血清 STIP1 对 HCC 和 AFP 阴性 HCC 的诊断价值。

Haiqing Sun, Ning Liu, Jinli Lou
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引用次数: 0

摘要

研究目的本研究旨在探讨血清中应激诱导磷蛋白 1(STIP1)对肝细胞癌(HCC)和甲胎蛋白(AFP)阴性 HCC(ANHC)的诊断价值:本研究收集了 158 名 HCC 患者和 63 名非 HCC 患者的血清样本。方法:该研究收集了 158 名 HCC 患者和 63 名非 HCC 患者的血清样本,并进行了逻辑回归分析,以确定与 HCC 和 ANHC 相关的独立风险因素。利用接收器操作特征曲线(ROC)分析了各指标对 HCC 和 ANHC 的诊断价值:结果:HCC 组的 STIP1、去γ-羧凝血酶原(DCP)和 AFP 水平高于非 HCC 组(P < .05)。年龄、DCP、STIP1 和乙肝病毒感染是预测 HCC 的独立因素(P < .05)。STIP1 对 HCC 的诊断价值高于 DCP。此外,年龄、STIP1 和乙型肝炎病毒感染也是 ANHC 患者的独立预测因素。STIP1 的 ROC 曲线显示曲线下面积值为 0.919,诊断临界值为 68.5 U/mL。此外,36 名 ANHC 患者和 19 名 AFP 阴性的非HCC 患者也被纳入其中,以验证诊断模型。共有 20 例患者的 STIP1 水平大于 68.5 U/mL,诊断准确率为 67.3%,灵敏度为 55.6%,特异性为 89.5%:结论:STIP1 对 HCC 和 ANHC 具有极高的诊断价值。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Diagnostic value of serum STIP1 in HCC and AFP-negative HCC.

Objective: This study aimed to investigate the diagnostic value of stress-induced phosphoprotein 1 (STIP1) in serum for hepatocellular carcinoma (HCC) and alpha-fetoprotein (AFP)-negative HCC (ANHC).

Methods: In this study, serum samples were collected from 158 HCC patients and 63 non-HCC patients. Logistic regression analysis was performed to identify independent risk factors associated with HCC and ANHC. The diagnostic values of each index for HCC and ANHC were analyzed using receiver operating characteristic (ROC) curve analysis.

Results: The STIP1, des-γ-carboxy prothrombin (DCP), and AFP levels were higher in the HCC groups than in the non-HCC groups (P < .05). Age, DCP, STIP1, and hepatitis B virus infection were independent predictors of HCC (P < .05). The diagnostic value of STIP1 for HCC was higher than that of DCP. Additionally, age, STIP1, and hepatitis B virus infection were independent predictors for ANHC patients. The ROC curve exhibited an area under the curve value of 0.919 for STIP1, with a diagnostic cutoff value of 68.5 U/mL. Moreover, 36 ANHC patients and 19 AFP-negative non-HCC patients were included to validate the diagnostic model. A total of 20 patients had STIP1 levels greater than 68.5 U/mL, resulting in diagnostic accuracy of 67.3%, sensitivity of 55.6%, and specificity of 89.5%.

Conclusion: STIP1 demonstrates excellent diagnostic value for HCC and ANHC.

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