Abstract:
Objective:To explore the clinical significance of Ki-67 and P16 in cervical cancer and precancerous lesion. Methods:We selected 90 cases of cervical intraepithelial neoplasia (CIN) and 40 cases of cervical cancer patients of our hospital from August 2014 to August 2016 as a clinical research object, using the immunohistochemical staining method to detect patients with pathological tissue specimens in the expression of P16 and Ki-67, comprehensive analysis of cervical cancer and precancerous lesions in the Ki-67 and compare the differences in the levels of P16 expression and its significance in clinical diagnosis. Results:Ki-67 and P16 were both expressed in cervical and precancerous lesions, the positive rate of Ki-67 in CIN was significantly lower than that in cervical cancer, but the expression of Ki-67 in CIN patients was significantly higher than that in low grade CIN patients ( P<0.05 ). The positive expression rate of P16 in cervical cancer was significantly higher than that in CIN and low grade CIN ( P<0.05 ). the positive expression rate of P16 in low grade CIN was significantly lower than that in CIN ( P<0.05 ). The sensitivity of P16 in the differential diagnosis of CIN and cervical cancer was significantly higher than that of Ki-67 ( P<0.05 ). The sensitivity and specificity of P16 in the diagnosis of low grade CIN and high grade CIN were significantly lower than that of Ki-67, and there was no significant difference between groups. The sensitivity of Ki-67 and P16 joint diagnosis in distinguishing CIN and cervical cancer and low grade CIN and high grade CIN were significantly higher than that in single diagnosis ( P<0.05 ). The specificity of differential diagnosis for CIN and cervical cancer was the same as Ki-67. Conclusions:Ki-67 and P16 have some expression in cervical cancer and precancerous lesion, and the joint diagnosis between Ki-67 and P16 is important in the diagnosis of CIN and the diagnosis of cervical cancer.