Serum tumor markers: Can they clinically implicate in type 2 diabetes mellitus?

K. S. Reddy, Ilakkiya Priya Pandiaraj, Archana Gaur, Sakthivadivel Varatharajan
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Abstract

“Serum tumor markers expression (CA19-9, CA242, and CEA) and its clinical implications in type 2 diabetes mellitus” authored by Meng and Shi presents an observational case-control study investigating the correlation between tumor markers and type 2 diabetes mellitus (T2DM). The study explores the diagnostic accuracy of tumor markers, particularly cancer antigen 19-9 (CA19-9), CA242, and carcinoembryonic antigen, in poorly controlled T2DM patients with hemoglobin A1c levels exceeding 9%, employing receiver operating characteristic curve analysis. Though study offers valuable insights into the potential utility of tumor markers in clinical practice, caution is advised regarding routine tumor marker testing due to challenges such as limited availability and cost. Additionally, the study overlooks potential confounding factors like smoking and alcohol consumption. Variations in CA19-9 and CA242 expression underscore the complex interplay between tumor markers and systemic diseases, warranting further investigation into their diagnostic and prognostic implications. While Meng and Shi represent a significant contribution to the field, more extensive research is needed to fully elucidate the role of tumor markers in diabetes management and beyond.
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血清肿瘤标志物:血清肿瘤标志物能否与 2 型糖尿病产生临床联系?
由 Meng 和 Shi 撰写的 "血清肿瘤标志物(CA19-9、CA242 和 CEA)的表达及其对 2 型糖尿病的临床意义 "介绍了一项观察性病例对照研究,该研究调查了肿瘤标志物与 2 型糖尿病(T2DM)之间的相关性。研究采用接收器操作特征曲线分析法,探讨了肿瘤标志物,尤其是癌抗原 19-9 (CA19-9)、CA242 和癌胚抗原对血红蛋白 A1c 水平超过 9% 且控制不佳的 T2DM 患者的诊断准确性。虽然该研究为肿瘤标志物在临床实践中的潜在作用提供了宝贵的见解,但由于存在供应有限和成本高昂等挑战,建议对常规肿瘤标志物检测持谨慎态度。此外,该研究还忽略了吸烟和饮酒等潜在的混杂因素。CA19-9和CA242表达的变化凸显了肿瘤标志物与全身性疾病之间复杂的相互作用,值得进一步研究它们对诊断和预后的影响。虽然孟和史对该领域做出了重大贡献,但要充分阐明肿瘤标志物在糖尿病管理及其他方面的作用,还需要进行更广泛的研究。
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