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CA19-9、CA50与CEA联合检测在胰腺癌诊断中的意义 被引量:4

Diagnostic Value of Serum Levels of CA19-9,CA50 and CEA to Patients with Pancreatic Cancer
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摘要 目的探讨糖类抗原CA19-9、CA50及CEA联合检测对胰腺癌患者的临床诊断价值。方法用放射免疫分析法检测胰腺癌病人75例、良性胰腺疾病69例、正常对照组71例的CA19-9、CA50及CEA血清水平。结果胰腺癌患者血清CA19-9、CA50及CEA值均明显高于正常组及良性胰腺疾病组,两者比较有显著性差异(P<0.05或P<0.01);CA19-9、CA50及CEA联合检测较单测任何一项其灵敏度、特异度均有提高,分别达到86.7%和87.9%。结论胰腺癌肿瘤标志物CA19-9、CA50及CEA可作为早期诊断胰腺癌的工具,联检CA19-9、CA50及CEA能提高对胰腺癌的诊断和鉴别诊断率。 Objective To investigate the clinical value of combined test of serum CA19-9, CA50 and CEA levels in the diagnosis of patients with pancreatic cancer. Methods Serum levels of CA19-9, CA50 and CEA in 75 cases of pancreatic cancer,69 cases of benign pancreatic lesions and 71 normal controls were detected by radioimmunoassay. Results Serum CA19-9 ,CA50 and CEA levels in pancreatic cancer patients were significantly higher than those in normal controls and benign pancreatic lesions patients(P 〈0.05 or P 〈0.01 ). If serum CA19-9 ,CA50 and CEA were detected simultaneously,the sensitivity and specificity of diagnosis of pancreatic cancer could be improved, reached 86.7% and 87.9% respectively. Conclusion The changes of serum CA19-9, CA50 and CEA level are helpful to diagnose pancreatic cancer. Serum CA19-9, CA50 and CEA detected simultaneously could improve the sensitivity and specificity in diagonosis and differential diagnosis of pancreatic cancer.
作者 柳治国 黄鹏
出处 《咸宁学院学报(医学版)》 2007年第2期119-121,共3页 Journal of Xianning Univarsity(medical Sciences)
关键词 CA19-9 CA50 CEA 胰腺癌 CA19-9 CA50 CEA Pancreatic cancer
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参考文献4

  • 1Kokhanenko NI,Ignashov AM,Varga EV,et al.Role of the tumor markers CA19-9 and carcinoembryonic antigen(CEA) in diagnosis,treatment and prognosis of pancreatic cancer[J].Vopr Onkol,2001,47:294
  • 2Rosty C,Goggins M.Early detection of pancreatic carcinoma[J].Hematol Oncol Clin Am,2002,16:37
  • 3Dianxu F,Shengdao Z,Tianquan H,et al.Aprospective stugy of detection of pancreatic carcinoma by plasma K-ras mutations and serum CA19-9 analysis[J].Pancreas,2002,25:336
  • 4Carpelan M,Louhimo J,Stenman UH,et al.CEA,CA19-9 and CA72-4 improve the diagnostic accuracy in gastrointestinal cancers[J].Anticancer-Res,2002,22(4):2311

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