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2016 ; 9
(ä): 3381-6
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Diagnostic values of serum tumor markers Cyfra21-1, SCCAg, ferritin, CEA, CA19-9,
and AFP in oral/oropharyngeal squamous cell carcinoma
#MMPMID27350753
Yuan C
; Yang K
; Tang H
; Chen D
Onco Targets Ther
2016[]; 9
(ä): 3381-6
PMID27350753
show ga
BACKGROUND: At present, the research on serum tumor markers in the early
diagnosis of malignant tumors has aroused widespread concern. The aim of this
study was to investigate the diagnostic values of serum tumor markers cytokeratin
19 fragment (Cyfra21-1), squamous cell carcinoma antigen (SCCAg), ferritin,
carcinoembryonic antigen (CEA), carbohydrate antigen 19-9 (CA19-9), and
?-fetoprotein (AFP) for patients with oral/oropharyngeal squamous carcinoma
(OSCC/OPSCC). METHODS: One hundred and sixty-nine cases of patients with
OSCC/OPSCC as the experimental group, 86 cases of oral benign tumor patients as
the control group, and 30 cases of healthy people as the normal control group
were studied. The levels of serum Cyfra21-1, SCCAg, ferritin, CEA, CA19-9, and
AFP were measured using electrochemiluminescence immunoassay. RESULTS: The levels
of serum Cyfra21-1, SCCAg, ferritin, and CEA in patients with OSCC/OPSCC were
significantly higher than those of benign tumor and healthy control group
(P<0.05). The levels of CA19-9 and AFP showed no significant difference between
patients with OSCC/OPSCC, benign tumor, and healthy group (P>0.05). The level of
serum Cyfra21-1 in patients with early OSCC/OPSCC (stage I + II) was
significantly higher than that of benign tumor and healthy control group
(P<0.05). However, the levels of serum SCCAg, ferritin, CEA, CA19-9, and AFP
showed no significant difference between patients with early OSCC/OPSCC, benign
tumor, and healthy control group (P>0.05). The levels of serum Cyfra21-1, SCCAg,
ferritin, and CEA in the middle-late stage of patients with OSCC/OPSCC (stage III
+ IV) were significantly higher than those of patients with the early OSCC/OPSCC,
benign tumor, and healthy control group (P<0.05). The diagnostic cutoff levels of
Cyfra21-1, SCCAg, ferritin, and CEA were 2.17, 0.72, 109.95, and 1.99 ng/mL,
respectively. The sensitivities were 60.36%, 73.37%, 81.66%, and 66.27%,
respectively. The specificities were 81.03%, 68.10%, 40.52%, and 61.21%,
respectively. CONCLUSION: Cyfra21-1, SCCAg, ferritin, and CEA had diagnostic
values for patients with OSCC/OPSCC. Meanwhile, Cyfra21-1 had better early
diagnostic value for patients with OSCC/OPSCC.