首页|鳞状细胞癌抗原、胃泌素释放肽前体、神经元特异性烯醇化酶对肺癌的诊断价值

鳞状细胞癌抗原、胃泌素释放肽前体、神经元特异性烯醇化酶对肺癌的诊断价值

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目的 探讨鳞状细胞癌抗原(SCCA)、胃泌素释放肽前体(ProGRP)、神经元特异性烯醇化酶(NSE)对肺癌的诊断价值.方法 选取43例肺癌患者和35例肺部良性疾病患者分别作为肺癌组和良性组.采用化学发光分析仪、自动生化仪检测两组患者的血清ProGRP、NSE和SCCA水平.比较两组患者的SCCA、ProGRP和NSE水平,分析肺癌发生的影响因素和SCCA、ProGRP、NSE单独及联合检测对肺癌的诊断价值.结果 肺癌组患者SCCA、ProGRP和NSE水平均明显高于良性组,差异均有统计学意义(P<0.01).SCCA、ProGRP及NSE均是肺癌发生的独立危险因素(P<0.05).SCCA、ProGRP及NSE联合检测诊断肺癌的AUC、灵敏度、特异度均高于三者单独检测.结论 SCCA、NSE和ProGRP均在肺癌患者中高表达,可作为肺癌良好的血清肿瘤标志物,且联合检测对肺癌有较好的诊断价值.
Diagnostic value of squamous cell carcinoma antigen,pro-gastrin-releasing peptide and neuron specific enolase in lung cancer
Objective To investigate the diagnostic value of squamous cell carcinoma antigen(SCCA),pro-gastrin-re-leasing peptide(ProGRP)and neuron specific enolase(NSE).Method A total of 43 patients with lung cancer and 35 pa-tients with benign lung disease were selected as lung cancer group and benign group,respectively.The levels of serum ProGRP,NSE and SCCA were detected by chemiluminescence analyzer and automatic biochemical analyzer.The levels of SCCA,ProGRP and NSE were compared between the two groups.The influencing factors of the occurrence of lung cancer and the diagnostic value of SCCA,ProGRP and NSE single and combined detection for lung cancer were ana-lyzed.Result The levels of SCCA,ProGRP and NSE in lung cancer group were significantly higher than those in be-nign group,and the differences were statistically significant(P<0.01).The SCCA,ProGRP and NSE were independent risk factors for lung cancer(P<0.05).The area under the curve(AUC),sensitivity and specificity of SCCA,ProGRP and NSE combined detection in the diagnosis of lung cancer were higher than those of SCCA,ProGRP and NSE single detec-tion.Conclusion The SCCA,NSE and ProGRP are highly expressed in patients with lung cancer,and may be good se-rum tumor marker for lung cancer,and the combined detection has good diagnostic value.

squamous cell carcinoma antigenpro-gastrin-releasing peptideneuron specific enolaselung cancerdi-agnosis

魏萍萍、林勇、庄晨、孟小琴、陈秋丹

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上海市静安区中心医院检验科,上海 200040

鳞状细胞癌抗原 胃泌素释放肽前体 神经元特异性烯醇化酶 肺癌 诊断

上海市卫生健康委科研项目

202140240

2024

癌症进展
中国医学科学院,北京协和医学院

癌症进展

影响因子:1.004
ISSN:1672-1535
年,卷(期):2024.22(3)