Clinical Value of Tumor Markers for Determining Cause of Pleural Effusion
| العنوان: | Clinical Value of Tumor Markers for Determining Cause of Pleural Effusion |
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| المؤلفون: | Kan Zhai, Yan Gu, Huan-Zhong Shi |
| المصدر: | Chinese Medical Journal, Vol 129, Iss 3, Pp 253-258 (2016) Chinese Medical Journal |
| بيانات النشر: | Wolters Kluwer, 2016. |
| سنة النشر: | 2016 |
| مصطلحات موضوعية: | Adult, Male, Tuberculous Pleural Effusion, medicine.medical_specialty, Pathology, Pleural effusion, Tumor Marker, Enolase, lcsh:Medicine, Gastroenterology, Young Adult, 03 medical and health sciences, 0302 clinical medicine, Carcinoembryonic antigen, Antigens, Neoplasm, Internal medicine, Biomarkers, Tumor, medicine, Thoracoscopy, Humans, Malignant pleural effusion, Antigens, Tumor-Associated, Carbohydrate, Aged, Tumor marker, Aged, 80 and over, medicine.diagnostic_test, Receiver operating characteristic, biology, business.industry, Malignant Pleural Effusion, lcsh:R, Area under the curve, Electrochemical Techniques, General Medicine, Middle Aged, medicine.disease, Carcinoembryonic Antigen, Pleural Effusion, Malignant, Pleural Effusion, 030228 respiratory system, CA-125 Antigen, 030220 oncology & carcinogenesis, Luminescent Measurements, biology.protein, Female, Original Article, business |
| الوصف: | Background: It is often challenging to distinguish tuberculous pleural effusion (TPE) from malignant pleural effusion (MPE); thoracoscopy is among the techniques with the highest diagnostic ability in this regard. However, such invasive examinations cannot be performed on the elderly, or on those in poor physical condition. The aim of this study was to explore the differential diagnostic value of carbohydrate antigen 125 (CA125), carbohydrate antigen 199 (CA199), carcinoembryonic antigen (CEA), neuron-specific enolase (NSE), and squamous cell carcinoma (SCC) associated antigen in patients with TPE and MPE. Methods: Using electrochemiluminescence, we measured the concentration of tumor markers (TMs) in the pleural effusion and serum of patients with TPE ( n = 35) and MPE ( n = 95). We used receiver operating characteristic (ROC) curve analysis to evaluate the TMs and differentiate between TPE and MPE. Results: The cut-off values for each TM in serum were: CA125, 151.55 U/ml; CA199, 9.88 U/ml; CEA, 3.50 ng/ml; NSE, 13.27 ng/ml; and SCC, 0.85 ng/ml. Those in pleural fluid were: CA125, 644.30 U/ml; CA199, 12.08 U/ml; CEA, 3.35 ng/ml; NSE, 9.71 ng/ml; and SCC, 1.35 ng/ml. The cut-off values for the ratio of pleural fluid concentration to serum concentration (P/S ratio) of each TM were: CA125, 5.93; CA199, 0.80; CEA, 1.47; NSE, 0.76; and SCC, 0.90. The P/S ratio showed the highest specificity in the case of CEA (97.14%). ROC curve analysis revealed that, for all TMs, the area under the curve in pleural fluid (0.95) was significantly different from that in serum (0.85; P Conclusions: TMs in TPE differ significantly from those in MPE, especially when detected in pleural fluid. The combined detection of TMs can improve diagnostic sensitivity. |
| اللغة: | English |
| تدمد: | 0366-6999 |
| الوصول الحر: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::98c482e1e8231ba8974568e46d173fb3Test http://www.cmj.org/article.asp?issn=0366-6999;year=2016;volume=129;issue=3;spage=253;epage=258;aulast=GuTest |
| حقوق: | OPEN |
| رقم الانضمام: | edsair.doi.dedup.....98c482e1e8231ba8974568e46d173fb3 |
| قاعدة البيانات: | OpenAIRE |
| تدمد: | 03666999 |
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