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肿瘤标志物对原发性肝癌的诊断意义
引用本文:周建光,杨梅,曹海涛[综述],华川[审校].肿瘤标志物对原发性肝癌的诊断意义[J].医学综述,2013(21):3891-3893.
作者姓名:周建光  杨梅  曹海涛[综述]  华川[审校]
作者单位:[1]解放军第252医院检验科,河北保定071000 [2]解放军第252医院心内科,河北保定071000
摘    要:原发性肝癌(PHC)是常见的恶性肿瘤之一,早期不易发现,晚期的治疗效果较差,病死率很高。因此,早发现、早诊断、早治疗就成为延长患者生存期、降低病死率的关键。甲胎蛋白(AFP)是诊断PHC公认的肿瘤标志物,但存在较高的假阴性,为弥补其实验室诊断的不足、提高PHC的检出率,高尔基体蛋白73、DLC-1基因、α—L-岩藻糖苷酶、米托蒽醌抗性基因、磷脂酰肌醇蛋白多糖3和转化生长因子β1等特异性、敏感性更高的肿瘤标志物已逐渐被应用于临床。

关 键 词:原发性肝癌  高尔基体蛋白73  DLC-1基因  α-L-岩藻糖苷酶  米托葸醌抗性基因  磷脂酰肌醇蛋白多糖3  转化生长因子β

Research Progress in Diagnostic Role of Tumor Markers for Hepatocellular Carcinoma
Institution:ZHOU Jian- guang , YANG Mei, CAO Hai-tao , HUA Chuan (1. Department of Clinical Laboratory, 2. Department of Cardiovasology , 252 nd Hospital of PLA , Baoding 071000, China )
Abstract:Primary hepatocellular carcinoma(PHC) is one of the common malignant tumors that usually cannot he detected at early stage, and treatment effect in the advanced stage is unsatisfactory, and the mortality is high. Therefore, early detection, early diagnosis, early treatment are the key to prolong survival period and decrease the mortality. AFP is a well recognized tumor marker for PHC diagnosis,though there is a high false negative rate. In order to make up for the lack of laboratory diagnosis, and improve the detection rates of PHC,the more specific sensitive tumor markers such as Golgi protein 73, DLC-1 gene,cc-L-fucosidase, mitox- antrone resistance gene, phosphatidylinositol proteoglycan-3 and transforming growth factor-β1 have gradually been applied to clinical.
Keywords:Primary hepalocellular carcinoma  Golgi protein 73  DLC-I gene  α-L-fucosidase  Mitoxantroneresistant gene  Glypican-3  Transforming growth factor-β1
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