王伟, 徐少华, 陆志伟, 王辉, 邵红艳. 肺癌生物标记物筛选及在早期诊断中的意义[J]. 中国肿瘤临床, 2004, 31(17): 989-992.
引用本文: 王伟, 徐少华, 陆志伟, 王辉, 邵红艳. 肺癌生物标记物筛选及在早期诊断中的意义[J]. 中国肿瘤临床, 2004, 31(17): 989-992.
Wang Wei, Xu Shaohua, Lu Zhiwei, . Selection and Significance of Lung Tumor Markers in Early Period of Lung Cancer[J]. CHINESE JOURNAL OF CLINICAL ONCOLOGY, 2004, 31(17): 989-992.
Citation: Wang Wei, Xu Shaohua, Lu Zhiwei, . Selection and Significance of Lung Tumor Markers in Early Period of Lung Cancer[J]. CHINESE JOURNAL OF CLINICAL ONCOLOGY, 2004, 31(17): 989-992.

肺癌生物标记物筛选及在早期诊断中的意义

Selection and Significance of Lung Tumor Markers in Early Period of Lung Cancer

  • 摘要: 目的:探讨肺癌生物标记物在肺癌早期诊断中的作用,寻找最佳标记物,提高肺癌诊断水平.方法:随机选取90例肺癌患者及86例健康人,分别检测外周血29种肿瘤标记物.根据检测结果分别计算每一种标记物的特异性、阳性预期值、敏感性、阴性预期值、总有效率及5项均值.结果:29种标记物中按其敏感性和平均值大小得出排序,选取敏感性和5项均值较高的一组为最佳标记群,从5项均值较高的指标PU、SA、CEA、CU-P、CA242、CYFRA等中选取CEA、SA、CA242,敏感性达89.29%.结论:PU、SA、CEA、CA242等可作为肺癌早期诊断最佳标记物组合.

     

    Abstract: Objective: To investigate the effect of tumor marker of lung cancer in the diagnosis of lung cancer, to find the best tumor marker so as to improve the diagnosis level of lung cancer. Methods: Ninety cases of lung cancer and 86 healthy subjects were recruited randomly for the study and 29 kinds of tumor marker in their peripheral blood were tested respectively. According to the detected results of every tumor marker we calculated the specificity, positive predictive value, sensitivity, negative predictive value, total effective rate and the mean of the five value. Results: According to their sensitivity and the mean of the five value, 29 kinds of tumor markers were sorted, the tumor markers with higher sensitivity and mean of the five value were selected as the best tumor marker. From those with higher means of five value, including PU、SA# CEA# CU-P、CA -242# CYFRA etc, the combination of CEA、SA and CA -242 were selected, whose sensitivity is up to 89.29%. Conclusion: The combination of PU、SA、CEA and CA-242 etc may be the best tumor marker in the early diagnosis of lung cancer.

     

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