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Diagnostic Value of CYFRA21-1, CA19-9 and SCCAg Detection in Esophageal Cancer

查看全文 作  者:Du [1]Chunran;Wang [1]Yanming;Hou [1]Shenyan 高影响力作者 机构地区:[1]Clinical Laboratory,Central Hospital of Liaoning Province,Chaoyang 122000,Liaoning,China高影响力机构 出  处:《Proceedings of Anticancer Research》索引2018年第2卷第2期,共4页高影响力期刊 摘  要:Objectives To investigate the value of serum cytokeratin 19 fragment(CYFRA21-1),carbohydrate anti-gen 19-9(CA19-9)and squamous cell carcinoma antigen(SCCAg)in the diagnosis of esophageal cancer.Methods 100 cases of esophageal cancer(study group)and 50 healthy subjects(control group)were recruited in the study,the serum levels of CYFRA21-1,CA19-9 and SCCAg in these patients were detected.Subgroups analysis was performed in study group by clinical staging,and the diagnostic value of CYFRA21-1,CA19-9 and SCCAg in detecting esophageal cancer was analyzed by receiver operating characteristic curve(ROC).Results The serum levels of CYFRA21-1,CA19-9 and SCCAg in study group were significantly higher than those in control group,and those were significantly lower in patients with stageⅠ-Ⅱdisease than those with stageⅢandⅣdisease,indicating statistically significant difference(P<0.01);the sensitivity of serum CYFRA21-1,CA19-9 and SCCAg in the diagnosis of esophageal cancer was 82.26%,and specificity was 91.33%,with positive predictive value being 86.14%,and negative predictive value being 89.57%,and AUC value was 0.864,the combined detection was superior to each measure utilized alone,the difference was significantly significant(P<0.05).Conclusion The combined detection of serum CYFRA21-1,CA19-9,and SCCAg can significantly improve the diagnostic sensitivity and specificity in detecting the esophageal cancer. 关 键 词:CYTOKERATIN 19 fragment CARBOHYDRATE ANTIGEN 19-9 SQUAMOUS cell carcinoma ANTIGEN esophageal cancer
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