Fujii M, Kiura K, Kamei H, Segawa Y
Nihon Kyobu Shikkan Gakkai Zasshi. 1989 Apr;27(4):452-5.
Carcinoembryonic antigen (CEA), squamous cell carcinoma related antigen (SCC) and neuron-specific enolase (NSE) in bronchoalveolar lavage fluid were measured in 30 patients with peripheral lung cancer, 11 patients with benign lung disease and 19 healthy controls. The mean levels and positive rates of lavaged fluid CEA were 128.0 +/- 16.9 ng/mg and 33.3% in patients with lung cancer, 68.1 +/- 25.9 ng/mg and 9.1% in patients with benign lung disease, and 68.3 +/- 11.6 ng/mg and 5.2% in healthy controls, respectively. The mean levels and positive rates of lavaged fluid CEA in patients with lung cancer were significantly higher than those in patients with benign lung disease (p less than 0.05) and those in healthy controls (p less than 0.05). The mean levels of lavaged fluid SCC and NSE showed no significant difference between cases of lung cancer and benign lung disease or healthy controls. No lavaged tumor marker level in patients with lung cancer showed any close correlation with histologic types and serum levels. In conclusion, measurement of lavaged fluid CEA was considered to be useful in the differential diagnosis of peripheral lung cancer.
对30例周围型肺癌患者、11例良性肺病患者及19名健康对照者检测了支气管肺泡灌洗液中的癌胚抗原(CEA)、鳞状细胞癌相关抗原(SCC)和神经元特异性烯醇化酶(NSE)。肺癌患者灌洗液CEA的平均水平及阳性率分别为128.0±16.9 ng/mg和33.3%,良性肺病患者分别为68.1±25.9 ng/mg和9.1%,健康对照者分别为68.3±11.6 ng/mg和5.2%。肺癌患者灌洗液CEA的平均水平及阳性率显著高于良性肺病患者(p<0.05)和健康对照者(p<0.05)。肺癌患者与良性肺病患者或健康对照者灌洗液SCC和NSE的平均水平无显著差异。肺癌患者灌洗液肿瘤标志物水平与组织学类型及血清水平均无密切相关性。总之,检测灌洗液CEA对周围型肺癌的鉴别诊断有一定价值。