对诊断胃癌的临床价值

:2001203214;:2001206205:(1951),(),,,15120022JournalofIsotopesVol.15No.1Feb.2002CEACA19-9CA72-4MG-Ag,,,(,226361):CEACA1929CA7224MG2Ag,IRMA,:70%,MG2Ag(9014%),CA7224(8412%),,MG+CA7224(7016%),MG+CA1929(6416%),,MG2Ag;MG+CA7224;:CEA;CA1929;CA7224;MG2Ag;;IRMA;:R81714:A:100027512(2002)0120058203,,,IRMA,CEACA1929CA7224MG2Ag,1:200,:152,84,20,30,18;:228,186,16,9,172,CEA;CA1929;CA7224;MG2Ag:CEA15LgöL,CA192930UömL,CA72243UömL,MG2Ag10UömL3(1)CEACA1929CA7224MG2Ag1(2)CEACA1929CA7224MG2Ag21CEAö%CA1929ö%CA7224ö%MG2Agö%20000.000.000.000.015285131171263198513846711781333165610201510210102101015103013132617131326171800100010001000102281657214172751419284122069014186147791015181121678918175941116637151062151381131275109222124441433313444141710581874112952191588122MG+CA1929ö%MG+CA7224ö%MG+CEAö%18612768131397417121651116531131062155311392221222212222121712701610581895219228146641016170161376011CA192+CA7224ö%CA7224+CEAö%CEA+CA1929ö%18612165.1106571098521716637156371553113955516111110010179521942315741122281416118117511311048124[1],,CEACA1929CA7224MG2Ag,1,,70%,MG2Ag(9014%),CA7224(8412%)10%,(P0.01),,MG2Ag,9411%;CA7224,8113%;CA1929MG2Ag,4414%;MG2Ag,8812%,MG2Ag,CA7224CA1929,CEA[2]CEA(6090)%7314%,CA19297514%,[3]951:CEACA1929CA7224MG2Ag54154%CA72248412%,[4]65%[5],MG2Ag(6086)%9014%,,,2,MG+CA7224,7016%;MG+CA1924,6416%,MG+CA7224,7417%;MG+CA7224,6215%;CA7224+CA1929,5516%;MG+CA1929,7016%,,,MG+CA7224:[1],1[J]1,1997,20(1):49511[2],1[J]1,1994,7(5):3083111[3],,,1CA1929[J]1,1990,12(1):58601[4],,1[J]1,1997,10(3):1641651[5],1[J]1,1998,11(4):2522561ClinicalValueofSingleorCombinedIRMAofCEA,CA19-9,CA72-4andMG-AginDiagnosisofGastricCancerLIJian2gang,CHENZhong,LIUYun,ZHANGJun(DepartmentofNuclearMedicineofNantongTumorHospital,Nantong226361,China)Absteact:FourtumormarkersCEA,CA1929,CA7224andMG2Agarechosenindiagnosisofgastriccancerand228casesaredetectedwithsingleorcombinedmethodsinall.Theresultsindicatethatthepositiveratesofsingledetectionareallabove70%andthatofMG2Agisthehighest(90.4%).Combineddetectionsoftwotumormarkers,asjudgedbydoublepositivity,thepositiverateofMG+CA7224isthehighest(70.6%),nextisMG+CA1929(64.6%).ItissuggestedthatMG2Agisthefirstchoiceinsingledetection,MG+CA7224groupisthefirstchoiceindoublecombineddetec2tionsanddifferenttumormarkerscouldbechosenaccordingtohistorogictypeinfollow2uppa2tients.Keywords:CEA;CA1929,CA7224;MG2Ag;tumormarkers;IRMA;gastriccancer0615