首页|血清CEA、SCC、CYFRA21-1、NSE联合CT扫描在非小细胞肺癌诊断中的应用价值

血清CEA、SCC、CYFRA21-1、NSE联合CT扫描在非小细胞肺癌诊断中的应用价值

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目的 评估癌胚抗原(CEA)、鳞状上皮细胞癌抗原(SCC)、细胞角蛋白片段21-1(CYFRA21-1)和神经元特异性烯醇化酶(NSE)、联合CT扫描在非小细胞肺癌诊断检测的应用价值.方法 选取2020年1月至2022年12月南京市雨花医院诊断的58例非小细胞肺癌患者为观察组,其中腺癌30例,大细胞癌10例,鳞状细胞癌18例;同期门诊体检的58例健康志愿者作为对照组.采用化学发光法分析血清中CEA、SCC、CYFRA21-1、NSE表达水平;采用CT扫描联合诊断.结果 观察组患者的血清中CEA、SCC、CYFRA21-1、NSE的水平高于对照组,差异具有统计学意义(P<0.05);CEA表达水平与CT诊断的腺癌肿瘤大小有关;CEA的血清水平与大细胞癌的肿瘤大小有关;SCC、CYFRA21-1和NSE与鳞状细胞癌有关.结论 应用血清SCC、CYFRA21-1、NSE和CEA检测联合CT扫描对非小细胞肺癌的诊断具有较高的灵敏度和诊断准确性.可为临床提供诊断参考依据.
Clinical Values of Serum CEA,SCC,CYFRA21-1,NSE Combined with CT Scanning in the Diagnosis of Non-small Cell Lung Cancer
Objective To evaluate the application value of carcinoembryonic antigen(CEA),squamous cell carcinoma antigen(SCC),cytokeratin fragment 21-1(CYFRA21-1),neuron-specific enolase(NSE),and combined with CT scan in the diagnostic detection of non-small cell lung cancer.Methods A total of 58 patients with non-small cell lung cancer diagnosed in Nanjing Yuhua Hospital from January,2020 to December,2022 were enrolled as the observation group,including 30 cases of adenocarcinoma,10 cases of large cell carcinoma and 18 cases of squamous cell carcinoma.During the same period,58 healthy volunteers examined in outpatient clinics were included as a control group.The expression levels of CEA,SCC,CYFRA21-1 and NSE in serum samples were analyzed by chemiluminescence.CT scan was applied for the combined diagnosis.Results Serum levels of CEA,SCC,CYFRA21-1 and NSE in the observation group were significantly higher than those in the control group(P<0.05).CEA expression levels were correlated with adenocarcinoma tumor size diagnosed by CT;Serum levels of CEA were related to tumor size in large cell carcinoma;SCC,CYFRA21-1 and NSE were associated with squamous cell carcinoma.Conclusion The use of serum SCC,CYFRA21-1,NSE and CEA combined with CT scan has a high sensitivity and diagnostic accuracy for the diagnosis of non-small cell lung cancer.It can provide a clinical diagnostic reference.

Tumor markersComputed tomographyNon-small cell lung cancerTumor size

刘景、晏远飞

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南京市雨花医院,检验科,江苏南京 210039

南京市雨花医院,呼吸内科,江苏南京 210039

肿瘤标志物 计算机断层扫描 非小细胞肺癌 肿瘤大小

2024

标记免疫分析与临床
中国同辐股份有限公司

标记免疫分析与临床

CSTPCD
影响因子:0.978
ISSN:1006-1703
年,卷(期):2024.31(2)
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