Jibiki K, Odagiri E, Demura R, Demura H, Yamaguchi Y
Gan No Rinsho. 1985 Oct;31(13):1709-16.
Serum levels of hCG, AFP, CEA and testosterone were measured in 20 patients with testicular tumors for an evaluation of their clinical significance as tumor markers. HCG was elevated in those with chorional and syncytiotrophoblastic cell tumors, but it was also detected in some cases of embryonal carcinoma and seminoma, suggesting the presence of hCG-producing elements. AFP was exclusively elevated in embryonal and yolk sac tumors. CEA and testosterone were mostly normal in all patients. HCG and AFP fluctuated in good correlation with the clinical course. Thus, hCG and AFP were valuable tumor markers for testicular tumors for the diagnosis of histological type and stage and monitoring the therapeutic effect and prognosis.
检测了20例睾丸肿瘤患者的血清人绒毛膜促性腺激素(hCG)、甲胎蛋白(AFP)、癌胚抗原(CEA)和睾酮水平,以评估它们作为肿瘤标志物的临床意义。绒毛膜和合体滋养层细胞瘤患者的hCG升高,但在一些胚胎癌和精原细胞瘤病例中也检测到hCG,提示存在产生hCG的成分。AFP仅在胚胎性和卵黄囊肿瘤中升高。所有患者的CEA和睾酮大多正常。hCG和AFP的波动与临床病程密切相关。因此,hCG和AFP是诊断睾丸肿瘤组织学类型和分期、监测治疗效果及预后的有价值的肿瘤标志物。