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C反应蛋白值和肿瘤分级对恶性肿瘤的意义:一项系统评价

The Significance of C-Reactive Protein Value and Tumor Grading for Malignant Tumors: A Systematic Review.

作者信息

Șiancu Paul, Oprinca George-Călin, Vulcu Andra-Cecilia, Pătran Monica, Croitoru Adina Emilia, Tănăsescu Denisa, Bratu Dan, Boicean Adrian, Tănăsescu Ciprian

机构信息

Oncology Department, Sibiu County Emergency Clinical Hospital, 550245 Sibiu, Romania.

Preclinical Department, Faculty of Medicine, Lucian Blaga University of Sibiu, 550169 Sibiu, Romania.

出版信息

Diagnostics (Basel). 2024 Sep 19;14(18):2073. doi: 10.3390/diagnostics14182073.

Abstract

BACKGROUND

Malignant tumors represent a significant pathology with a profound global impact on the medical system. The fight against cancer represents a significant challenge, with multidisciplinary teams identifying numerous areas requiring improvement to enhance the prognosis. Facilitating the patient's journey from diagnosis to treatment represents one such area of concern. One area of research interest is the use of various biomarkers to accurately predict the outcome of these patients. A substantial body of research has been conducted over the years examining the relationship between C-reactive protein (CRP) and malignant tumors. The existing literature suggests that combining imaging diagnostic modalities with biomarkers, such as CRP, may enhance diagnostic accuracy.

METHODS

A systematic review was conducted on the PubMed and Web of Science platforms with the objective of documenting the interrelationship between CRP value and tumor grading for malignant tumors. After the application of the exclusion and inclusion criteria, 17 studies were identified, published between 2002 and 2024, comprising a total of 9727 patients.

RESULTS

These studies indicate this interrelationship for soft tissue sarcomas and for renal, colorectal, esophageal, pancreatic, brain, bronchopulmonary, ovarian, and mesenchymal tumors.

CONCLUSIONS

Elevated CRP levels are correlated with higher grading, thereby underscoring the potential utility of this biomarker in clinical prognostication.

摘要

背景

恶性肿瘤是一种重要的病理学疾病,对全球医疗系统产生深远影响。抗癌斗争是一项重大挑战,多学科团队发现了许多需要改进以改善预后的领域。促进患者从诊断到治疗的过程就是其中一个备受关注的领域。一个研究热点是使用各种生物标志物来准确预测这些患者的预后。多年来已经开展了大量研究,探讨C反应蛋白(CRP)与恶性肿瘤之间的关系。现有文献表明,将影像学诊断方法与CRP等生物标志物相结合,可能会提高诊断准确性。

方法

在PubMed和Web of Science平台上进行了一项系统综述,目的是记录CRP值与恶性肿瘤分级之间的相互关系。应用排除和纳入标准后,确定了17项研究,这些研究发表于2002年至2024年之间,共纳入9727例患者。

结果

这些研究表明,软组织肉瘤以及肾、结肠、食管、胰腺、脑、支气管肺、卵巢和间叶性肿瘤存在这种相互关系。

结论

CRP水平升高与较高分级相关,从而突出了该生物标志物在临床预后评估中的潜在效用。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1142/11430861/0fede9bc3904/diagnostics-14-02073-g001.jpg

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