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血清肿瘤标志物水平联合检测在乳腺癌诊断中的临床价值分析
引用本文:苏建华,余远昌,于雪丽. 血清肿瘤标志物水平联合检测在乳腺癌诊断中的临床价值分析[J]. 当代医学, 2021, 27(3): 88-90. DOI: 10.3969/j.issn.1009-4393.2021.03.035
作者姓名:苏建华  余远昌  于雪丽
作者单位:上饶东方医院检验科,江西 上饶 334000;上饶东方医院乳腺科,江西 上饶 334000;上饶东方医院乳腺科,江西 上饶 334000
摘    要:目的 分析血清肿瘤标志物水平联合检测在乳腺癌诊断中的临床价值.方法 选取2018年1月至2019年8月本院治疗的乳腺疾病患者105例,依据B型超声、病理诊断结果分为乳腺良性疾病组(n=51)、乳腺癌组(n=54).采集入选者空腹静脉血,通过全自动化学发光免疫分析仪测定糖链抗原153(CA153)、糖链抗原125(CA1...

关 键 词:乳腺癌  糖链抗原153  糖链抗原125  癌胚抗原  甲胎蛋白  糖链抗原199  诊断效能

Clinical value analysis of combined detection of serum tumor marker levels in diagnosis of breast cancer
SU Jianhua,YU Yuanchang,YU Xueli. Clinical value analysis of combined detection of serum tumor marker levels in diagnosis of breast cancer[J]. Contemporary Medicine, 2021, 27(3): 88-90. DOI: 10.3969/j.issn.1009-4393.2021.03.035
Authors:SU Jianhua  YU Yuanchang  YU Xueli
Affiliation:(Department of Laboratory,Shangrao Oriental Hospital,Shangrao,Jiangxi,334000,China;Department of Breast,Shangrao Oriental Hospital,Shangrao,Jiangxi,334000,China)
Abstract:Objective To analyze the clinical value of combined detection of serum tumor markers in the diagnosis of breast cancer.Methods 105 patients with breast disease treated in our hospital from January 2018 to August 2019 were enrolled.According to the results of B-mode ultrasound and pathological diagnosis,they were divided into benign breast disease group(n=51)and breast cancer group(n=54).The fasting venous blood of the selected subjects was collected,and the sugar chain antigen 153(CA153),the sugar chain antigen 125(CA125),the carcinoembryonic antigen(CEA),the alpha fetoprotein(AFP),and the sugar chain antigen 199(CA199)level were measured by a fully automated chemiluminescence immunoassay.The levels of CA153,CA125,CEA,AFP and CA199 of the two groups were compared,and the sensitivity and specificity of single and combined detection of CA153,CA125,CEA,AFP and CA199 in the diagnosis of breast cancer were cacluated.Results The levels of CA153,CA125,CEA,AFP and CA199 in breast cancer group were higher than those in benign breast disease group(P<0.05).The sensitivity of CA153,CA125,CEA,AFP and CA199 combined detection in the diagnosis of breast cancer(94.44%)were higher than the single diagnosis of each indicator(75.93%,48.15%,37.04%,44.44%,68.52%),the difference was statistically significant(P<0.05).There was no significant difference between the specificity of CA153,CA125,CEA,AFP and CA199 combined and single detection.Conclusion The serum levels of CA153,CA125,CEA,AFP and CA199 in patients with breast cancer are elevated,and the combined detection of these indicators can improve the diagnostic efficiency and provide accurate information for the diagnosis and treatment of breast cancer.
Keywords:Breast cancer  Sugar chain antigen 153  Sugar chain antigen 125  Carcinoembryonic antigen  Alpha-fetoprotein  Sugar chain antigen 199  Diagnostic efficacy
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