Limitations of Chromogranin A in clinical practice

被引:55
作者
Marotta, Vincenzo [1 ]
Nuzzo, Vincenzo [2 ]
Ferrara, Teresa [2 ]
Zuccoli, Alfonso [2 ]
Masone, Milena [3 ]
Nocerino, Lorenzo [3 ]
Del Prete, Michela [1 ]
Marciello, Francesca [1 ]
Ramundo, Valeria [1 ]
Lombardi, Gaetano [1 ]
Vitale, Mario [4 ]
Colao, Annamaria [1 ]
Faggiano, Antongiulio [1 ,5 ]
机构
[1] Univ Naples Federico II, Dept Mol & Clin Endocrinol & Oncol, I-80131 Naples, Italy
[2] Internal Med San Gennaro Hosp, Naples, Italy
[3] Nucl Med E DAosta Hosp, Naples, Italy
[4] Univ Salerno, Sch Med, I-84100 Salerno, Italy
[5] Natl Canc Inst Fdn G Pascale, Naples, Italy
关键词
Chromogranin A; neuroendocrine tumor; false positive marker; chronic atrophic gastritis; proton pump inhibitors; NEUROENDOCRINE TUMORS; ALPHA-SUBUNIT; GLYCOPROTEIN HORMONES; NEOPLASIA; MARKERS; CLASSIFICATION; HYPERTENSION; CARCINOMAS;
D O I
10.3109/1354750X.2012.654511
中图分类号
Q81 [生物工程学(生物技术)]; Q93 [微生物学];
学科分类号
071005 ; 0836 ; 090102 ; 100705 ;
摘要
Context: Usefulness of circulating Chromogranin A (CgA) for the diagnosis of neuroendocrine tumors (NEN) is controversial. The aim of the present study was to assess the actual role of this marker as diagnostic tool. Methods: Serum blood samples were obtained from 42 subjects affected with NEN, 120 subjects affected with non-endocrine neoplasias (non-NEN) and 100 non-neoplastic subjects affected with benign nodular goitre (NNG). Determination of CgA was performed by means of immunoradiometric assay. Results: The CgA levels among NEN-patients were not significantly different from NNG and non-NEN subjects. The Receiver operating characteristic (ROC) curves analysis failed to identify a feasible cut-off value for the differential diagnosis between NEN and the other conditions. Conclusion: Serum CgA is not helpful for the first-line diagnosis of NEN.
引用
收藏
页码:186 / 191
页数:6
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