陶冀, 游廉, 王锡山. 乳腺癌肿瘤标志物CEA、CA15-3表达水平的临床意义[J]. 中国肿瘤临床, 2005, 32(13): 751-754.
引用本文: 陶冀, 游廉, 王锡山. 乳腺癌肿瘤标志物CEA、CA15-3表达水平的临床意义[J]. 中国肿瘤临床, 2005, 32(13): 751-754.
TAO Ji, YOU Lian, WANG Xi-shan. Relationshiip between Lebels of Tumor CEA CA15-3 and Clinical Diagnosis of Breast Cancer[J]. CHINESE JOURNAL OF CLINICAL ONCOLOGY, 2005, 32(13): 751-754.
Citation: TAO Ji, YOU Lian, WANG Xi-shan. Relationshiip between Lebels of Tumor CEA CA15-3 and Clinical Diagnosis of Breast Cancer[J]. CHINESE JOURNAL OF CLINICAL ONCOLOGY, 2005, 32(13): 751-754.

乳腺癌肿瘤标志物CEA、CA15-3表达水平的临床意义

Relationshiip between Lebels of Tumor CEA CA15-3 and Clinical Diagnosis of Breast Cancer

  • 摘要: 目的: 探讨血清CEA、CA15-3与乳腺癌临床诊断方面的关系。 方法: 应用微粒子免疫萤光技术对210例乳腺癌患者、75例乳腺良性疾病患者及50例正常对照者血清CEACA15-3表达水平进行检测比较。 结果: CEA、CA15-3在乳腺癌Ⅲ、Ⅳ期中表达明显增高(P<0.005),在Ⅰ、Ⅱ期中表达与正常组及良性疾病组比较无显著性差异(P>0.05)。两种标志物与肿瘤分期、淋巴结受累程度有关,腋淋巴结转移≥4枚或远处脏器转移时CEA、CA15-3浓度明显增高(P<0.005)。两种标志物与肿瘤病理学分型的关系不明显(P>0.05)。乳腺癌术后动态监测CEA、CA15-3对肿瘤远处转移呈高表达(P<0.005),对局部复发CEA无显著性(P>0.05),而CA15-3有指导意义(P<0.005)。 结论: CEA、CA15-3并非乳腺癌早期诊断的理想标志物,但其与肿瘤临床分期、淋巴结转移程度、远处转移关系密切,是乳腺癌术前预测转移及监测术后复发转移与评估乳癌预后的有效指标。

     

    Abstract: Objective : To evaluate relationship between C E A CA15-3 tumor labels repressitivity in serum and breast cancer. Methods : CEA CA15-3 level in 210 caces with breast cancer, 75 caces with benign breast tumor and 50 normar women were examined by particle immunofluorescence and the results were contrasted respectively. Results : Two labels increased significantly in 3-4 stage of breast cancer (P<0.005). There was not significant differences in benign tumor, normar tissue and 1-2 stage of breast cancer (P>0.05). Two tumor labels were relative to size of tumor and infiltration of lymph nodes,specially in the patients with more than 4 lymph nodes metastasis and remote metastasis (P<0.005). The labels were not relative to idiosyncrasy of tumor tissue (P>0.05). Dynamic observation after operation showed that CEA CA15-3 increased in the patients with remote metastasis, and CEA had not difference in the patients with regional recurrence (P>0.05), but CA15-3 had directive significance (P<0.005). Conclusion : CEA CA15-3 were not an ideal tumor labels in early stage of breast cancer, but which had an intimate relation with stage, metastasis of lymph node and remote metastasis in the patients.Therefore the tumor labels were an effective index for predicting metastasis before operation, monitoring recurrence after operation and evaluating prognosis.

     

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