Niklasson Ola, Skude Gunnar, Lingman Göran, Casslén Bertil, Marsál Karel
Kvinnokliniken, Universitetssjukhuset i Lund.
Lakartidningen. 2005;102(30-31):2141-4.
In diagnosing endometrial carcinoma in women with postmenopausal bleeding analysis of lactate dehydrogenase, LD, isoenzymes in uterine aspirates appeared to have 100 percent sensitivity and negative predictive value combined with high specificity and positive predictive value. Determination of the LD-profile is suggested as a marker for endometrial carcinoma in women with postmenopausal bleeding. Transvaginal ultrasonography might be combined with determination of the LD-isoenzyme profile to secure the diagnosis of endometrial malignancy in order to minimize the use of other more invasive diagnostic methods.
在诊断绝经后出血女性的子宫内膜癌时,对子宫吸出物中的乳酸脱氢酶(LD)同工酶进行分析,其敏感性和阴性预测值达100%,同时具有高特异性和阳性预测值。建议将LD谱的测定作为绝经后出血女性子宫内膜癌的一个标志物。经阴道超声检查可与LD同工酶谱的测定相结合,以确保对子宫内膜恶性肿瘤的诊断,从而尽量减少使用其他侵入性更强的诊断方法。