头颈部恶性前病变和恶性病变中血清生物标志物(LDH、CRP、IL-8)水平的相关性

S. Faiz, Harsha Singh, Mariyam Parveen, Kriti Bhatt, Abhijeet Singh, Samiullah
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摘要

癌前病变通常被定义为形态发生改变的组织,与正常组织相比,癌变发生的可能性更大。头颈部癌症包括口腔癌和喉癌,以及一些罕见的癌症,如鼻窦癌、唾液腺癌、鼻癌和鼓室癌。头颈部癌症通常被描述为与其最初的细胞类型一致。生物标志物可以被定义和解释为生物分子,它们大多存在于体液、血液甚至组织中,能指示我们身体的异常。在这里,我们采用了三种生物标记物(LDH、CRP、IL-8)来衡量它们在头颈部恶性和恶性肿瘤前期病变中的水平升高情况。分析研究的对象包括到耳鼻喉科门诊就诊的患者,这些患者的主要症状显示头颈部存在恶性肿瘤前期和恶性病变。在进行完整的耳鼻喉科检查后,对可疑病变进行活检并采集血液样本。恶性肿瘤前病变和恶性肿瘤后病变每组各包括 30 名患者。在癌前病变和恶性病变中均未发现血清 LDH 平均升高。癌前病变患者的血清 CRP 平均升高,而恶性病变患者的血清 CRP 则没有升高。不过,恶性前病变和恶性病变的平均血清 IL-8 均有升高。从未来的角度来看,血清生物标志物评估可成为一种替代诊断方法,用于早期评估恶性肿瘤前病变和恶性肿瘤病变,以及监测同等病变的预后。
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Correlation of serum biomarker (LDH, CRP, IL-8) levels in pre-malignant and malignant lesions of head and neck
A precancerous lesion is often defined as morphologically altered tissue during which the occurrence of carcinoma is more likely than its normal counterpart. Head and neck cancers include cancers of the mouth and therefore the larynx, also as some rarer cancers like cancer of the sinuses, salivary glands, nose, and tympanic cavity. Head and neck cancers are often described as consistent with the sort of cell they begin with. A biomarker could be defined and interpreted as biological molecule which is mostly found in body fluids, blood or even tissues that indicates abnormalities of our body. Here we've taken three biomarkers (LDH, CRP, IL-8) to gauge their level rise in pre-malignant and malignant lesions which are present in our head and neck. Patients attending ENT OPD with primary symptoms indicating premalignant and malignant lesions in the region of head and neck had been included for the analytical study. Complete ENT examination followed by biopsy of the suspicious lesion and blood sample collection was done. A complete of 30 patients were included in each group of premalignant and malignant lesions. No mean serum rise of serum LDH was noted in premalignant and malignant lesions. A mean serum rise of serum CRP was noted in premalignant lesions but was not noted in malignant lesions. However, both premalignant and malignant lesions noted a mean serum rise of IL-8. From a future perspective serum evaluation of biomarkers can become a replacement diagnostic modality for the early evaluation of premalignant lesions and malignant lesions and for monitoring the prognosis of an equivalent.
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