Naritaka Y, Ogawa K, Matsumoto N, Hosokawa T, Kikuchi T, Koyama N, Haga S, Kajiwara T, Sakakibara N
Dept. of Surgery, Tokyo Women's Medical College Daini Hospital.
Gan No Rinsho. 1987 Aug;33(10):1274-80.
In 117 patients with colorectal cancer, the serum levels of CEA, TPA, CA 19-9, IAP, and, AFP have been compared with the clinical findings. The combined assay of 5 tumor markers were found to be useful for the screening of colorectal cancer. Excluding the AFP, positive rate of the markers for colorectal cancer was higher than that for breast cancer (p less than 0.01) and similar to that for gastric cancer. The serum levels of TPA, CEA and CA 19-9 correlated with the histological progression. Thus, they may be an indicator of the degree of lymph node metastasis, liver metastasis, the histological depth, and also may be useful in evaluating the prognosis of patients with colorectal cancer.
对117例结直肠癌患者的癌胚抗原(CEA)、组织多肽抗原(TPA)、糖类抗原19-9(CA 19-9)、抑制素(IAP)及甲胎蛋白(AFP)血清水平与临床检查结果进行了比较。发现5种肿瘤标志物联合检测对结直肠癌筛查有帮助。排除AFP后,结直肠癌标志物的阳性率高于乳腺癌(p<0.01),与胃癌相似。TPA、CEA及CA 19-9的血清水平与组织学进展相关。因此,它们可能是淋巴结转移、肝转移程度及组织学浸润深度的指标,也有助于评估结直肠癌患者的预后。