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口腔鳞状细胞癌胰岛素生长因子的诊断及预后效用

The diagnostic and prognostic utility of insulin growth factor of squamous cell carcinoma in oral cavity.

作者信息

Tiwari Sumit Kumar, Saini Shakuntala, Singhal Pawan, Mathur Ashwin, Sinha Maheep

机构信息

Department of Biochemistry, S.M.S. Medical College and Attached Hospitals, Jaipur, Rajasthan, India.

Department of ENT, S.M.S. Medical College and Attached Hospitals, Jaipur, Rajasthan, India.

出版信息

Tzu Chi Med J. 2020 Aug 25;33(2):160-164. doi: 10.4103/tcmj.tcmj_50_20. eCollection 2021 Apr-Jun.

Abstract

OBJECTIVE

The present study was conducted to find the utility of insulin growth factors (IGFs) as diagnostic and prognostic biochemical parameters in patients suffering from squamous cell carcinoma of oral cavity.

MATERIALS AND METHODS

A total of 360 male and female patients diagnosed with precancerous conditions (PCC) and oral squamous cell carcinoma (OSCC) of Stage I to IV were selected for the present study. Patients were interviewed using a structured questionnaire to ascertain their demographic and medical history. After completing the history and physical examination, patients were subjected to routine blood investigations along with determining insulin growth factor (IGF-1, IGFBP-3) levels. The data obtained were then subjected to statistical analysis using SPSS 20.0 version.

RESULTS

The mean values of IGF-1, insulin-like growth factor-binding protein-3 (IGFBP-3), and ratio of IGF-1 and IGFBP-3 were obtained. The intergroup comparison was done between PCC and all the stages of OSCC for all the IGFs. The result obtained was found to be statistically significant ( < 0.05).

CONCLUSION

The present study concluded that a positive correlation was observed for various insulin growth factors (IGF-1, IGFBP-3; and ratio of IGF-1 and IGFBP-3) between OSCC and PCC such as erythroplakia and oral submucous fibrosis. Thus, the study highlighted the use of IGFs as diagnostic and prognostic parameters in patients suffering from cancerous conditions.

摘要

目的

本研究旨在探讨胰岛素生长因子(IGFs)作为口腔鳞状细胞癌患者诊断和预后生化指标的效用。

材料与方法

本研究共纳入360例诊断为癌前病变(PCC)和I至IV期口腔鳞状细胞癌(OSCC)的男性和女性患者。使用结构化问卷对患者进行访谈,以确定其人口统计学和病史。在完成病史和体格检查后,对患者进行常规血液检查,并测定胰岛素生长因子(IGF-1、IGFBP-3)水平。然后使用SPSS 20.0版本对获得的数据进行统计分析。

结果

得出了IGF-1、胰岛素样生长因子结合蛋白-3(IGFBP-3)以及IGF-1与IGFBP-3的比值的平均值。对所有IGF在PCC和OSCC各阶段之间进行组间比较。结果发现具有统计学意义(<0.05)。

结论

本研究得出结论,在OSCC和PCC(如红斑和口腔黏膜下纤维化)之间观察到各种胰岛素生长因子(IGF-1、IGFBP-3;以及IGF-1与IGFBP-3的比值)呈正相关。因此,该研究强调了IGFs作为癌症患者诊断和预后指标的用途。

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