血清中鳞状上皮细胞癌抗原水平对早期外阴癌的预测价值

• 作 者: Hefler L.A. Sliutz G. Leodolter S 李跃萍
• 机 构: Department of Obstetrics and Gynecology Medical University of Vienna Waehringer Guertel 18- 20 A- 1
• 出 处: 世界核心医学期刊文摘(妇产科学分册)
• 发表日期: 2005年12期
• 关键词: 鳞状上皮细胞 外阴癌 预测价值 血清 受累程度 肿瘤分期 肿瘤分级 预测参数 围手术期 外阴

Objective. To determine whether SCC- Ag serum levels can be used as a prognostic parameter in surgically treated early stage vulvar cancer. Methods. SCC- Ag serum levels were measured preoperatively in 61 surgically staged patients with squamous cell vulvar cancer (UICC pT1 and pT2). Results were correlated to clinical data. Results. Mean (standard deviation) SCC- Ag serum levels in patients with vulvar cancer were 1.5 (1.99) ng/mL. SCC- Ag serum levels were significantly higher in patients with pT2 vulvar cancer (2.2 [2.6] ng/mL) compared with patients with pT1 vulvar cancer (1.0 [1.2] ng/mL, P = 0.034). SCC- Ag serum levels were not associated with lymph node involvement (P = 0.1), tumor grade (P = 0.6), and patients’ age (P = 0.5). Multivariate Cox regression models considering tumor stage, lymph node involvement, patients’ age, and SCC- Ag serum levels as covariates showed that lymph node involvement (P = 0.04 and P = 0.01) and tumor stage (P = 0.006 and P = 0.009), but not SCC- Ag serum levels (P = 0.8 and P = 0.6), and patients’ age (P = 0.08 and P = 0.22) are prognostic factors for disease-free and overall survival, respectively. Conclusion. SCC- Ag serum levels cannot be used as an additional prognostic parameter in patients with surgically treated early stage vulvar cancer.

Objectives. To determine whether SCC-Ag serum levels can be used as a prognostic parameter in surgically treated early stage vulvar cancer. Methods. SCC-Ag serum levels were measured preoperatively in 61 surgically staged patients with squamous cell vulvar cancer (UICC pT1 and pT2 Mean (standard deviation) SCC-Ag serum levels in patients with vulvar cancer were 1.5 (1.99) ng / mL. SCC- Ag serum levels were significantly higher in patients with pT2 vulvar cancer ( 2.2 [2.6] ng / mL) compared with patients with pT1 vulvar cancer (1.0 [1.2] ng / mL, P = 0.6), and patients ’age (P = 0.5). Multivariate Cox regression models considering tumor stage, lymph node involvement, patients’ age, and SCC- Ag serum levels as covariates showed that lymph node involvement (P = 0.04 and P = 0.01) and tumor stage (P = 0.006 and P = 0.009), but not SCC-Ag serum levels (P = 0.8 and P = 0.6), and patients’ age (P = 0.08 and P = 0.22) are prognostic factors for disease-free and overall survival, respectively. Conclusion. SCC- Ag serum levels can not be used as an additional prognostic parameter in patients with surgically treated early stage vulvar cancer.