首页|肿瘤标志物检测在非小细胞肺癌放化疗中的临床意义

肿瘤标志物检测在非小细胞肺癌放化疗中的临床意义

扫码查看
目的:观察肿瘤标志物在非小细胞肺癌(NSCLC)后程超分割放疗同步化疗中的变化,评价以上肿瘤标志物的临床价值.方法:43例NSCLC患者均进行后程逐量加速超分割照射(LCEHART)同步两周期化疗,分别于治疗前以及治疗完成后3 wk进行肿瘤特异性生长因子(TSGF)以及多肿瘤标志物蛋白芯片检测.结果:TSGF,Ft,CA125在治疗开始时的阳性率分别为67%,53%,55%,治疗后所观测指标中TSGF和CA125有显著性下降(P<0.05),尤其对于达CR的患者.在治疗有效的患者中,CA125阴性患者的近期生存期显著长于阳性患者.结论:NSCLC患者LCEHART同步NP方案化疗中,对于治疗有效患者,TSGF,CA125的下降与影像学资料具有一致性;并且CA125可以作为预后指标.
Clinical significance of tumor markers in combined treatment of radiotherapy and chemotherapy for non-small-cell lung cancer
AIM: To observe the changes of TSGF, Ft and CA125 in non-small-cell lung cancer (NSCLC) treated by late-course escalated hyperfractionated accelerated radiotherapy (LCEHART) combined with chemotherapy and to evaluate the clinical significance of the above tumor makers. METHODS: Forty-three NSCLC patients were treated by LCEHART combined with two-cycle chemotherapy, and TSGF and multi-tumor maker protein chip were detected before and 3 weeks after therapy. RESULTS: The positive rate of TSGF, Ft and CA125 was respectively 67%, 53% and 55% before the treatment. After treatment, significant decrease was observed in TSGF and CA125 (P < 0.05), especially in patients of complete response (CR). Patients of CR and partial response (PR) with negative CA125 expression had longer recent survival time compared with the patients with positive expression (P < 0.05). CONCLUSION: In NSCLC patients who are effectively treated by LCEHART combined with NP chemotherapy, the decrease of TSGF and CA125 is consistent to the imaging changes. CA125 thus can be used as a prognosis index.

lung neoplasmstumor markers, biologicalprotein chipradiotherapydrug therapy

陈梅、周静、陈绪元

展开 >

荆楚理工学院医学院病理学教研室,湖北,荆门,448000

重庆医科大学附属第一医院肿瘤科,重庆,400016

肺肿瘤 肿瘤标记,生物学 蛋白芯片 放射疗法 药物疗法

荆门市科技基金

荆科技20086号/08S19

2009

第四军医大学学报
第四军医大学

第四军医大学学报

CSTPCDCSCD北大核心
影响因子:0.599
ISSN:1000-2790
年,卷(期):2009.30(16)
  • 10
  • 5