首页|血清FOLR1、1L-1β及SMRP联合检测在上皮性卵巢癌早期诊断中的价值

血清FOLR1、1L-1β及SMRP联合检测在上皮性卵巢癌早期诊断中的价值

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目的 分析血清叶酸受体-1(FOLR1)、白细胞介素-1(IL-1β)及可溶性间皮素相关蛋白(SMRP)联合检测在上皮性卵巢癌早期诊断中的价值.方法 回顾性分析150例卵巢肿瘤患者的临床资料,以术后病理诊断结果为金标准,根据良恶性情况将其分为上皮性卵巢癌组(n=84)和非上皮性卵巢癌组(n=66).比较2组入院时血清FOLR1、IL-1β、SMRP水平,采用ROC曲线分析入院时血清FOLR1、IL-1β、SMRP及联合检测对上皮性卵巢癌的早期诊断效能.根据上皮性卵巢癌组患者临床分期标准将其分为Ⅰ期组(n=12)、Ⅱ期组(n=27)、Ⅲ期组(n=31)、Ⅳ期组(n=14)4个亚组,比较不同临床分期的上皮性卵巢癌患者入院时血清FOLR1、IL-1β、SMRP水平差异.结果 上皮性卵巢癌组患者入院时血清FOLR1、IL-1β、SMRP水平均高于非上皮性卵巢癌组(P<0.05).入院时血清FOLR1、IL-1 β、SMRP及其联合检测曲线均明显高于参考线(P<0.05),其cut off值分别为325.94 pg/ml、11.78 pg/ml、3.28 pg/ml.上皮性卵巢癌组患者入院时血清FOLR1、IL-1β、SMRP水平随临床分期升高而升高,且差异均有统计学意义(P<0.05).结论 入院时患者血清FOLR1、IL-1 β及SMRP联合检测在上皮性卵巢癌早期诊断中具有一定临床诊断价值,血清FOLR1、IL-1 β、SMRP水平越高,说明卵巢肿瘤癌变情况越严重.临床治疗可根据血清FOLR1、IL-1β、SMRP水平提前采取治疗措施,以避免肿瘤进一步癌变..
Value of Combined Detection of Serum FOLR1,IL-1 β and SMRP in the Early Diagnosis of Epithelial Ovarian Cancer
Objective To analyze the value of combined detection of serum folate receptor-1(FOLR1),interleukin-1(IL-1β)and soluble mesothelin-related protein(SMRP)in the early diagnosis of epithelial ovarian cancer.Methods The clini-cal data of 150 patients with ovarian tumors were retrospectively analyzed.With the postoperative pathological diagnosis result as the gold standard,the patients were divided into epithelial ovarian cancer group(n=84)and non-epithelial ovarian cancer group(n=66)according to benign and malignant conditions,and serum FOLR1,IL-1 β and SMRP levels at admission were compared between the 2 groups.ROC curve was used to analyze the early diagnostic efficiency of serum FOLR1,IL-1β,SMRP at admission and combined detection on epithelial ovarian cancer.According to the clinical staging criteria,the patients in epithelial ovarian cancer group were classified into stage Ⅰ group(n=12),stage Ⅱ group(n=27),stage Ⅲ group(n=31)and stage Ⅳ group(n=14).The differences in serum levels of FOLR1,IL-1β,and SMRP were compared among patients with epithelial ovarian cancer of different clinical stages.Results The levels of serum FOLR1,IL-1 β and SMRP at admission in epithelial ovarian cancer group were higher than those in non-epithelial ovarian cancer group(P<0.05).The curves of serum FOLR1,IL-1 β,SMRP at admission and combined detection were significantly higher than the reference line(P<0.05),and their cut off values were 325.94 pg/ml,11.78 pg/ml and 3.28 pg/ml respectively.The levels of serum FOLR1,IL-1 β and SMRP at admission in epithelial ovarian cancer group were increased with the increase of clinical stage(P<0.05).Conclusion The combined detection of serum FOLR1,IL-1 β and SMRP at admission has certain clinical diagnostic value in the early diagnosis of epithelial ovarian cancer.The higher the levels of serum FOLR1,IL-1 β and SMRP,the more serious the ovarian cancer.In clinical treatment,it is feasible to take treatment measures in advance according to serum FOLR1,IL-1 β and SMRP levels so as to avoid further further canceration of tumor.

Folate receptor-1Interleukin-1 βSoluble mesothelin-related proteinEpithelial ovarian cancerEarly diag-nosis

张金磊、张燕霞、夏玉红

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450000 河南省郑州人民医院

叶酸受体-1 白细胞介素-1β 可溶性间皮素相关蛋白 上皮性卵巢癌 早期诊断

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(5)
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