宫颈癌SCCAg检测及其临床意义

Monitoring and Significance of SCCAg Level in Cervical Carcinoma

  • 摘要: 目的: 探论鳞状上皮细胞癌抗原(SCCAg)对宫颈癌的诊断,治疗前后的动态变化规律及与临床病理生理特征的关系。 方法: 用ELISA法检测145例治疗前后的宫颈癌患者和300例复查的宫颈癌患者。 结果: 1)SCCAg对于宫颈癌的诊断灵敏度为77.24%,特异度为98%。SCCAg对于Ⅰ~Ⅱ期宫颈癌阳性诊断率为66.67%,对Ⅲ~Ⅳ期宫颈癌诊断率87.71%。两者有显著差异(P0.005)。2)治疗后宫颈癌患者SCCAg水平(0.235±0.178ng/ml)较治疗前(5.048±6.234ng/ml)显著下降(P0.001)。3)治疗后复发转移的宫颈癌患者SCCAg水平(9.372±10.252ng/ml)与治疗前患者(5.048±6.234ng/ml)比较,SCCAg水平明显升高(P0.001)。4)SCCAg在宫颈癌的表达与临床分期,脉管浸润,盆腔淋巴结转移有关(P0.01~0.001),而与患者年龄,细胞类型及肿瘤生长方式无关。 结论: SCCAg不仅可以作为宫颈鳞癌的特异性诊断指标,同时用于了解治疗前患者病灶扩散情况,治疗中及治疗后判定疗效及预后的监测。

     

    Abstract: Objective : To examine the serum level of SCCAg and its clinical significance, as well as the relationship between the serum level of SCCAg and the pathphysiological characteristics in cervical carcinoma. Methods The serum level of SCCAg was detected in 145 patients with cervical carcinoma using ELISA. Results : 1) The abnormal SCCAg levels in diagnosis of squamous cell carcinoma of the cervix showed a sensitivity of 77.24% and specificity of 98%. The positive detection rate was significantly higher in stage Ⅲ~Ⅳ (87.71%) than that in stage Ⅰ-Ⅱ (66.67%) (P0.005). 2) After treated, the serum concentration of SCCAg (0.235±0.178ng/mL) was significantly lower than that in untreated patients (5.048±6.234ng/mL), (P0.001). 3). In metastasis patients, the serum level of SCCAg (9.372±10.252ng/mL) was significantly higher than that in untreated patients (5.048±6.234ng/mL) (P0.001). 4). The untreated serum level of SCCAg in cervical carcinoma patients was closely related to P-TNM stages, Intravascular infiltration, metastasis of pelvic lymph node (P0.01-P0.001), but not to the patients age, histological type and modality of growth (P0.1). Conclusion : SCCAg is helpful in diagnosing cervical carcinoma. They can serve as criteria of prognosis. SCCAg monitoring is valuable in the treatment of patients with cervival carcinoma.

     

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