辽宁医学杂志2024,Vol.38Issue(1) :70-73.

糖类抗原125及胸苷激酶1与乳腺癌术后复发的关系

The relationship between carbohydrate antigen 125 combined with thymidine kinase 1 and postop-erative recurrence of breast cancer

刘莹莹 李文慧 郑诗林
辽宁医学杂志2024,Vol.38Issue(1) :70-73.

糖类抗原125及胸苷激酶1与乳腺癌术后复发的关系

The relationship between carbohydrate antigen 125 combined with thymidine kinase 1 and postop-erative recurrence of breast cancer

刘莹莹 1李文慧 1郑诗林1
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作者信息

  • 1. 郑州市第七人民医院(河南郑州 450000)
  • 折叠

摘要

目的 探究糖类抗原125(CA125)及胸苷激酶1(TK1)与乳腺癌术后复发的关系.方法 选取2018年1月至2020年1月郑州市第七人民医院收治的86例乳腺癌患者为研究组对象,另选取与本院同期体检的80例健康者作为对照组,研究组患者于术前和术后一周检测血清CA125、TK1、癌胚抗原(CEA)、糖类抗原153(CA153)水平,对照组患者于体检当日检测血清CA125、TK1水平,探究CA125、TK1水平与乳腺癌术后复发的关系,比较复发者与未复发患者术前和术后一周CA125、TK1.结果 研究组术前和术后一周TK1、CA125水平均高于对照组(P<0.05),研究组术后一周TK1、CA125水平显著低于术前(P<0.05);Ⅰ期乳腺癌患者TK1、CA125水平均低于Ⅱ期乳腺癌患者(P<0.05);在8个月的术后随访中,21例患者复发,复发率为24.42%(21/86),复发患者TK1、CA125、CA153、CEA水平高于未复发患者(P<0.05).术前,复发者与未复发患者TK1、CA125水平比较差异无统计学意义(P>0.05);术后一周,复发者与未复发患者TK1、CA125水平均降低(P<0.05),且复发患者TK1、CA125水平高于未复发患者(P<0.05).结论 血清TK1、CA125可在一定程度上反应乳腺癌病情进展,术后复发患者TK1、CA125水平较高,TK1联合CA125在预测乳腺癌患者术后复发风险方面有一定价值.

Abstract

Objective To explore the relationship between carbohydrate antigen 125(CA1 25)combined with thymidine kinase 1(TK1)and recurrence of breast cancer after surgery.Methods A total of 86 breast cancer patients admitted to Gongyi City People's Hospital from January 2018 to January 2020 were selected as the study group,and 80 healthy patients who received physical examinations at the same time as the hospital were selected as the control group.Patients in the study group were treated before and after surgery Serum CA125 and TK1 levels were detected in the next week.Serum CA125,TK1,carcinoembryonic antigen(CEA),carbohydrate antigen 153(CA153)levels were detected in the control group on the day of physical examination to explore the relationship between CA125 and TK1 levels and breast cancer recurrence after surgery.CA125 and TK1 were compared before and one week after surgery in recurrent and non-recurring patients.Results The levels of TK1 and CA125 in the study group before and one week after the operation were higher than those in the control group(P<0.05),and the levels of TK1 and CA125 in the study group were significantly lower than those before the operation one week after the operation(P<0.05);The levels of TK1 and CA125 in stage Ⅰ breast cancer patients were lower than those in stage Ⅱ breast cancer patients(P<0.05);During the 8-month postoperative follow-up,21 patients relapsed,with a recurrence rate of 24.42%(21/86).The levels of TK1,CA125,CEA,CA153in relapsed patients were higher than those in non-relapsed patients(P<0.05).Before surgery,there was no significant difference in the levels of TK1 and CA1 25 between patients with recurrence and those without recurrence(P>0.05).One week after the operation,the levels of TK1 and CA125 in the recurrence and non-recurrence patients were decreased(P<0.05),and the TK1 and CA125 lev-els in the recurrence patients were higher than those in the non-recurrence patients(P<0.05).Conclusion Serum TK1 and CA125 can reflect the progress of the disease to a certain extent.The levels of TK1 and CA125 are higher in patients with postoperative recurrence.TK1 combined with CA125 has a certain value in predicting the risk of postoperative recur-rence in breast cancer patients.

关键词

糖类抗原125/胸苷激酶1/乳腺癌/术后复发

Key words

Carbohydrate Antigen 125/Thymidine Kinase 1/Breast Cancer/Postoperative Recurrence

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出版年

2024
辽宁医学杂志
辽宁省医学会

辽宁医学杂志

影响因子:0.339
ISSN:1001-1722
参考文献量16
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