高级检索
黄利娟, 陈继贵, 刘丽, 刘莉, 林艺兰, 罗庆, 刘畅, 聂绍发. 结直肠癌患者血清肿瘤标志物水平与预后关系[J]. 中国公共卫生, 2011, 27(5): 563-566. DOI: 10.11847/zgggws-2011-27-05-16
引用本文: 黄利娟, 陈继贵, 刘丽, 刘莉, 林艺兰, 罗庆, 刘畅, 聂绍发. 结直肠癌患者血清肿瘤标志物水平与预后关系[J]. 中国公共卫生, 2011, 27(5): 563-566. DOI: 10.11847/zgggws-2011-27-05-16
HUANG Li-juan, CHEN Ji-gui, LIU Li, . Expressions of tumor biomarkers in blood and prognosis of colorectal cancer[J]. Chinese Journal of Public Health, 2011, 27(5): 563-566. DOI: 10.11847/zgggws-2011-27-05-16
Citation: HUANG Li-juan, CHEN Ji-gui, LIU Li, . Expressions of tumor biomarkers in blood and prognosis of colorectal cancer[J]. Chinese Journal of Public Health, 2011, 27(5): 563-566. DOI: 10.11847/zgggws-2011-27-05-16

结直肠癌患者血清肿瘤标志物水平与预后关系

Expressions of tumor biomarkers in blood and prognosis of colorectal cancer

  • 摘要: 目的 探讨血清肿瘤标志物癌胚抗原(CEA)、糖类多肽抗原19-9(CA19-9)与结直肠癌预后的关系。方法 选择经病理诊断的结直肠癌原发住院病例123例,收集临床病理资料及CEA、CA19-9的实验室检测结果,对病例进行随访,分析CEA、CA19-9表达与结直肠癌临床病理因素及预后的关系。结果 结直肠癌淋巴结转移组的CEA阳性率高于未转移组,差异具有统计学意义(P=0.039),细胞学分级诊断(Dukes分期)C/D分期的CA19-9阳性率高于A/B分期,差异具有统计学意义(P=0.025);术前CEA、CA19-9单项阳性和双阳性病例的生存时间明显缩短(分别P=0.022,P=0.002,P=0.008);结直肠癌组织学分型(OR=2.524,95%CI=1.230~5.182,P=0.012)及血清CA19-9(OR=3.310,95%CI=1.371~7.991,P=0.008)是影响结直肠癌预后的独立因素。结论 结直肠癌术前血清CEA和CA19-9升高可预测预后不良,结直肠癌组织学分型及血清CA19-9可作为预测预后的独立因素。

     

    Abstract: Objective To explore the associations between carcinoembryonic antigen(CEA),carbohydrate antigen(CA19-9) and clinical outcomes in colorectal cancer(CRC)patients.Methods A total of 123 cases with CRC were selected in the study.The data for clinical/pathological factors and clinic outcomes were collected.There lation ships between CEA,CA19-9 level,clinical/pathological factors and survival were analyzed.Results There was a significant difference in CEA positive rate between the lymphnode metastasis group and non-metastasis group(P=0.039).CA19-9 positive rate was significant different in Dukes stages(P=0.025).For cases with positive result of single CEA,CA19-9,or the combination of the two,the survival time was significantly less than that of the cases with negative result(P=0.022,0.002 and 0.008,re spectively).The tumorhistological type(oddsratioOR=2.524,95% confidence intervalCI:1.230-5.182;P=0.012)and CA19-9(OR=3.310,95%CI:1.371-7.991;P=0.008)were independent negative prognosis factors by Coxreg ression test.Conclusion High serum level of CEA and CA19-9 may predict poor outcome for colorectal cancer patients.Tumorhistological type and CA19-9 mayact as independent prognosis factors for colo rectal cancer.

     

/

返回文章
返回