Ros-Bullón M R, Sánchez-Pedreño P, Martínez-Liarte J H
Division of Clinical Analysis, School of Medicine, University of Murcia, Spain.
Melanoma Res. 1998 Jun;8(3):273-7.
We studied the levels of serum copper and zinc as possible diagnostic factors or markers for the early detection of patients with melanoma. Levels were determined in 35 melanoma patients at various clinical stages and in 39 healthy persons. Measurements were performed by atomic absorption spectroscopy using 5100-PC-Perkin-Elmer equipment. We found that serum copper levels were very similar in the melanoma patients and the healthy individuals, the medium values being 118.32 +/- 25.32 micrograms/dl and 117.94 +/- 28.01 micrograms/dl, respectively. Therefore, no significant differences were observed with regard to copper levels. On the other hand, we obtained a medium value of 82.32 +/- 25.38 micrograms/dl for serum zinc levels in the melanoma patients and 56.72 +/- 11.79 micrograms/dl in the healthy persons, which represents a very significant increase in the serum levels of zinc in melanoma patients (P < 0.0001). A receiver operating characteristic (ROC) curve statistical analysis was also performed; the cut-off value obtained was 60.9 micrograms/dl. According to our results, zinc is increased in 86.5% of melanoma patients. Although further investigations are needed to assess its value in prognosis and follow-up, evaluation of serum zinc level could be a good tool to check for the presence of melanoma.
我们研究了血清铜和锌水平,将其作为黑色素瘤患者早期检测的可能诊断因素或标志物。测定了35例不同临床阶段的黑色素瘤患者和39名健康人的水平。使用珀金埃尔默5100-PC设备通过原子吸收光谱法进行测量。我们发现,黑色素瘤患者和健康个体的血清铜水平非常相似,中位数分别为118.32±25.32微克/分升和117.94±28.01微克/分升。因此,在铜水平方面未观察到显著差异。另一方面,我们测得黑色素瘤患者血清锌水平的中位数为82.32±25.38微克/分升,健康人为56.72±11.79微克/分升,这表明黑色素瘤患者的血清锌水平有非常显著的升高(P<0.0001)。还进行了受试者工作特征(ROC)曲线统计分析;得到的临界值为60.9微克/分升。根据我们的结果,86.5%的黑色素瘤患者锌水平升高。尽管需要进一步研究来评估其在预后和随访中的价值,但血清锌水平的评估可能是检查黑色素瘤是否存在的一个良好工具。