AIM: As tumor markers for pancreatic carcinoma, carcinoembryonic antigen (CEA) and carbohydrate antigen (CA) 19-9 have been used, but the sensitivity and specificity are not enough for the diagnosis of pancreatic...AIM: As tumor markers for pancreatic carcinoma, carcinoembryonic antigen (CEA) and carbohydrate antigen (CA) 19-9 have been used, but the sensitivity and specificity are not enough for the diagnosis of pancreatic carcinoma. METHODS: A novel serum tumor marker, RCAS1, was compared with two conventional serum tumor markers, CEA (highly specific for pancreatic cancer) and CA 19-9 (highly sensitive for pancreatic cancer), in 48 patients with pancreatic exocrine tumors. RESULTS: When the diagnosis of benign or malignant conditions was examined by one tumor marker, the sensitivity of RCAS1 alone (55%) was higher than that of CEA alone (27%) and the specificity of RCAS1 alone (92%) was greater than that of CA19-9 alone (78%). When examined by a combination of two markers, the sensitivity of a combination of RCAS1 and CA19-9 (95%) was superior to those of CA19-9 alone (78%), RCAS1 alone (55%, P = 0.002), CEA alone (27%) (P〈0.001), RCAS1 and CEA (59%) and CA19-9 and CEA (82%). CONCLUSION: These results suggest that the combination of RCAS1 and CA19-9 is highly sensitive for pancreatic carcinoma.展开更多
目的检测表达在SiSo细胞上的受体结合肿瘤抗原(receptor-binding cancer antigen expressed on SiSo cells,RCASl)在不同肿瘤患者血清及组织中的表达水平,探讨其在肿瘤发生、发展中的作用机制.方法收集肿瘤患者85例(患者组)和健康体检者...目的检测表达在SiSo细胞上的受体结合肿瘤抗原(receptor-binding cancer antigen expressed on SiSo cells,RCASl)在不同肿瘤患者血清及组织中的表达水平,探讨其在肿瘤发生、发展中的作用机制.方法收集肿瘤患者85例(患者组)和健康体检者(对照组)98例,采用免疫组织化学染色方法观察肿瘤组织中RCAS1的表达情况,采用ELISA方法检测受检者血清中RCAS1水平,并对检测结果进行统计学分析.结果免疫组化结果显示RCAS1在肿瘤组织中呈粗颗粒状黄褐色反应产物.患者组RCAS1水平明显高于对照组,差异有统计学意义(P<0.01).鼻咽癌患者组织中RCAS1的阳性表达率为76.2%,且随着病情的加重,血清RCAS1的水平和阳性检出率均不断升高,各组间比较差异均有统计学意义(P<0.01,P<0.05).结论血清RCAS1水平检测可用于肿瘤患者的辅助诊断.展开更多
文摘AIM: As tumor markers for pancreatic carcinoma, carcinoembryonic antigen (CEA) and carbohydrate antigen (CA) 19-9 have been used, but the sensitivity and specificity are not enough for the diagnosis of pancreatic carcinoma. METHODS: A novel serum tumor marker, RCAS1, was compared with two conventional serum tumor markers, CEA (highly specific for pancreatic cancer) and CA 19-9 (highly sensitive for pancreatic cancer), in 48 patients with pancreatic exocrine tumors. RESULTS: When the diagnosis of benign or malignant conditions was examined by one tumor marker, the sensitivity of RCAS1 alone (55%) was higher than that of CEA alone (27%) and the specificity of RCAS1 alone (92%) was greater than that of CA19-9 alone (78%). When examined by a combination of two markers, the sensitivity of a combination of RCAS1 and CA19-9 (95%) was superior to those of CA19-9 alone (78%), RCAS1 alone (55%, P = 0.002), CEA alone (27%) (P〈0.001), RCAS1 and CEA (59%) and CA19-9 and CEA (82%). CONCLUSION: These results suggest that the combination of RCAS1 and CA19-9 is highly sensitive for pancreatic carcinoma.
文摘目的检测表达在SiSo细胞上的受体结合肿瘤抗原(receptor-binding cancer antigen expressed on SiSo cells,RCASl)在不同肿瘤患者血清及组织中的表达水平,探讨其在肿瘤发生、发展中的作用机制.方法收集肿瘤患者85例(患者组)和健康体检者(对照组)98例,采用免疫组织化学染色方法观察肿瘤组织中RCAS1的表达情况,采用ELISA方法检测受检者血清中RCAS1水平,并对检测结果进行统计学分析.结果免疫组化结果显示RCAS1在肿瘤组织中呈粗颗粒状黄褐色反应产物.患者组RCAS1水平明显高于对照组,差异有统计学意义(P<0.01).鼻咽癌患者组织中RCAS1的阳性表达率为76.2%,且随着病情的加重,血清RCAS1的水平和阳性检出率均不断升高,各组间比较差异均有统计学意义(P<0.01,P<0.05).结论血清RCAS1水平检测可用于肿瘤患者的辅助诊断.