Department of General Surgery, Kasturba Medical College, Mangalore, Manipal Academy of Higher Education, Manipal, India.
Sci Rep. 2023 Aug 14;13(1):13208. doi: 10.1038/s41598-023-40056-1.
This study aims to determine whether serum Beta hCG can be used as a tumour marker in Breast malignancies. The objective of this study is to evaluate the serum Beta hCG in various stages of breast carcinoma and to correlate its level with disease severity and prognosis. Cross sectional analytical study of assessing serum Beta hCG in 200 patients with palpable breast malignancies at hospitals in urban Mangalore, India. In our study there was No increase in serum Beta hCG, in women with breast malignancies, but there was a pattern amongst the negative results. A Beta hCG of < 5mIU/mL is taken as negative, but in our study of 200 individuals, a mean value of 2mIU/mL was used as differentiation between low and high risk individuals. With our study we tried to correlate the value of Beta hCG with malignant breast lesions, and even though women with such lesions did not have a value of > 5mIU/mL, we found substantial evidence that women who had a value of > 2mIU/mL had a more advanced disease, be it in terms of staging, and comparing it with markers like ki67. A direct correlation between Beta hCG and severity of the disease in terms of staging was proved, hereby directly affecting the outcome of patients. Higher the level of Beta hCG, graver the prognosis. Even though Beta hCG cannot be used as tumour marker, it can be used to prognosticate the severity in women with palpable breast malignancies.
本研究旨在确定血清β-HCG 是否可作为乳腺癌的肿瘤标志物。本研究的目的是评估不同阶段乳腺癌患者的血清β-HCG,并将其水平与疾病严重程度和预后相关联。这是在印度芒格洛尔市的医院中对 200 名可触及乳腺恶性肿瘤患者进行的评估血清β-HCG 的横断面分析性研究。在我们的研究中,患有乳腺恶性肿瘤的女性血清β-HCG 没有升高,但结果呈阴性模式。β-HCG<5mIU/ml 被认为是阴性,但在我们的 200 名个体研究中,2mIU/ml 的平均值被用于区分低危和高危个体。通过我们的研究,我们试图将β-HCG 值与恶性乳腺病变相关联,尽管患有此类病变的女性β-HCG 值没有>5mIU/ml,但我们发现了充分的证据表明,β-HCG 值>2mIU/ml 的女性疾病更严重,无论是在分期方面,还是与 Ki67 等标志物相比。β-HCG 与疾病严重程度(分期)之间存在直接相关性,从而直接影响患者的预后。β-HCG 水平越高,预后越差。尽管β-HCG 不能作为肿瘤标志物,但它可用于预测可触及乳腺恶性肿瘤女性的严重程度。