Zhu W, Huang Y
Department of Infectious Diseases, Xiangya Hospital, Central South University, Changsha 410008, China.
Zhonghua Gan Zang Bing Za Zhi. 2021 Apr 20;29(4):308-312. doi: 10.3760/cma.j.cn501113-20210402-00158.
The latest research data shows that the cause of death of liver cancer patients ranks third among malignant tumors. The global situation of early detection, early diagnosis and early treatment of liver cancer is severe. Therefore, how to achieve early diagnosis of liver cancer has important clinical significance. At present, alpha-fetoprotein, alpha-fetoprotein-L3 and des-gamma-carboxythrombin are commonly used in the clinical detection of hepatocellular carcinoma; however, their sensitivity cannot meet the diagnostic needs of patients with early liver cancer. With the development of molecular biology techniques such as serum oligosaccharide chains detection, B10, a member of the aldehyde ketone reductase family, microRNAs, circulating tumor cells, DNA methylation, and other novel serum biomarkers, a new option for the early screening and diagnosis of hepatocellular carcinoma patients will be offered.
最新研究数据显示,肝癌患者的死因在恶性肿瘤中位列第三。全球肝癌早期检测、早期诊断和早期治疗的形势严峻。因此,如何实现肝癌的早期诊断具有重要的临床意义。目前,甲胎蛋白、甲胎蛋白-L3和去γ-羧基凝血酶原常用于肝细胞癌的临床检测;然而,它们的敏感性无法满足早期肝癌患者的诊断需求。随着血清寡糖链检测、醛酮还原酶家族成员B10、微小核糖核酸、循环肿瘤细胞、DNA甲基化等分子生物学技术的发展,以及其他新型血清生物标志物的出现,将为肝细胞癌患者的早期筛查和诊断提供新的选择。