Singh Preeti, Barpande Suresh R, Bhavthankar Jyoti D, Mandale Mandakini S, Bhagwat Atul U
Department of Oral Pathology and Microbiology, Government Dental College and Hospital, Aurangabad, Maharashtra, India.
Department of Dentistry, Vaishampayan Memorial Government Medical College, Solapur, Maharashtra, India.
Indian J Dent Res. 2017 Mar-Apr;28(2):162-168. doi: 10.4103/0970-9290.207789.
Oral squamous cell carcinoma (OSCC) is the most common malignant tumor in the oral and maxillofacial region. The diagnosis in most cases is made at advanced stages with lymph node metastases and thus has a poor prognosis. Evidence suggests that detection of molecular abnormalities might be useful in screening for early malignancy. Cytokeratins (CKs) are part of the epithelial cytoskeleton. In malignancy, some CK filament fragments might be released in the serum. CK19 fragment Cyfra 21-1 is useful tumor marker for squamous cell carcinoma, but its clinical value in OSCC has not been confirmed. Hence, the aim was to investigate the diagnostic value of serum Cyfra 21-1 in OSCC patients.
The preoperative serum Cyfra 21-1 concentration of forty OSCC patients and forty healthy controls was detected by enzyme-linked immunosorbent assay (ELISA) using a commercial Cyfra 21-1 ELISA kit Xema Co., Ltd., Moscow, Russia. All statistical analyses were performed on STATISTICA statistical software (Windows version 6.0).
There was a statistically significant difference (P P P = 0.459).
It could thus be conjectured from the present study that increased serum Cyfra 21-1 level can be used as an adjunctive serological marker for the OSCC disease staging.
口腔鳞状细胞癌(OSCC)是口腔颌面部最常见的恶性肿瘤。大多数病例在出现淋巴结转移的晚期才得以诊断,因此预后较差。有证据表明,检测分子异常可能有助于早期恶性肿瘤的筛查。细胞角蛋白(CKs)是上皮细胞骨架的一部分。在恶性肿瘤中,一些CK细丝片段可能会释放到血清中。CK19片段Cyfra 21-1是鳞状细胞癌有用的肿瘤标志物,但其在OSCC中的临床价值尚未得到证实。因此,本研究旨在探讨血清Cyfra 21-1在OSCC患者中的诊断价值。
采用俄罗斯莫斯科Xema有限公司的Cyfra 21-1酶联免疫吸附测定(ELISA)试剂盒,通过ELISA法检测40例OSCC患者和40例健康对照者术前血清Cyfra 21-1浓度。所有统计分析均在STATISTICA统计软件(Windows版本6.0)上进行。
存在统计学显著差异(P P P = 0.459)。
因此,从本研究可以推测,血清Cyfra 21-1水平升高可作为OSCC疾病分期的辅助血清学标志物。