CEA、CYFRA21-1和TSGF对晚期非小细胞肺癌化放疗疗效的评估价值

Value of CEA, CYFRA21-1 and TSGF in assessing the curative effect of combined chemotherapy and radiotherapy on advanced non-small cell lung cancer

  • 摘要: 目的 探讨血清癌胚抗原(carcinoembryonic antigen,CEA)、细胞角蛋白19片段(CYFRA21-1)和肿瘤特异性生长因子(tumor specific growth factor,TSGF)对晚期非小细胞肺癌(non-small cell lung cancer,NSCLC)化放疗疗效的评估价值。 方法 选取2009年1月-2012年1月我院收治的54例诊断明确的初治晚期NSCLC患者,先行长春瑞滨+顺铂全身化疗2周期,再予肺癌立体定向放射治疗。在第一周期化疗前和立体定向放疗结束后3个月,采集患者静脉血,检测CEA、CYFRA21-1和TSGF血清浓度。 结果 54例综合治疗后3个月,PR 21例,SD 18例,PD 15例。肺鳞癌化放疗后,血清CYFRA21-1和TSGF水平均明显降低;肺腺癌化放疗后,血清CEA和TSGF水平均显著下降(均P< 0.01)。治疗有效(PR)组血清CEA、CYFRA21-1和TSGF值明显降低(P< 0.05);治疗无效(NC+PD)组血清CEA、CYFRA21-1和TSGF浓度无明显变化(P> 0.05)。 结论 晚期NSCLC化放疗前后,血清CEA、CYFRA21-1和TSGF水平变化与组织学类型有关,可通过监测CEA、CYFRA21-1和TSGF血清浓度变化来评估NSCLC化放疗疗效。

     

    Abstract: Objective To study the value of CEA, CYFRA21-1 and TSGF in assessing the curative effect of combined chemotherapy and radiotherapy on advanced non-small cell lung cancer (NSCLC). Methods Fifty-four advanced NSCLC patients admitted to our hospital from January 2009 to January 2012 underwent two cycles of whole body chemotherapy with NVB and DDP followed by stereotactic radiotherapy. Blood samples were taken from the patients before the frst cycle of chemotherapy and 3 month after stereotactic radiotherapy for the measurement of their serum CEA, CYFRA21-1 and TSGF levels. Results Of the 54 patients who received 3 months of combined chemotherapy and radiotherapy, 21 had PR, 18 had SD, and 15 had PD. The serum CYFRA21-1 and TSGF levels and the serum CEA and TSGF levels were signifcantly lower in patients with lung squamous cell carcinoma and in those with lung adenocarcinoma cancer, respectively, after combined chemotherapy and radiotherapy (P< 0.01). The serum CEA, CYFRA21-1 and TSGF levels were signifcantly lower in responders than in non- responders (P< 0.05) while no signifcant change was observed in non-responders after combined chemotherapy and radiotherapy (P> 0.05). Conclusion The serum CEA, CYFRA21-1 and TSGF levels are related with the histopathological type of advanced NSCLC before and after combined chemotherapy and radiotherapy. The curative effect of combined chemotherapy and radiotherapy on advanced NSCLC can thus be assessed by monitoring the serum CEA, CYFRA21-1 and TSGF levels.

     

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