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CA-153、CA-125和载脂蛋白A对绝经后乳腺癌女性患者眼部转移的预测价值。

Predictive value of CA-153, CA-125 and Apo A for ocular metastasis in menopausal female patients with breast cancer.

作者信息

Liu Qun-Ce, Ling Qian, Zeng Yan-Mei, Chen Cheng, Wei Hong, Hu Jin-Yu, Zou Jie, Wang Xiao-Yu, Chen Xu, Shao Yi

机构信息

Department of Laboratory Medicine, Guangxin District Maternal and Child Health Hospital, Shangrao 334000, Jiangxi Province, China.

Department of Ophthalmology, the First Affiliated Hospital of Nanchang University, Nanchang 330006, Jiangxi Province, China.

出版信息

Int J Ophthalmol. 2024 Dec 18;17(12):2265-2275. doi: 10.18240/ijo.2024.12.15. eCollection 2024.

Abstract

AIM

To establish a meaningful standard for diagnosing ocular metastasis (OM) in menopausal breast cancer (BC) women, and explore the relationship between CA-153, CA-125, apolipoprotein A, and OM.

METHODS

A total of 1362 menopausal female BC patients with OM volunteered to take part in this study between July 2012 and July 2022. Women with BC who are menopausal were found to have an OM incidence of 1.6%. Furthermore, CA-153, CA-125, and apolipoprotein A (Apo A) all contributed to OM in women with BC who are postmenopausal according to binary logistic regression. Receiver operating curve (ROC) analysis was used to assess the diagnostic value of OM in patients with BC.

RESULTS

Both CA-153 and CA-153+CA-125 showed a higher sensitivity of 95.45%, whereas CA-153+Apo A illustrated the highest specificity of 99.02%. Moreover, CA-153 and CA-153+CA-125 had higher areas under the curve (AUC) of 0.973.

CONCLUSION

The data indicate that the serum concentrations of CA-153 exhibited the most significant predictors of the diagnosis of OM in menopausal women with BC. The current study researches the utility of risk factors in predicting of OM in menopausal BC women and put forward the latest suggestions on their clinical application.

摘要

目的

建立一种有意义的诊断绝经后乳腺癌(BC)患者眼部转移(OM)的标准,并探讨CA-153、CA-125、载脂蛋白A与OM之间的关系。

方法

2012年7月至2022年7月期间,共有1362例绝经后BC伴OM的女性患者自愿参与本研究。发现绝经后BC女性的OM发生率为1.6%。此外,根据二元逻辑回归分析,CA-153、CA-125和载脂蛋白A(Apo A)均与绝经后BC女性的OM有关。采用受试者工作特征曲线(ROC)分析评估BC患者中OM的诊断价值。

结果

CA-153以及CA-153 + CA-125的敏感性较高,为95.45%,而CA-153 + Apo A的特异性最高,为99.02%。此外,CA-153和CA-153 + CA-125的曲线下面积(AUC)较高,为0.973。

结论

数据表明,血清CA-153浓度是绝经后BC女性OM诊断的最显著预测指标。本研究探讨了绝经后BC女性OM预测中危险因素的作用,并对其临床应用提出了最新建议。

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