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血清肿瘤标志物联合检测诊断原发性肝癌研究进展

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原发性肝癌(PLC)是目前临床较为常见的癌症疾病之一,绝大多数PLC在临床诊断上属于肝细胞癌.其原发于肝脏,病因、发病机制尚不明确,早期症状隐匿,随着病情的逐渐发展,患者会出现不同程度的食欲不振、精神萎靡等症状,同时患者会逐渐消瘦,体质量下降较快.该病即便经过治疗,也存在较为明显的复发风险,预后较差并且死亡率较高.PLC在临床上最为有效的治疗原则为"早检查、早诊断、早治疗",因此,早期发现和诊断对PLC治疗尤为重要.PLC的早期诊断包括病理、影像学、血清肿瘤标志物等重要手段,其中肿瘤标志物检测较方便、快捷,越来越多地被运用到临床及科研中,而在PLC的诊断中,血清多项肿瘤标志物的联合检测相较于单项检测来说,其敏感度和特异度均有相应的提高.本文对血清肿瘤标志物单项及其联合检测在PLC临床诊断价值中的研究进展进行综述,以期为PLC的临床诊断提供参考方案.
Research progress of combined detection of serum tumor markers in the diagnosis of primary liver cancer
Primary liver cancer(PLC)is one of the more common cancer diseases in clinical practice,and most of PLC are clinically diagnosed as hepatocellular carcinoma.Its primary in the liver,etiology and pathogenesis are not clear,early symptoms hidden,with the gradual development of the disease,patients will appear to varying degrees of loss of appetite,listlessness of spirit and other symptoms,at same time,the patients will gradually lose weight,weight loss faster.Even after treatment,there is a significant risk of recurrence,poor prognosis and high mortality.The most effective treatment principle for PLC is"early examination,early diagnosis and early treatment".Therefore,early detection and diagnosis are particularly important for the treatment of PLC.In the early diagnosis of PLC include important methods such as pathology,radiology and serum tumor markers.Tumor marker detection is more convenient and fast,and is increasingly being applied in clinical and scientific research.In the diagnosis of PLC,the combined detection of multiple tumor markers in serum has a corresponding increase in sensitivity and specificity compared to single detection.This article provides a review of the research progress on the clinical diagnostic value of serum tumor markers and their combined detection in PLC,in order to provide the reference plan for clinical diagnosis of PLC.

Primary liver cancerDiagnosisTumor markers

杨结、谢万珍

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天津市第三中心医院检验科免疫室,天津市重症疾病体外生命支持重点实验室,天津市人工细胞工程技术研究中心,天津市肝胆疾病研究所,天津 300170

天津医科大学

原发性肝癌 诊断 肿瘤标志物

2024

中国城乡企业卫生
中华预防医学会 天津市职业病防治院

中国城乡企业卫生

影响因子:0.239
ISSN:1003-5052
年,卷(期):2024.39(2)
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