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甲胎蛋白(AFP)的检测对诊断原发性肝癌具有较高价值,但存在假阳性和假阴性,给诊断带来困难,而CA-50对原发性肝癌也有很高的阳性率,我们将两者联检探讨其诊断价值及其临床的使用价值。 材料和方法 一、临床资料:选择1997年1月～1998年12月在我院门诊及住院患者133例(男102,女31),其中原发性肝癌92例,转移性肝癌41例,年龄27～78岁,平均53.8岁,均经超声、CT或病理活检证实,转移性肝癌原发灶分别来自胃15例,肠9例,胰腺2例,胆囊1例,乳腺3例,胸腺1例,肺10例。健康查体者30例(男18,女12)作为对照组,平均年龄51.6岁。
The detection of alpha-fetoprotein (AFP) is of high value in the diagnosis of primary liver cancer, but there are false positives and false negatives, which is difficult to diagnose, and CA-50 has a high positive rate for primary liver cancer. Jointly examine the two to discuss its diagnostic value and clinical use value. Materials and Methods 1. Clinical data: 133 outpatients (102 males and 31 females) were selected from January 1997 to December 1998 in our hospital, including 92 cases of primary liver cancer and 41 cases of metastatic liver cancer. 27 to 78 years old, average 53.8 years old, were confirmed by ultrasound, CT, or pathological biopsy. The primary lesions of metastatic liver cancer were from 15 cases of stomach, 9 cases of intestine, 2 cases of pancreas, 1 case of gallbladder, 3 cases of breast, and 1 case of thymus. 10 cases of lung. Thirty healthy subjects (18 males and 12 females) served as a control group with an average age of 51.6 years.