期刊文献+

血清TK1监测对胰腺癌诊断的临床意义 被引量:6

The significance of combined detection of serum TK1,CA19-9 and CEA in pancreatic cancer and pancreatitis patients
下载PDF
导出
摘要 目的研究评价胰腺癌和胰腺炎患者血清胸苷激酶1(TK1)的表达,同时检测胰腺癌肿瘤标记物糖类抗原19-9(CA19-9)和癌胚抗原(CEA),探讨联合检测TK1、CA19-9和CEA在胰腺癌与胰腺炎鉴别诊断方面的临床价值。方法应用化学增强发光(ECL)点印迹法定量检测43例胰腺癌和40例胰腺炎患者血清TK1浓度,直接化学发光法检测血清CEA和CA19-9浓度;50例健康志愿者作为对照组。结果血清CA19-9、CEA水平胰腺癌组、胰腺炎组明显高于对照组(P均<0.05),但胰腺癌组与胰腺炎组比较差异无统计学意义。血清TK1水平胰腺癌组明显高于胰腺炎组、对照组(P均<0.05),而胰腺炎组与对照组比较差异无统计学意义。结论联合检测血清CA199、CEA和TK1有助于胰腺炎和胰腺癌的鉴别诊断。 Objective Thymidine kinase 1in serum(TK1)has been found to be a reliable proliferation marker in clinical trials.In this study,we examined the significance of combined detection of serum tumor marker TK1,CAl9-9and CEA in pancreatic cancer and pancreatitis patients.Methods The concentrations of CA19-9and CEA were measured by automatic chemiluminescence immunoassay.That of TK1 was measured by a sensitive dot blot ECL assay.Results Compared with the 50 healthy persons control group,the concentrations of CAl9-9and CEA were higher both in43 patients with pancreatic cancer and 40 patients with pancreatitis(P〈0.05).But the concentration of TK1 was higher in patients with pancreatic cancer only(P〈0.05).Conclusion The combined detection of serum TK1,CA19-9and CEA is valuable to the differential diagnosis of pancreatic cancer and pancreatitis.
出处 《中国实验诊断学》 2014年第11期1773-1776,共4页 Chinese Journal of Laboratory Diagnosis
关键词 TK1 CEA CA19-9 肿瘤标志物 胰腺癌 胰腺炎 免疫印迹-增强化学发光法 tumor marker TK1 CEA CA19-9 pancreatic cancer pancreatitis Immunoblotting-enhanced chemiluminescence assay
  • 相关文献

参考文献22

  • 1HIDALGO M. Pancreatic cancer [J]. N Engl J Med, 2010,362 (17) :1605.
  • 2Vincent A, Herman J, Schulick R, et al. Pancreatic cancer[J]. Lancet,2011 378(9791) :607.
  • 3Berger A C,Garcia M J R,Hoffman J P,et al. Post-resection CA 19-9 predicts overall survival in patients with pancreatic cancer treated with adjuvant ehemoradiation., a prospective validation by RTOG 9704[J]. J Clin Oncol,2008,26(36) :5918.
  • 4HESS V, GLIMELIUS B, GRAWE P, et al. CA 19-9 tumor marker response to chemotherapy in patients with advanced pan creatic cancer enrolled in a randomized controlled trial[J]. Lancet Oncol,2008,9(2) :132.
  • 5陈圣开,何世举.CEA、CA50、CA19-9和CA125联合检测在肿瘤性梗阻性黄疸诊断中的意义[J].重庆医科大学学报,2011,36(7):842-845. 被引量:13
  • 6何思春,王永成,焦鑫.胆道结石患者血清糖类抗原CA199升高的研究[J].检验医学与临床,2010,7(1):34-35. 被引量:14
  • 7刘祥,肖创清,黄修海.阻塞性胆道疾病中血清CA199和癌胚抗原水平分析[J].山西医药杂志(上半月),2011,40(8):765-767. 被引量:5
  • 8Ito S,Gejyo F. Elevation of serum CA199 levels in benign disea- ses[J]. Ntern Med,1999,38(11) :840.
  • 9Principe A, Del Gandio M,Grazi GL, et al. Mirizzi syndrome with cholecysto choledocal fistula with a high CA19 9 level mimicking biliary malignancies : a ease report [ J ]. Hepatogastroenterology, 2003,50(53) :1259.
  • 10Mann DV, Edwards R, Ho S, et al. Elevated tumor marker CA19 9: clinical interpretation and influence of obstructive j a undiee[J]. Eur J SurgOncol, 2000,26 (5) : 474.

