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联合检测血清和组织中 CA15-3、CEA 和 SF 对犬乳腺肿瘤患者的诊断价值。

Combined detection of CA15-3, CEA, and SF in serum and tissue of canine mammary gland tumor patients.

机构信息

Department of Veterinary Clinic, College of Veterinary Medicine, Northeast Agricultural University, Harbin, 150000, Heilongjiang, People's Republic of China.

College of Veterinary Medicine, Henan University of Animal Husbandry and Economy, Zhengzhou, Henan, 450046, People's Republic of China.

出版信息

Sci Rep. 2021 Mar 23;11(1):6651. doi: 10.1038/s41598-021-85029-4.

Abstract

The purpose of this study is to evaluate the levels and clinical diagnosis value of CA15-3, CEA, and SF in canine mammary gland tumors (CMGTs). In this study, the levels of tissues/serum CA15-3, CEA, and SF in 178 CMGT patients or healthy dogs were determined by ELISA and qRT-PCR assay. CA15-3, CEA, and SF levels of the malignant tumor group were significantly higher than that of the benign tumor group and the healthy control group. In the malignant tumor group, CA15-3 held a sensitivity of 51.8%, a specificity of 93.9%, and an accuracy of 76.8%. The sensitivity, specificity, and accuracy of CEA were 44.6%, 84.1%, and 68.1% respectively. SF held a sensitivity of 62.5%, a specificity of 85.4%, and an accuracy of 76.1%. SF showed the highest sensitivity and CA15-3 showed the highest specificity. The sensitivity, specificity, and accuracy of the combined detection of the three biomarkers in malignant tumor groups were 80.4%, 78.0%, and 80.0%, respectively, therefore combined detection increased sensitivity and accuracy but decreased specificity. In conclusion, the combined detection of serum/tissue markers CA15-3, CEA, and SF may improve the detection sensitivity of CMGTs, providing reference value for clinical application.

摘要

本研究旨在评估 CA15-3、CEA 和 SF 在犬乳腺肿瘤(CMGT)中的水平及其临床诊断价值。本研究采用 ELISA 和 qRT-PCR 法检测了 178 例 CMGT 患者或健康犬组织/血清 CA15-3、CEA 和 SF 的水平。恶性肿瘤组的 CA15-3、CEA 和 SF 水平明显高于良性肿瘤组和健康对照组。在恶性肿瘤组中,CA15-3 的灵敏度为 51.8%,特异性为 93.9%,准确性为 76.8%。CEA 的灵敏度、特异性和准确性分别为 44.6%、84.1%和 68.1%。SF 的灵敏度为 62.5%,特异性为 85.4%,准确性为 76.1%。SF 的灵敏度最高,CA15-3 的特异性最高。三种标志物联合检测在恶性肿瘤组中的灵敏度、特异性和准确性分别为 80.4%、78.0%和 80.0%,因此联合检测提高了检测的灵敏度和准确性,但降低了特异性。总之,血清/组织标志物 CA15-3、CEA 和 SF 的联合检测可能提高 CMGT 的检测灵敏度,为临床应用提供参考价值。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2092/7988110/28a6ff86ca9d/41598_2021_85029_Fig1_HTML.jpg

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