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[肿瘤标志物癌胚抗原(CEA)、糖类抗原19-9(Ca 19-9)、糖类抗原125(Ca 125)、糖类抗原15-3(Ca15-3)及鳞状细胞癌抗原(SCC)对头颈部肿瘤患者复发性肿瘤检测的诊断价值]

[The diagnostic value of the tumor markers CEA, "Ca 19-9", "Ca 125", "Ca15-3" and "SCC" for the detection of recurrent tumors in patients with tumors of the head and neck].

作者信息

Zöller J, Fiehn W, Mende U, Hotz G

机构信息

Klinik und Polklinik für Mund-Kiefer-Gesichtschirurgie der Universität Heidelberg.

出版信息

Dtsch Z Mund Kiefer Gesichtschir. 1990 Jul-Aug;14(4):254-9.

PMID:2134649
Abstract

An increased squamous cell carcinoma antigen (SCC) value was found in 33.3% of the patients with carcinomas of the oral cavity. In those patients in whom the tumor recurred, this percentage increased to 75%. Although elevated in 43.4% of the tumor patients, CEA values failed to drop after treatment like the SCC antigens did. Nor was there, in contrast to the SCC antigens, any evident correlation with tumor volume. Thus, pathologic CEA values must be attributed to non-tumor specific concomitant diseases. Ca 19-9, Ca 125 and Ca 15-3 exhibited poor sensitivity. According to the results of our studies the only valid tumor markers are SCC antigens, particularly for monitoring treatment.

摘要

在33.3%的口腔癌患者中发现鳞状细胞癌抗原(SCC)值升高。在肿瘤复发的患者中,这一比例增至75%。虽然43.4%的肿瘤患者CEA值升高,但与SCC抗原不同,CEA值在治疗后并未下降。而且,与SCC抗原相反,CEA值与肿瘤体积没有明显相关性。因此,CEA值异常必定归因于非肿瘤特异性的伴随疾病。Ca 19-9、Ca 125和Ca 15-3的敏感性较差。根据我们的研究结果,唯一有效的肿瘤标志物是SCC抗原,尤其是用于监测治疗。

相似文献

1
[The diagnostic value of the tumor markers CEA, "Ca 19-9", "Ca 125", "Ca15-3" and "SCC" for the detection of recurrent tumors in patients with tumors of the head and neck].[肿瘤标志物癌胚抗原(CEA)、糖类抗原19-9(Ca 19-9)、糖类抗原125(Ca 125)、糖类抗原15-3(Ca15-3)及鳞状细胞癌抗原(SCC)对头颈部肿瘤患者复发性肿瘤检测的诊断价值]
Dtsch Z Mund Kiefer Gesichtschir. 1990 Jul-Aug;14(4):254-9.
2
The significance of ferritin, lipid-associated sialic acid, CEA, squamous cell carcinoma (SCC) antigen, and CYFRA 21-1 levels in SCC of the head and neck.铁蛋白、脂质相关唾液酸、癌胚抗原、鳞状细胞癌(SCC)抗原及细胞角蛋白19片段(CYFRA 21-1)水平在头颈部鳞状细胞癌中的意义。
Kulak Burun Bogaz Ihtis Derg. 2004;12(1-2):23-30.
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CYFRA 21-1 is not superior to SCC antigen and CEA in head and neck squamous cell cancer.细胞角蛋白19片段在头颈部鳞状细胞癌中并不优于鳞状细胞癌抗原和癌胚抗原。
Anticancer Res. 1996 Sep-Oct;16(5B):3117-24.
4
[Tumor markers in patients with head-neck carcinomas].[头颈癌患者的肿瘤标志物]
Laryngorhinootologie. 1990 May;69(5):271-4. doi: 10.1055/s-2007-998188.
5
[Diagnosis of recurrences of head and neck carcinoma with the tumor marker SSC-antigen].[应用肿瘤标志物SSC抗原诊断头颈部癌复发]
Laryngorhinootologie. 2000 Apr;79(4):207-12. doi: 10.1055/s-2000-8796.
6
[Clinical evaluation of tumor markers in head and neck squamous cell carcinomas].[头颈部鳞状细胞癌中肿瘤标志物的临床评估]
Gan No Rinsho. 1990 Mar;36(4):458-64.
7
[A clinical study on CA 15-3, CEA, SCC-Ag in patients with squamous cell carcinoma of the lung].[肺癌鳞状细胞癌患者CA 15-3、癌胚抗原、鳞状细胞癌抗原的临床研究]
Rinsho Hoshasen. 1989 Jan;34(1):63-6.
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[SCC (squamous cell carcinoma) antigen as a tumor marker in cervix cancers].[鳞状细胞癌抗原作为宫颈癌的肿瘤标志物]
Geburtshilfe Frauenheilkd. 1989 Mar;49(3):266-71. doi: 10.1055/s-2008-1035752.
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[The SCC antigen is not a reliable tumor marker in the ENT area. Value of squamous cell carcinoma antigen in diagnosis and follow-up of squamous epithelial carcinoma in the head-neck area. Results of a retrospective study over 6 years].[鳞状细胞癌抗原在耳鼻喉科领域并非可靠的肿瘤标志物。鳞状细胞癌抗原在头颈部鳞状上皮癌诊断及随访中的价值。一项6年回顾性研究结果]
Laryngorhinootologie. 1998 Mar;77(3):165-7. doi: 10.1055/s-2007-996953.
10
[Experiences with the squamous cell carcinoma antigen, a new tumor marker for cancer of the uterine cervix].[鳞状细胞癌抗原的经验,一种用于宫颈癌的新型肿瘤标志物]
Geburtshilfe Frauenheilkd. 1989 Jul;49(7):625-9. doi: 10.1055/s-2008-1026667.

引用本文的文献

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Comparative Analysis of Salivary Tumor Marker CA-125 Among Oral Squamous Cell Carcinoma Patients and Healthy Individuals.口腔鳞状细胞癌患者与健康个体唾液肿瘤标志物CA-125的对比分析
Dent J (Basel). 2025 Apr 29;13(5):194. doi: 10.3390/dj13050194.
2
Clinical relevance of the tumor microenvironment and immune escape of oral squamous cell carcinoma.口腔鳞状细胞癌的肿瘤微环境与免疫逃逸的临床相关性
J Transl Med. 2016 Apr 5;14:85. doi: 10.1186/s12967-016-0828-6.
3
Identification of tumour-related proteins as potential screening markers by proteome analysis-protein profiles of human saliva as a predictive and prognostic tool.
通过蛋白质组学分析鉴定肿瘤相关蛋白作为潜在的筛查标志物-人唾液蛋白质组学作为预测和预后工具。
EPMA J. 2014 Nov 28;5(1):20. doi: 10.1186/1878-5085-5-20. eCollection 2014.
4
Follow-up of collagen crosslink excretion in patients with oral squamous cell carcinoma and analysis of tissue samples.口腔鳞状细胞癌患者胶原交联排泄物的随访及组织样本分析
Br J Cancer. 2003 Nov 3;89(9):1722-8. doi: 10.1038/sj.bjc.6601325.