患有未引起静脉血栓塞栓症的患者的隐性癌症:一个嵌套病例对照研究
Verónica Sánchez-López1,2, Samira Marín-Romero3, Marta Ferrer-Galván3
1Instituto de Biomedicina de Sevilla, Hospital Universitario Virgen del Rocio/CSIC/Universidad de Sevilla, Seville, Spain.
American journal of clinical pathology
|February 10, 2024
概括
可溶性P-选择素和D-二分体在检测未引起静脉血栓栓塞栓症 (VTE) 患者的隐藏癌症方面表现有前途. 这些生物标志物的高水平可以帮助识别隐性恶性瘤,帮助早期诊断.
科学领域:
- 血液学 血液学 血液学
- 在瘤学瘤学.
- 生物标志物发现发现
背景情况:
- 在未引起静脉血栓塞栓症 (VTE) 的患者中检测隐性癌症是临床上具有挑战性的.
- 与凝血相关的生物标志物可能有助于诊断隐藏的恶性瘤.
研究的目的:
- 研究凝血生物标志物的预测作用,以诊断未引起的静脉瘤患者的隐性癌症.
- 评估可溶性P-选择素 (sP-选择素) 和D-二次体对隐性恶性瘤的诊断效用.
主要方法:
- 一项嵌套病例控制研究,涉及214名未引起的VTE患者.
- 在VTE诊断时测量生物标志物,包括sP-selectin,D-dimer,血小板,白细胞,血红蛋白和细胞外囊泡 (EVs).
主要成果:
- 在患有隐性癌症的患者中观察到具有统计意义的sP-选择因水平升高 (P = .015).
- 对于隐性癌症诊断的高特异性 (高达91%) 在sP-选择素超过62ng/mL和D-二分体超过10,000μg/L时实现.
结论:
- sP-选择素和D-二聚体的组合作为一种有价值的生物标志物,用于检测未引起的静脉瘤患者的隐性癌症.
- 需要进一步的研究来证实这些生物标志物的有效性,以区分VTE患者和没有隐藏的恶性瘤.
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