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放疗后肺癌患者血清神经元特异性烯醇化酶和鳞状细胞癌抗原的表达变化及临床意义。

Expression changes and clinical significance of serum neuron-specific enolase and squamous cell carcinoma antigen in lung cancer patients after radiotherapy.

机构信息

No.7 Departments of Oncology, The First People's Hospital of Lianyungang, Jiangsu, China.

No.7 Departments of Oncology, The First People's Hospital of Lianyungang, Jiangsu, China.

出版信息

Clinics (Sao Paulo). 2023 Mar 24;78:100135. doi: 10.1016/j.clinsp.2022.100135. eCollection 2023.

Abstract

OBJECTIVE

To explore the changes and clinical significance of serum Neuron-Specific Enolase (NSE) and Squamous Cell Carcinoma antigen (SCC) in patients with lung cancer before and after radiotherapy.

METHODS

82 patients with lung cancer were treated with radiotherapy, and effective clinical intervention was given during the radiotherapy process. The patients were followed up for 1 year after radiotherapy and were divided into a recurrence and metastasis group (n = 28) and a non-recurrence and metastasis group (n = 54) according to their prognosis. Another 54 healthy volunteers examined in the present study's hospital during the same period were selected as the control group. To compare the changes of NSE and SCC levels in serum in patients with lung cancer at admission and after radiotherapy, and to explore their clinical significance.

RESULTS

After intervention, NSE and SCC levels in the serum of the two groups of patients were significantly lower than those before intervention, and the levels of CD4 and CD4/CD8 were significantly higher than those before intervention (p < 0.05); the level of CD8 was not significantly different from that before intervention (p > 0.05). And NSE and SCC levels in the intervention group were significantly lower than those in the routine group, the levels of CD4, CD4/CD8 were significantly higher than those in the routine group (p < 0.05).

CONCLUSION

NSE and SCC in serum can preliminarily evaluate the effect of radiotherapy in patients with lung cancer and have a certain predictive effect on prognosis.

摘要

目的

探讨肺癌患者放疗前后血清神经元特异性烯醇化酶(NSE)和鳞状细胞癌抗原(SCC)的变化及其临床意义。

方法

82 例肺癌患者采用放疗进行治疗,在放疗过程中给予有效的临床干预。放疗后对患者进行 1 年随访,并根据预后将患者分为复发转移组(n=28)和非复发转移组(n=54)。另选取同期在本院体检的 54 例健康志愿者作为对照组。比较入院时和放疗后肺癌患者血清 NSE 和 SCC 水平的变化,并探讨其临床意义。

结果

干预后,两组患者血清 NSE 和 SCC 水平均明显低于干预前,CD4 和 CD4/CD8 水平明显高于干预前(p<0.05);CD8 水平与干预前无明显差异(p>0.05)。干预组 NSE 和 SCC 水平明显低于常规组,CD4、CD4/CD8 水平明显高于常规组(p<0.05)。

结论

血清 NSE 和 SCC 可初步评估肺癌患者放疗效果,对预后有一定的预测作用。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8c53/10091459/86a3b5fa3075/gr1.jpg

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