the mucohistochemical changes and the immunohistochemical changes(P