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直肠粘液T抗原检测用于大肠癌筛检

Screening of Colorectal Cancer by Testing T-antigen in the Rectal Mucus

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【作者】 陈宗祐邓景德王德昭孙鹏辛国明吕元

【Author】 Chen Zongyou, et alDepartment of Surgery, Huashan Hospital, Shanghai Medical University,Shanghai (200040)

【机构】 上海医科大学华山医院外科上海医科大学华山医院检验科 200040200040200040

【摘要】 应用花生凝集素对150例指检获取的直肠粘液进行T抗原检测,在70例大肠癌中阳性者36例(51.4%),在30例大肠息肉中阳性者8例(26.7%),而50例大肠粘膜正常者仅3例阳性(6%)。本组资料表明,该法对大肠癌检出的敏感性为51.4%,特异性为94%,阳性预测值为76.6%,而且该试验简便快速,可望用于大肠癌的筛检。

【Abstract】 Peanut agglutinin (PNA) was employed to detect T-antigen presented in rectal mucus of 150 cases obtained by digital rectal examination. Positive response was observed in 36 of 70 patients (51.4%) with colorectal cancer and 8 of 30 patients (26.7%) with colorectal polyp, only 3 showed positive response (6%) in 50 normal subjects. The results suggested the sensitivity to cancer was 51.4%, specificity, 94% and predictive value of positive test, 76.6%. The test will be useful for mass screening of colorectal cancer because it is simple, rapid and technically convenient.

【关键词】 大肠癌T抗原花生凝集素筛检
【Key words】 colorectal cancerT - antigenpeanut agglutininscreening test
  • 【分类号】R735.34
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