结核与肺部疾病杂志 ›› 2021, Vol. 2 ›› Issue (3): 273-276.doi: 10.3969/j.issn.2096-8493.20210035

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生物标志物用于良恶性肺结节鉴别诊断的研究进展

崔凯, 张晓菊()   

  1. 450003 郑州大学人民医院/河南省人民医院呼吸与危重症医学科
  • 收稿日期:2021-05-11 出版日期:2021-09-30 发布日期:2021-09-24
  • 通信作者: 张晓菊 E-mail:15837101166@163.com

Research progress on the application of biomarkers in differential diagnosis of benign and malignant pulmonary nodules

CUI Kai, ZHANG Xiao-ju()   

  1. Department of Respiratory Medicine, People’s Hospital of Zhengzhou University, Zhengzhou 450003, China
  • Received:2021-05-11 Online:2021-09-30 Published:2021-09-24
  • Contact: ZHANG Xiao-ju E-mail:15837101166@163.com

摘要:

生物标志物检测是一种操作简单且便于监测随访的检测方法,广泛应用于肺结节的定性诊断及其恶性演进过程的研究中。不同生物标志物对于恶性肺结节的诊断特异度和敏感度不同,多种生物标志物的联合检测或低剂量螺旋CT的联合评估可显著提高恶性肺结节的诊断效能。作者回顾性总结了生物标志物在肺结节良恶性鉴别诊断中的临床价值及研究进展,为肺结节患者的临床诊治和分层管理提供合理建议。

关键词: 肺肿瘤, 生物学标记, 诊断, 鉴别

Abstract:

Biomarker detection is a simple and convenient method for monitoring and follow-up, which is widely used in the qualitative diagnosis of pulmonary nodules and the study of malignant evolution. Different biomarkers have different specificity and sensitivity in the diagnosis of malignant pulmonary nodules. The combined detection of multiple biomarkers or the evaluation combined with low-dose spiral CT can significantly improve the diagnostic efficiency of malignant pulmonary nodules. The clinical value and research progress of biomarkers in the differential diagnosis of benign and malignant pulmonary nodules were reviewed to provide reasonable suggestions for clinical diagnosis and treatment, and hierarchical management of patients with pulmonary nodules.

Key words: Lung neoplasms, Biomarkers, Diagnosis, differential