首页|IGF-1、IGFBP-3在非小细胞肺癌组织中的表达及其临床意义

IGF-1、IGFBP-3在非小细胞肺癌组织中的表达及其临床意义

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目的 探讨类胰岛素一号生长因子(IGF-1)、胰岛素样生长因子结合蛋白-3(IGFBP-3)在非小细胞肺癌(NSCLC)患者血清和肺癌组织中的表达及临床意义.方法 收集98 例NSCLC 纳入观察组,同时收集肺部良性病变 40例纳入对照组.统计两组血清及肺癌组织中IGF-1、IGFBP-3 表达.结果 观察组血清IGF-1 水平高于对照组,IGFBP-3水平低于对照组,P<0.05.血清IGF-1、IGFBP-3 水平与TNM分期、淋巴结转移、局部侵犯有关,P<0.05.观察组IGF-1阳性表达率显著高于对照组,IGFBP-3 阳性表达率显著低于对照组,P<0.05.IGF-1、IGFBP-3 阳性表达率与TNM分期、淋巴结转移、局部侵犯有关,P<0.05.血清IGF-1 诊断NSCLC AUC为0.733,灵敏度 55.5%,特异度 91.2%,最佳截断值150.26 μg/L;血清IGFBP-3 诊断NSCLC AUC为0.799,灵敏度63.6%,特异度78.6%,最佳截断值1413.54 μg/L.结论 NSCLC患者血清IGF-1、IGFBP-3 主要与TNM分期、淋巴结转移及局部侵犯存在关系,且血清IGF-1、IGFBP-3 水平可作为NSCLC辅助诊断手段.
Expression and Clinical Significance of IGF-1 and IGFBP-3 in Non-small Cell Lung Tissue
Objective To investigate the expression and clinical significance of IGF-1 and IGFBP-3 in serum and lung cancer tissues of patients with non small-cell lung cancer(NSCLC).Methods 98 cases of NSCLC were included in the observa-tion group,and 40 cases of benign lung lesions were included in the control group.The expression of IGF-1 and IGFBP-3 in serum and lung cancer tissues of the 2 groups were analyzed.Results The serum IGF-1 level in the observation group was higher than that in the control group,and the serum IGFBP-3 level was lower than that in the control group,P<0.05.Serum IGF-1 and IG-FBP-3 levels were correlated with TNM stage,lymph node metastasis and local invasion(P<0.05).The positive expression rate of IGF-1 and IGFBP-3 in the observation group was significantly higher than that in the control group,and the positive expression rate of IGFBP-3 was significantly lower than that in the control group,P<0.05.The positive expression rates of IGF-1 and IG-FBP-3 were correlated with TNM stage,lymph node metastasis and local invasion(P<0.05).The AUC of serum IGF-1 for the di-agnosis of NSCLC was 0.733,the sensitivity was 55.5%,the specificity was 91.2%,and the best cutoff value was 150.26 μg/L.The AUC of serum IGFBP-3 in the diagnosis of NSCLC was 0.799,the sensitivity was 63.6%,the specificity was 78.6%,and the best cutoff value was 1413.54 μg/L.Conclusion Serum IGF-1 and IGFBP-3 in patients with NSCLC are mainly related to TNM stage,lymph node metastasis and local invasion,and serum IGF-1 and IGFBP-3 levels can be used as auxiliary diagnostic means for NSCLC.

Non-small cell lung cancerIGF-1IGFBP-3

李冯洋、赵兵、饶钟鸣

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463000 河南省驻马店市中心医院

非小细胞肺癌 IGF-1 IGFBP-3

2024

实用癌症杂志
江西省肿瘤医院 江西省肿瘤研究所

实用癌症杂志

影响因子:1.241
ISSN:1001-5930
年,卷(期):2024.39(3)
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