Chen JJ, Jiang XY, Wu QH. Value of combined detection of serum tumor markers and M2-PK in colorectal cancer screening.
Shijie Huaren Xiaohua Zazhi 2021;
29:1441-1446. [DOI:
10.11569/wcjd.v29.i24.1441]
[Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 02/06/2023] Open
Abstract
BACKGROUND
Colorectal cancer (CRC) is a highly malignant tumor with a significant increase in incidence and fatality rate year by year. Great attention has been paid to early screening for colorectal cancer. However, due to the non-specific clinical symptoms and complicated mechanisms of CRC, its early screening is not easy.
AIM
To explore the value of serum carbohydrate antigen 19-9 (CA19-9) and carcinoembryonic antigen (CEA) combined with tumor M2 pyruvate kinase (M2-PK) in the screening of CRC.
METHODS
Eighty patients with CRC and 75 patients with benign colorectal diseases treated at our hospital from January 1, 2018 to October 10, 2020 were selected. In addition, 90 healthy controls were also included. All subjects were tested for serum CA19-9, CEA, and M2-PK. The differences in serum CA19-9, CEA, and M2-PK levels between the three groups were compared, and the receiver operating characteristic (ROC) curve was used to assess the performance of serum CA19-9, CEA, and M2-PK levels, either alone or in combination, in CRC screening.
RESULTS
The results of one-way variance showed that the differences in serum CEA, CA19-9, and TuM2-PK were statistically significant among the three groups (P < 0.05); the levels of serum CEA, CA19-9, and TuM2-PK in the CRC group were significantly higher than those of the other two groups (P < 0.05). ROC curve analysis showed that the area under the ROC curve (AUC) values of serum CEA, CA19-9, and TuM2-PK for the diagnosis of CRC were 0.72, 0.69, and 0.85, respectively. The sensitivity of combined detection of CEA + CA19-9 + TuM2-PK was 90%, which was significantly higher than that of other combinations (P < 0.05).
CONCLUSION
The detection of serum tumor markers combined with M2-PK can effectively improve the sensitivity of the diagnosis of CRC, and may play an important role in the early screening of this malignancy.
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