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小细胞肺癌病人血清癌胚抗原(CEA)动态观察
引用本文:刘叙仪,熊雪梅.小细胞肺癌病人血清癌胚抗原(CEA)动态观察[J].中国肿瘤临床,1993,20(1):23-27.
作者姓名:刘叙仪  熊雪梅
作者单位:北京市肿瘤防治研究所,北京市肿瘤防治研究所,北京市肿瘤防治研究所,北京市肿瘤防治研究所,北京市肿瘤防治研究所,贵州省黔南医院肿瘤科 (北京市100034),(北京市100034),(北京市100034),(北京市100034),(北京市100034)
摘    要:我们对129例小细胞肺癌作了系统血清CEA观察。疗前>5ng/ml者41.9%(54/129),其中>10ng/ml者以广泛期为多(P<0.05)。总有效率(CR PR)以疗前<5ng/ml为优(p<0.05)。疗前CEA增高者,达缓解后均有不同程度下降,且治疗前后CEA均值差别有高度显著性(p<0.001)。生存≥2年者均在疗前CEA<5ng/ml组。但从敏感性、特异性及符合率分析,尚无具体CEA值可作为分期或判断预后的指标。

关 键 词:血清  癌胚抗原  肺肿瘤

Serial Determinations of Serum Carcinoembryonic Antigen in Small Cell Lung Cancer
Liu Xu-Yi Beijing Institute for Cancer Research.Serial Determinations of Serum Carcinoembryonic Antigen in Small Cell Lung Cancer[J].Chinese Journal of Clinical Oncology,1993,20(1):23-27.
Authors:Liu Xu-Yi Beijing Institute for Cancer Research
Institution:Liu Xu-Yi Beijing Institute for Cancer Research
Abstract:Serum carcinoembrycnic antigen levels were serially determined before,during and after chemothera- py, radiotherapy and maintenance courses in 129 patients with small cell lung cancer. The CEA serum concentration more than 5ng/ml was revealed in 41.9%(54/129) of the patients before treatment. The CEA titers greater than 10ng/ml in patients with extensive or limited disease was 26.5% (20/78) and 11.8% (6/51) respectively (P<0.05). The CEA levels fell in all patients responding to therapy and increased again 1 to 5 months before progression or relapse of the dis- eases in more than half of the patients. All the patients who survived for 2 or more years were in group with pretherapeu- tic CEA concentrations less than 5ng/ml. However, no reasonable conclusions could be drawn from individual CEA levels with regards to stage or prognosis.
Keywords:Small cell lung cancer  Carcinosmbryonic antigen  
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