Liu Zhi-Ping, Zhou Ke-Ying, Chen Li-Li, Xiao Zhi-Hui, Chen Yan-Zhao
Department of Pediatrics, The Second Clinical Medical College/Shenzhen People's Hospital, Jinan University, Shenzhen, Guangdong 518020, China.
Zhongguo Dang Dai Er Ke Za Zhi. 2017 Mar;19(3):318-321. doi: 10.7499/j.issn.1008-8830.2017.03.013.
To screen out retinoblastoma (RB)-related serum tumor markers by measuring the levels of serum alpha fetoprotein (AFP), carcino-embryonic antigen (CEA), neuron-specific enolase (NSE), carbohydrate antigen 125 (CA125), carbohydrate antigen 153 (CA153), carbohydrate antigen 199 (CA199), and carbohydrate antigen 724 (CA724) in children with RB.
The levels of seven serum tumor markers (AFP, CEA, NSE, CA125, CA153, CA199, and CA724) were determined in 20 children with RB and 20 healthy children (control) using a chemiluminescent immunoassay.
The serum levels and positive rates of NSE, CA153, and CA199 in the RB group were significantly higher than those in the control group (P<0.05). However, there were no significant differences in the levels of AFP, CEA, CA125, and CA724 between the two groups (P>0.05). NSE had the highest sensitivity, but a relatively low specificity for the diagnosis of RB. CA153 and CA199 had a relatively high specificity, but a relatively low sensitivity for the diagnosis of RB.
The serum levels and positive rates of NSE, CA153, and CA199 are high in children with RB. Combined measurement of these three serum tumor markers may have an important diagnostic value for RB.
通过检测视网膜母细胞瘤(RB)患儿血清中甲胎蛋白(AFP)、癌胚抗原(CEA)、神经元特异性烯醇化酶(NSE)、糖类抗原125(CA125)、糖类抗原153(CA153)、糖类抗原199(CA199)和糖类抗原724(CA724)的水平,筛选出与RB相关的血清肿瘤标志物。
采用化学发光免疫分析法测定20例RB患儿和20例健康儿童(对照组)血清中7种肿瘤标志物(AFP、CEA、NSE、CA125、CA153、CA199和CA724)的水平。
RB组血清NSE、CA153和CA199水平及阳性率均显著高于对照组(P<0.05)。然而,两组间AFP、CEA、CA125和CA724水平差异无统计学意义(P>0.05)。NSE对RB诊断的敏感性最高,但特异性相对较低。CA153和CA199对RB诊断的特异性相对较高,但敏感性相对较低。
RB患儿血清NSE、CA153和CA199水平及阳性率较高。联合检测这三种血清肿瘤标志物可能对RB具有重要的诊断价值。