首页|肿瘤标志物联合HER-2在原发性胃癌患者中的诊断效能

肿瘤标志物联合HER-2在原发性胃癌患者中的诊断效能

扫码查看
目的 研究分析原发性胃癌患者诊断中联合人表皮生长因子受体2(Human Epidermal Growth Factor Re-ceptor 2,HER-2)的临床价值.方法 将2017年6月—2023年1月在徐州医科大学附属邳州医院接受治疗的60例原发性胃癌患者选为观察组,将同期接受体检的60例健康者选为参照组.两组均给予肿瘤标志物水平、HER-2水平检验,对比两组肿瘤标志物水平、HER-2水平,以及肿瘤标志物诊断、HER-2诊断、肿瘤标志物联合HER-2诊断的准确度、灵敏度、特异度.结果 观察组糖类抗原19-9、糖类抗原125、糖类抗原72-4、癌胚抗原、HER-2 水平分别为(50.37±5.42)U/mL、(49.63±5.29)U/mL、(11.69±2.42)U/mL、(17.53±3.28)ng/mL、(20.65±3.58)ng/mL,明显高于参照组,差异有统计学意义(t=60.451、59.408、30.833、35.147、18.848,P均<0.05).肿瘤标志物联合HER-2诊断原发性胃癌的灵敏度与准确度分别为98.33%、97.50%,高于肿瘤标志物和HER-2单一诊断,差异有统计学意义(P均<0.05).结论 肿瘤标志物与HER-2均可用于诊断原发性胃癌,两者联合的诊断效能更高.
Diagnostic Efficacy of Tumor Markers Combined with HER-2 in Patients with Primary Gastric Cancer
Objective To study and analyze the clinical value of human epidermal growth factor receptor 2(HER-2)combined with human epidermal growth factor receptor 2 in the diagnosis of primary gastric cancer patients.Methods Sixty patients with primary gastric cancer who received treatment in Xuzhou Medical University Affiliated Pizhou Hos-pital from June 2017 to January 2023 were selected as the observation group,and sixty healthy subjects who under-went physical examination during the same period were selected as the reference group.Tumor marker level and HER-2 level were tested in both groups.The accuracy,sensitivity and specificity of tumor marker level,HER-2 level and tumor marker diagnosis,HER-2 diagnosis and tumor marker combined with HER-2 diagnosis were compared be-tween the two groups.Results The levels of carbohydrate antigen 19-9(CA19-9),carbohydrate antigen 125(CA125),carbohydrate antigen 72-4(CA72-4),carcinoembryonic antigen(CEA)and HER-2 in the observation group were(50.37±5.42)U/mL,(49.63±5.29)U/mL and(11.69±2.42)U/mL,(17.53±3.28)ng/mL,(20.65±3.58)ng/mL,signifi-cantly higher than those in the reference group,and the differences were statistically significant(t=60.451,59.408,30.833,35.147,18.848,all P<0.05).The sensitivity and accuracy of tumor marker combined with HER-2 in the diag-nosis of primary gastric cancer were 98.33%and 97.50%,respectively,higher than those of tumor marker combined with HER-2 alone,the differences were statistically significant(both P<0.05).Conclusion Both tumor markers and HER-2 can be used in the diagnosis of primary gastric cancer,and the combination of the two has a higher diagnostic efficiency.

Primary gastric cancerTumor markersCarbohydrate antigen 19-9Carbohydrate antigen 125Carbohydrate antigen 72-4Carcinoembryonic antigenHuman epidermal growth factor receptor 2

张娟、张东英、王琴

展开 >

徐州医科大学附属邳州医院病理科,江苏徐州 221300

徐州医科大学附属邳州医院检验科,江苏徐州 221300

原发性胃癌 肿瘤标志物 糖类抗原19-9 糖类抗原125 糖类抗原72-4 癌胚抗原 人表皮生长因子受体2

2024

系统医学

系统医学

ISSN:
年,卷(期):2024.9(2)
  • 20