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小细胞肺癌患者血清中癌胚抗原、神经元特异性烯醇化酶和铁蛋白水平:与体能状态、疾病范围及预后的相关性

[Level of carcinoembryonic antigen, neuron-specific enolase and ferritin in serum of small cell lung cancer patients: correlation with performance status, disease extent and prognosis].

作者信息

Szturmowicz M, Rogińska E, Roszkowski K, Kwiek S, Filipecki S, Rowińska-Zakrzewska E

机构信息

Kliniki Chorób Wewnetrznych, Warszawie.

出版信息

Pneumonol Alergol Pol. 1993;61(9-10):467-73.

PMID:8111322
Abstract

Carcinoembryonic antigen (CEA), neuron-specific enolase (NSE) and ferritin serum levels were assessed before treatment in 109 small cell lung cancer patients. CEA and ferritin serum levels were estimated by immunoenzymatic method: Abbott kits were used. NSE serum level was assessed by radioimmunoassay Pharmacia kits. In 38 patients the disease was localized, in 27 metastases were found in one organ and in 48-in two or more organs. CEA levels above 5 ng/ml were found in 41%, NSE above 12.5 micrograms/l in 86% and ferritin above 250 ng/ml in 41% of patients. The levels of CEA and NSE, but not of ferritin were correlated with the disease extent. The levels of CEA and ferritin, but not of NSE were correlated with performance status of the patients. In the patients with NSE serum levels above 50 micrograms/l and ferritin serum levels above 600 ng/ml the prognosis was significantly worse than in remaining patients.

摘要

对109例小细胞肺癌患者在治疗前评估癌胚抗原(CEA)、神经元特异性烯醇化酶(NSE)和铁蛋白血清水平。CEA和铁蛋白血清水平采用免疫酶法进行测定:使用雅培试剂盒。NSE血清水平采用放射免疫分析法,使用Pharmacia试剂盒。38例患者疾病局限,27例患者在一个器官发现转移,48例患者在两个或更多器官发现转移。41%的患者CEA水平高于5 ng/ml,86%的患者NSE高于12.5 μg/l,41%的患者铁蛋白高于250 ng/ml。CEA和NSE水平与疾病范围相关,但铁蛋白水平与疾病范围无关。CEA和铁蛋白水平与患者的体能状态相关,但NSE水平与患者的体能状态无关。NSE血清水平高于50 μg/l且铁蛋白血清水平高于600 ng/ml的患者预后明显差于其余患者。

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