Diagnostic value of soluble receptor-binding cancer antigen expressed on SiSo cells and carcinoembryonic antigen in malignant pleural effusion in patients with lung cancer

2014 ◽  
Vol 11 (1) ◽  
pp. 28-33 ◽  
Author(s):  
Chun-hua Xu ◽  
Ke-ke Hao ◽  
Li-ke Yu ◽  
Xiu-wei Zhang
2019 ◽  
Vol 26 (4) ◽  
pp. 523-528
Author(s):  
Min Lv ◽  
Fen Wang ◽  
Xiaoyan Wang ◽  
Cuilan Zhang

Respirology ◽  
2008 ◽  
Vol 13 (4) ◽  
pp. 518-527 ◽  
Author(s):  
Huan-Zhong SHI ◽  
Qiu-Li LIANG ◽  
Jing JIANG ◽  
Xue-Jun QIN ◽  
Hai-Bo YANG

2020 ◽  
Vol 21 (1) ◽  
Author(s):  
Hai Zhang ◽  
Changhui Li ◽  
Fang Hu ◽  
Xueyan Zhang ◽  
Yinchen Shen ◽  
...  

Abstract Background Pleural effusion (PE) can be divided into benign pleural effusion (BPE) and malignant pleural effusion (MPE). There is no consensus on the identification of lung cancer-associated MPE using the optimal cut-off levels from five common tumor biomarkers (CEA, CYFRA 21-1, CA125, SCC-Ag, and NSE). Therefore, we aimed to find indicators for the auxiliary diagnosis of lung cancer-associated MPE by analyzing and then validating the optimal threshold levels of these biomarkers in pleural fluid (PF) and serum, as well as the PF/serum ratio. Patients and method The study has two sets of patients, i.e. the training set and the test set. In the training set, 348 patients with PE, between January 1, 2016 and December 31, 2017, were divided into BPE and MPE based on the cytological diagnosis. Subsequently, the optimal cut-off levels of tumor biomarkers were analyzed. In the test set, the diagnostic compliance rate was verified with 271 patients with PE from January 1, 2018 to July 31, 2019 to evaluate the auxiliary diagnostic value of the aforementioned indicators. Result In the training set, PF CEA at the cut-off value of 5.23 ng/ml was the most effective indicator for MPE compared with other tumor biomarkers (all p < 0.001). In the test set, PF CEA at the cut-off value of 5.23 ng/ml showed the highest sensitivity, specificity and accuracy, positive and negative predictive value among other tumor biomarkers, which were 99.0%, 69.1%, 91.6%, 90.7%, and 95.9%, respectively. Conclusion PF CEA at the cut-off level of 5.23 ng/ml was the most effective indicator for identifying lung cancer-associated MPE among the five common tumor biomarkers.


2015 ◽  
Vol 64 (2) ◽  
pp. 411-417
Author(s):  
Waffa S. El-Shimy ◽  
Basem I. El-Shafey ◽  
Hesham A. El-Sorougy ◽  
Eman Ali Abd El-Monem

2019 ◽  
Vol 11 ◽  
pp. 175883591985034 ◽  
Author(s):  
Klaus Hackner ◽  
Peter Errhalt ◽  
Sabin Handzhiev

Background: Tumour markers in pleural fluid and their diagnostic value are subject to debate. Although there are several studies on this topic, standardized cut-off values do not exist. In this study we investigated the potential of a ratio of carcinoembryonic antigen (CEA) in pleural fluid and serum, serving as an individual marker for pleural cancer manifestation. Methods: A total of 201 consecutive patients with unclear pleural effusion were included in the study; 98 were diagnosed with malignant pleural effusion and 103 had an effusion due to other, benign reasons. CEA levels in pleural fluid and serum were measured. Results: By using receiver operating characteristics analysis, at the cut-off of 1.0, the CEA ratio showed a specificity of 92% and sensitivity of 85%, with a positive predictive value of 91% and a negative predictive value of 87%. These results are higher than in previous investigations on different pleural tumour markers and their combination. Conclusions: The CEA ratio is a useful tool in predicting pleural carcinosis. Elevated results in cytology-negative patients should lead to further investigations, such as repeated cytological examination or thoracoscopy.


1995 ◽  
Vol 81 (6) ◽  
pp. 440-444 ◽  
Author(s):  
Robert Loncar ◽  
Ljerka Ostojic ◽  
Vera Tabakovic-Loncar ◽  
Ante Roguljić

The aim of the study was to determine the diagnostic value of carcinoembryonic antigen (CEA) and ferritine in malignant and tuberculous non-bloody pleural effusion. The etiology of diseases was determined by cytologic, histologic and microbiologic methods. CEA concentration above 5 ng/ml and ferritine concentration above 200 ng/ml were considered to be positive. There was significant difference in the value of CEA measured in malignant and in tuberculous pleural effusion (P < 0.005) as well as in the sera (P < 0.01) of these two groups. There was no correlation between concentration of CEA and ferritine in malignant pleural effusion. Ratio between CEA and ferritine in effusions and sera was of no help in discrminating malignant from tuberculous effusions. No correlation between examined markers and physical status of patients was observed. The sensitivity and specificity of CEA assay in malignant pleural effusion was 65% and 90%, respectively, and for ferritine 67% and 80%, respectively. A high correlation was observed between the CEA concentration in malignant pleural effusion and sera patients (r = 0.95). Combined sensitivity and specificity of CEA and ferritine was 65.9% and 85%. Bayes theorem was used to calculate the positive predictive values for CEA and ferritine, which were 53% and 37%, respectively. Results obtained in the study show the relatively good diagnostic potential of CEA.


Tumor Biology ◽  
2013 ◽  
Vol 35 (1) ◽  
pp. 89-92 ◽  
Author(s):  
Chun-Hua Xu ◽  
Ping Zhan ◽  
Yu Zhang ◽  
Li-Ke Yu

2019 ◽  
Vol 11 (7) ◽  
pp. 2730-2736
Author(s):  
Xue-Bin Pei ◽  
Xiu-Zhi Wu ◽  
Feng-Shuang Yi ◽  
Kan Zhai ◽  
Huan-Zhong Shi

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