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Correlation Analysis of Serum Tumor Markers and Immunohistochemical Indicators with Clinicopathological Features of Gastric Cancer |
LI Ji-bin, WANG Rui, TANG Shui-ping |
Department of Pathology, Shenmu City Hospital, Shenmu 719300 |
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Abstract 【Objective】To investigate the correlation of immunohistochemistry and tumor markers with clinicopathological characteristics of gastric cancer. 【Methods】Retrospective analysis of all clinical data of 152 patients with gastric cancer treated in our hospital from December 2015 to December 2019 were studied. The relationship of the expression of human epidermal growth factor receptor (Her-2), epidermal growth factor receptor (EGFR), antigen ki67 (Ki67), tumor markers carcinoembryonic antigen (CEA), sugar chain antigen (CA125 and CA19-9) with the clinicopathological characteristics of patients with gastric cancer. 【Results】The expressions of HER-2, EGFR and Ki67 were correlated with lymphatic metastasis, high differentiation and TNM stages Ⅲ and IV (P<0.05). The levels of CEA, CA125 and CA19-9 in patients with tumor lymphatic metastasis were significantly higher than those in patients without metastasis (P<0.05). Taking the tumor diameter 2.4cm as the boundary,the levels of CEA, CA125 and CA19-9 in serum of patients with increased tumor diameter were significantly higher than those with smaller tumor diameter (P<0.05). The level of CA125 decreased with the increase of pathological differentiation (P<0.05). In patients with gastric cancer, the expression of CEA, CA125 and CA199 in stage Ⅱ, Ⅲ and Ⅳ was higher than that in stage Ⅰ(P<0.05), the expression of CEA, CA125 and CA199 in stage Ⅲ and Ⅳ was higher than that in stage Ⅱ (P<0.05), and the expression of CEA, CA125 and CA199 in stage Ⅳ was higher than that in stage Ⅲ(P<0.05). 【Conclusion】Immunohistochemistry and tumor markers can be used as useful reference for the diagnosis of gastric cancer patients, and provide a theoretical basis for the early diagnosis and treatment of gastric cancer patients.
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Received: 14 October 2020
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