非肝癌血清甲胎蛋白阳性意义的探讨  

Clinical Meaning of Positive Alpha Fetoprotein Result in Patients with Non-Hepatocellular Carcinoma Malignant Tumors

作　　者：常树建[1] 洪婷婷[1] 朱文英[2] 

机构地区：[1]苏州大学附四院肿瘤科,江苏省无锡市214062 [2]苏州大学附四院检验科,江苏省无锡市214062

出　　处：《中华全科医学》2010年第10期1249-1250,共2页Chinese Journal of General Practice

摘　　要：目的探讨非肝癌血清甲胎蛋白(alpha fetoprotein,AFP)阳性患者的疾病分布。方法收集2007年1月-2008年1月间苏州大学附四院所有血清AFP阳性(定义为AFP≥10ng/ml)的住院患者,逐一查对每位患者的病理诊断,然后计算在所有AFP阳性患者中各种非肝癌疾病所占比例。结果在非肝癌AFP阳性患者中,前3位的恶性肿瘤分别是胃癌、贲门癌和肺癌,分别占所有AFP阳性病例数的30.2%、14.1%和10.1%。结论在非肝癌的AFP阳性恶性肿瘤患者中,肿瘤原发部位包括了消化、呼吸、泌尿生殖等多系统器官,而最为常见的部位为胃。Objective To analyze the disease distribution of non-hepatocellular carcinoma malignant tumors patients with positive alpha fetoprotein（AFP） serum.Methods All patients with positive AFP serum（defined as great than or equal to 10 ng/ml） from Jan.2007 to Jan.2008 in our hospital were collected,and the disease distribution of non-hepatocellular carcinoma（non-HCC） malignant tumors conformed by pathological examination were analyzed.Results In all non-HCC malignant tumors patients with AFP positive,the tope three diseases were in sequence of gastric cancer,cardiac cancer and lung cancer,and accounted for 30.2%,14.1% and 10.1%,respectively.Conclusion In non-HCC malignant tumors patients with AFP positive,the primary sites of tumor include organs of different systems such as digest,respiratory,urinary and reproductive systems,and the stomach cancer is the most common.

关 键 词：甲胎蛋白 非肝癌 

分 类 号：R341.6[医药卫生—基础医学] R730.43