血清胰岛素样生长因子-1检测对乳腺癌的诊断价值

Insulin-like Growth Factor-1 Detection in the Diagnosis of Breast Cancer

  • 摘要: 目的: 探讨胰岛素样生长因子-1(insulin-like growth factor1,IGF-1)对乳腺癌的诊断价值,寻找新的乳腺癌早期诊断标志物。 方法: 对45例经病理证实的乳腺癌及20例乳腺良性病变患者的术前外周血标本进行研究,以20例健康女性外周血标本作对照,应用免疫放射分析方法,定量检测IGF-1在血清中的含量。 结果: 对照组、乳腺良性病变组、乳腺癌组血清IGF-1值分别为136.50(63.07~190.23)ng/ml、60.02(20.46~151.20)ng/ml、165.50(76.89~584.18)ng/ml,乳腺癌组明显高于对照组(P<0.01),对照组与乳腺良性病变组无显著性差异(P>0.05)。乳腺癌组临床分期Ⅰ~Ⅱ期和Ⅲ~Ⅳ期患者血清IGF-1值分别为156.62(76.89~248.20)ng/ml、250.18(135.78~584.18)ng/ml;有、无淋巴结转移患者IGF-1值分别为224.87(103.28~584.18)ng/ml、139.78(76.89~243.68)ng/ml;IGF-1水平与乳腺癌的淋巴结转移和临床分期密切相关(P<0.01)。在乳腺癌组中雌激素受体阳性、阴性患者中血清IGF-1值分别为239.78(135.78~533.21)ng/ml、154.37(76.89~584.18)ng/ml,IGF-1水平在雌激素受体阳性组与阴性组有显著性差异(P<0.05)。 结论: IGF-1的定量检测可提高对乳腺癌的诊断水平,IGF-1有望成为乳腺癌诊断的血清标志物。

     

    Abstract: Objective: To investigate the value of quantitative detection of insulin-like growth factor-1 (IGF-1) in the diagnosis of breast cancer. Methods: The serum IGF-1 level in 45 cases of breast cancer, 20 cases of benign breast disease and 20 healthy controls was determined by immunoradiometric assay. Results: IGF-1 levels were significantly higher in breast cancer cases than in the healthy controls and the cases of benign breast disease (P<0.01). No significant difference was found in the serum level of IGF-1 between the patients with benign breast disease and the healthy controls (P>0.05). All samples were classified as stage Ⅰ~Ⅱ or stage Ⅲ~Ⅳ, without or with lymphatic metastasis, and estrogen receptor nega-tive or positive. In stage Ⅲ~Ⅳcases, cases with lymphatic metastasis, and cases positive for estrogen receptor, the levels of IGF-1 were higher (P<0.01). A significant difference was found in the serum IGF-1 levels between the cases with posi-tive estrogen receptor and those with negative estrogen receptor(P<0.05). Conclusion: Quantitative determination of IGF-1is valuable and may be used for early diagnosis of breast cancer.

     

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