Del Vecchio-Blanco C, Caporaso N, Balzano A, Grande R
Quad Sclavo Diagn. 1977 Sep;13(3):288-97.
We have measured the plasma levels of alpha-1 fetoprotein (AFP) and carcinembryonic antigen (CEA) by RIA in 98 chronic liver diseases (20 chronic aggressive hepatitis and 75 cirrhosis), in 46 subjects with several varieties of malignant neoplasias and in 30 normal controls. In cirrhosis levels higher than the media +/- 2 DS of controls were found in 25.3% for AFP (Max. value 250 ng/ml) and in 36.0% for CEA (Max. value 150 ng/ml). Only in 6 cases of cirrhosis we found high levels of AFP and CEA contemporaneously. High levels of AFP were found in 10/13 primary liver cancers and only in 1 patient with colonic carcinomata. High levels of CEA were found in 4/13 primary liver cancers (1 AFP positive too), 3/4 metastatic liver cancers, 7/17 colonic primary cancers, 3/6 bronchogenic carcinoma, and 3/6 other malignancies.
我们采用放射免疫分析法(RIA)检测了98例慢性肝病(20例慢性活动性肝炎和75例肝硬化)、46例患有多种恶性肿瘤的受试者以及30名正常对照者的甲胎蛋白(AFP)和癌胚抗原(CEA)的血浆水平。在肝硬化患者中,AFP水平高于对照组均值±2标准差者占25.3%(最高值250 ng/ml),CEA水平高于对照组均值±2标准差者占36.0%(最高值150 ng/ml)。仅在6例肝硬化患者中同时发现AFP和CEA水平升高。13例原发性肝癌中有10例AFP水平升高,仅1例结肠癌患者AFP水平升高。13例原发性肝癌中有4例CEA水平升高(其中1例AFP也呈阳性);4例转移性肝癌中有3例CEA水平升高;17例结肠原发性癌中有7例CEA水平升高;6例支气管癌中有3例CEA水平升高;6例其他恶性肿瘤中有3例CEA水平升高。