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对胃癌单抗MG7所识别的胃癌新的相关抗原MG7As、TAG72、CA19.9(均为IRMA法)进行了前瞻性规范的诊断试验对照研究,评价MG7Ag及其联合应用诊断胃癌的价值。结果:ROC曲线法选择MG7Ag界值为7.5kU/L。MG7Ag、TAG72、CA19-9诊断胃癌的敏感性分别为48.8%、45.3%、38.5%,无显著性差别(P>0.05);3者特异性分别为92.8%、91.6%、92.8%(P>0.05)。MG7Ag与TAG72,CA19-9诊断Ⅲ、Ⅳ期胃癌的敏感性显著高于Ⅰ、Ⅱ期,其中MG7Ag分别为69.6%和27.3%。MG7Ag是一种有价值的胃癌标志物,与TAG72或(和)CA19-9联合应用可显著提高诊断胃癌的敏感性。
The gastric cancer monoclonal antibody MG7 recognized the new gastric cancer associated antigens MG7As, TAG72, CA19.9 (all IRMA method) a prospective and standardized diagnostic test controlled study to evaluate the value of MG7Ag and its combination in the diagnosis of gastric cancer. Results: The ROC curve method selected the MG7Ag cutoff value as 7.5 kU/L. The sensitivity of MG7Ag, TAG72, and CA19-9 in the diagnosis of gastric cancer were 48.8%, 45.3%, and 38.5%, respectively, and there was no significant difference (P>0.05). The specificity of the three individuals was 92.8 respectively. %, 91.6%, 92.8% (P>0.05). The sensitivity of MG7Ag and TAG72, CA19-9 in the diagnosis of stage III and IV gastric cancer was significantly higher than that of stage I and II, and MG7Ag was 69.6% and 27.3%, respectively. MG7Ag is a valuable gastric cancer marker, and its combination with TAG72 or (and) CA19-9 can significantly improve the sensitivity of the diagnosis of gastric cancer.