二级参考文献20

  • 1秦兴雷,王作仁,强永乾,韦晓峰,张毅力,张云锋,马炜.肝外胆管癌术前影像学检查及CA19-9测定的诊断价值[J].第四军医大学学报,2005,26(1):45-49. 被引量:8
  • 2Luís C.Fernandes,Su B.Kim,Delcio Matos.Cytokeratms and carcinoembryonic antigen in diagnosis,staging and prognosis of colorectal adenocarcinoma[J].World Journal of Gastroenterology,2005,11(5):645-648. 被引量:21
  • 3顾勇,段炜,吴秀华,何丽红.消化系统恶性肿瘤患者血清AFP,CEA,CA19-9和CA125的变化及临床意义[J].第四军医大学学报,2006,27(6):518-520. 被引量:12
  • 4秦兴雷 石景森 等.血清和胆汁CA19-9、CEA联合检测在胆道疾病中的对比研究[J].中华实验外科杂志,1997,:28-29.
  • 5陆雪龙 王百正 等.CA19-9 RIA的临床观察[J].放射免疫学杂志,1992,5:222-224.
  • 6石景森 秦兴雷.CA19-9在胆囊癌诊断中价值[J].普外基础与临床杂志,1997,4:110-111.
  • 7Ito S, Gejyo F. Elevation of serum CA199 levels in benign diseases. Intern Med, 1999,38(11) :840-841.
  • 8Peterli R, Meyer-Wyss B, Herzog U, et al. CA199 has no value as a tumor marker in obstructive jaundice. Sehweiz Med Wochenschr, 1999,129(3) :77-79.
  • 9Ng WW, Tong KJ, Tam TN, et al. Clinical values of CA199, CA125 and CEA in malignant obstructive jaundice. Zhonghua Yi Xue Za Zhi (Taipei), 1995,55 (6) : 438-446.
  • 10Watanabe M, Chigusa M, Takahashi H, et al. High level of CA199, CA50 and CEA-producible human cholangiocareinoma cell line changes in the secretion ratios in vitro or in vivo. In Vitro Cell Dev Biol Anim, 2000,36(2):104-109.

共引文献30

同被引文献51

  • 1丁雷,张平.胰腺癌治疗的研究进展[J].中国老年学杂志,2014,34(8):2298-2300. 被引量:32
  • 2王育璠,赵立,顾鸣宇,姚莉莉,严率,彭永德.胰腺癌与糖尿病关联的探讨[J].中国癌症杂志,2006,16(11):973-975. 被引量:15
  • 3吴怡春,褚美芬.Nimesulide诱导胰腺癌细胞凋亡机制的研究[J].中国卫生检验杂志,2007,17(5):810-812. 被引量:2
  • 4梁宇闯,李卓永,林坚,龙晚生,李宗业,麦栩榆.介入栓塞治疗四肢肌间血管瘤的远期疗效[J].中国介入影像与治疗学,2007,4(5):337-339. 被引量:9
  • 5Siegel R, Ma J, Zou Z, et al. Cancer statistics ,2014 [ J ]. CA Cancer J Clin,2014,6d( 1 ) :9 -29.
  • 6Siegel R, Naishadham D, Jemal A. Cancer statistics [ J ]. CA Cancer J Clin ,2013,63 ( 1 ) : 11 - 30.
  • 7Jung Y, Lee S, Choi HS, et al. Clinical validation of colorectal cancer biomakers identified from bionfformations analysis of public expression date [ J]. Clin Cancer Res, 2011,17 (4) :700-709.
  • 8Sigal V, Singal AK, Kuo YF. Racial dispariries in treatment for pancreatic cancer and impact on survival:a population - based analysis [ J ]. J Cancer Res Clin Oncol, 2012, 138 (4) :715 -722.
  • 9Chang CK, Ulrich CM. Hyperinsulinacmia and hyperglycaemia: possible risk factors of colorectal cancer among diabetic patients [ J ]. Diabctologia, 2003,46 ( 5 ) : 595 - 607.
  • 10Weber A, Kehl V, Mittermeyer T, et al. Prognostic factors for survival in patients with unresectable pancreatic cancer[ J]. Pancreas, 2010,39 ( 8) : 1247 - 1253.

引证文献6

二级引证文献16

相关作者

内容加载中请稍等...

相关机构

内容加载中请稍等...

相关主题

内容加载中请稍等...

浏览历史

内容加载中请稍等...
;
使用帮助 返回顶部