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探讨分析肿瘤标志物联合检测在肺癌病理类型中的价值。

Exploration and analysis of the value of tumor-marker joint detection in the pathological type of lung cancer.

机构信息

Department of Respiratory Medicine, Hebei General Hospital, Shijiazhuang, Hebei 050051, China.

Department of Thoracic Surgery, Hebei General Hospital, Shijiazhuang, Hebei 050051, China.

出版信息

Cell Mol Biol (Noisy-le-grand). 2020 Sep 30;66(6):93-97.

Abstract

Lung cancer is a disease characterized by the uncontrolled growth of cells in lung tissue. If left untreated, cell growth can spread beyond the lungs to a process called metastasis and reach surrounding tissues or other organs. This experiment was set up to discuss and analyze the research value of joint detection of tumor markers including carcino-embryonic antigen (CEA), cytokeratin 19 fragments (CYFRA21-1) and neuron-specific enolase (NSE) in the diagnosis and pathological type of lung cancer. From November 2016 to February 2018, 378 cases of patients with lung cancer treated in our hospital and 200 cases of people with healthy physical examinations were collected. The electrochemical immunoluminescence method was adopted to detect the CEA, CYFRA21-1 and NSE. The detected positive rate and the concentration of CEA, CYFRA21-1 and NSE of lung cancer group were higher than that of the healthy physical examination group. The differences were of statistical significance (P<0.05); the detected positive rate of CEA and CYFRA21-1 and the concentration of CEA, CYFRA21-1 and NSE of squamous carcinoma group were higher than that of the adenocarcinoma group. The differences were of statistical significance (P<0.05). The CEA, CYFRA21-1 and NSE are related to the pathological type of lung cancer and can be regarded as related indicators to diagnose lung cancer.

摘要

肺癌是一种以肺部组织中细胞失控生长为特征的疾病。如果不加以治疗,细胞生长可能会扩散到肺部以外的部位,这一过程称为转移,并扩散到周围组织或其他器官。本实验旨在讨论和分析联合检测癌胚抗原(CEA)、细胞角蛋白 19 片段(CYFRA21-1)和神经元特异性烯醇化酶(NSE)等肿瘤标志物在肺癌诊断和病理类型中的研究价值。

从 2016 年 11 月至 2018 年 2 月,我院共收治 378 例肺癌患者,200 例健康体检者。采用电化学免疫发光法检测 CEA、CYFRA21-1 和 NSE。肺癌组 CEA、CYFRA21-1 检测阳性率及 CEA、CYFRA21-1、NSE 浓度均高于健康体检组,差异有统计学意义(P<0.05);鳞癌组 CEA 和 CYFRA21-1 检测阳性率及 CEA、CYFRA21-1、NSE 浓度均高于腺癌组,差异有统计学意义(P<0.05)。

CEA、CYFRA21-1、NSE 与肺癌的病理类型有关,可作为诊断肺癌的相关指标。

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