Biomedical subjects

Li-Jiang Liu

Publications and source records attributed to Li-Jiang Liu.

3 recordsLinked to original sources

PubMed2006

Significance of Survivin and PTEN expression in full lymph node-examined gastric cancer.

AIM: To study the relationship between Survivin and PTEN expression and lymph node metastasis, depth of invasion and prognosis of gastric cancer patients in China. METHODS: Specimens of gastric cancer tissue were collected from the Affiliated Hospital of Jianghan University. All the 140 patients had complete examination data. All lymph nodes were found by the fat-clearing method. The interrupted serial 4-micron sections, routine hematoxylin and eosin staining and immunohistochemical methods were used to detect the lymph node metastases. Gastric cancer tissue microarray was performed to test the expression of Survivin and PTEN (17A) in gastric cancer by immunohistochemical method. All data were processed using chi2 test, Fisher's exact test, Kaplan-Meyer Log-rank method and Cox multivariate analysis (SPSS 12.0 software). RESULTS: One hundred and eighteen specimens were used in our tissue microarray (utilization rate was 82.4%). A total of 7580 lymph nodes were found. Metastases were found in 90 specimens and 1618 lymph nodes were detected. The positive rate of Survivin and PTEN expression was 52.5% (62/118) and 76.2% (90/118), respectively. A highly positive correlation was found between Survivin and PTEN expression (chi2 = 4.17, P = 0.04). Survivin expression was positively correlated with UICC N stage (chi 2 = 8.69, P = 0.03) and histological classification (chi2 = 4.41, P = 0.04) by chi2 tests. PTEN expression was positively correlated with depth of invasion (P = 0.02) and histological classification (chi2 = 5.47, P = 0.02). But Survivin and PTEN expressions were not related with prognosis of gastric cancer patients. A significant correlation between lymph node metastasis and prognosis was demonstrated by Cox multivariate analysis (chi2 = 4.85, P = 0.028). CONCLUSION: Survivin is positively correlated with PTEN expression in gastric cancer and is a molecular marker of lymph node metastasis while PTEN expression is a molecular marker of advanced gastric cancer. UICC N stage is the most important prognostic factor of gastric cancer in China.

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PubMed2005

Ultrastructural changes in non-specific duodenitis.

AIM: To investigate the ultrastructural and morphological changes of non-specific duodenitis (NSD) in an attempt to grade them according to the extent of the lesions. METHODS: Biopsies were taken from the mucosa of duodenal bulb of 44 patients selected from the patients undergoing upper gastrointestinal endoscopy for epigastric discomforts. From each patient, two pinch biopsies on the same area were obtained from duodenal bulb. One was for scanning electron microscopy and the other was stained with hematoxylin-eosin, Warthin-Starry silver and both were then examined under light microscope. A total of 12 specimens (three from each degree of the normal and I-III of NSD diagnosed and graded by histology) selected from the 44 patients were dehydrated, critical point dried, coated with gold palladium and examined under a JEOL JSM-30 scanning electron microscope (SEM) at 20 kV. RESULTS: According to the ultrastructural morphologic changes, non-specific duodenitis was divided into normal (as control group), mild, moderate and severe degrees according to results of SEM. The normal villi of duodenal bulb were less than 0.2 mm. There were inflammation cells, occasionally red blood cells and macrophages on the mucosal epithelial surface. Erosion and desquamation of epithelium could be seen. Three cases (25%, 3/12) had gastric metaplasia and Helicobacter pylori (H pylori) infection could be found in 5 cases (41.67%, 5/12) in duodenal bulb mucosa. The most distinctive feature was the ulcer-like defect on the surface of epithelial cells. CONCLUSION: Non-specific duodenitis is a separate entity disease caused by different factors. SEM is of value as an aid in the diagnosis of mucosal diseases of duodenum.

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PubMed2003

[Prognostic significance of lymph node micrometastasis in colorectal cancer].

BACKGROUND & OBJECTIVE: There have been many controversies about the prognostic significance of lymph node micrometastasis. The aim of this study was to characterize the prognostic significance of lymph node micrometastasis of colorectal cancer. METHODS: Specimens of curative resection between 1988 and 2001 were collected from The Affiliated Hospital of Jianghan University Medical and Life Science College. All 80 patients (30 cases of rectal cancer, 50 cases of colon cancer) had complete examination data. A total of 3869 lymph nodes (48.36 per case) were found by clearing fat method. The interrupted serial 4-micron sections, routine hematoxylin and eosin staining and immunohistochemistry methods were used to detect the lymph node metastasis and micrometastasis (small tumor cells cluster diameter <or=0.2 mm or tumor cells detected in the lymph nodes <or=50). All data was processed using Cox univariate analysis and Spearman rank correlation analysis (SAS 8.1 software). RESULTS: Metastases were found in 232 (6%) lymph nodes examined and micrometastases in 39 (1.01%) lymph nodes. In the cases of rectal cancer, a highly significant correlation was found between lymph node metastases and mortality by univariate analysis (Chi(2)=9.94, P=0.0016) and micrometastases by Spearman rank correlation analysis (r=0.44, P=0.016). In the cases of colon cancer, a highly significant correlation was found among lymph node metastases (Chi(2)=9.52, P=0.002), UICC lymph node staging (Chi(2)=5.73, P=0.0167) and mortality by univariate analysis. And Spearman rank correlation analysis demonstrated a significant correlation between lymph node micrometastasis and Dukes' lymph node staging (r=0.314, P=0.008). CONCLUSION: Lymph node micrometastasis possesses considerable value for prognosis of colorectal cancer, but should be used in integration with other indicators.

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