›› 2014, Vol. 29 ›› Issue (12): 1215-1217.

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Significance on the combined detection of human epididymis protein 4 and CYFRA21-1 in the diagnosis of non-small cell lung cancer

ZHANG Ping1, ZHOU Hongxing1, BAI Yang1, HU Yujing1, SUN Yingxin1, ZHANG Hong2   

  1. 1.Department of Clinical Laboratory, Changzhou Second People's Hospital, Nanjing Medical University, Jiangsu Changzhou 213003, China;2. Department of Clinical Laboratory, Changzhou Traditional Chinese Medicine Hospital, Nanjing Traditional Chinese Medicine University, Jiangsu Changzhou 213003, China
  • Received:2014-07-24 Online:2014-12-30 Published:2015-01-14

Abstract:

Objective To investigate the significance on the combined detection of human epididymis protein 4(HE4) and cytokeratin 19 fragment(CYFRA21-1) in the diagnosis of non-small cell lung cancer(NSCLC). Methods The levels of serum HE4 and CYFRA21-1 were detected in 50 NSCLC patients, 40 patients with pneumonia and 50 healthy subjects. The diagnosis significance of the combined detection of serum HE4 and CYFRA21-1 for NSCLC was analyzed by receiver operating characteristic(ROC) curve. Results The levels of serum CYFRA21-1 and HE4 in all the NSCLC patients and the level of HE4 in patients with Ⅰ-Ⅱ stages of NSCLC were significantly higher than those in pneumonia patients and healthy subjects(P<0.05). The levels of serum HE4 and CYFRA21-1 in patients with Ⅲ-Ⅳ stages of NSCLC were significantly higher than those in patients with Ⅰ-Ⅱ stages of NSCLC(P<0.05). The sensitivity of the combined detection was high than that of any single detection. Conclusions The detection of serum HE4 has a high significance for the early diagnosis of NSCLC compared with CYFRA21-1 detection. The combined detection of HE4 and CYFRA21-1 for the diagnosis of NSCLC has a high sensitivity, and is suitable for the clinical screening of lung cancer.

Key words: Human epididymis protein 4, Cytokeratin 19 fragment, Non-small cell lung cancer

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