目的:探讨检测痰中核不均一核糖核蛋白A2/B1(heterogeneous nuclear ribonucleoprotein A2/B1,hnRNP A2/B1)在肺癌早期诊断中的意义。方法:收集63例疑诊肺癌患者的痰标本,分别采用痰涂片、痰细胞块切片细胞学检查(镜检找到癌细胞即诊断为肺癌)及痰细胞块切片免疫组织化学检测hnRNP A2/B1(表达阳性即诊断为肺癌)进行诊断,比较2种诊断方法的结果。结果:痰涂片及痰细胞块切片细胞学检查诊断肺癌的敏感度为31.8%,特异度为100%。痰细胞块检测hnRNP A2/B1诊断肺癌的敏感度为80%,特异度为68.4%。检测痰hnRNP A2/B1的敏感度显著高于痰细胞学检查(P〈0.01)。结论:痰细胞块结合免疫组织化学法检测hnRNP A2/B1有助于发现早期肺癌。
Objective:To investigate the value of hnRNP A2/B1 expression in sputum for early diagnosis of lung cancer.Methods: A total of 63 sputum specimens of patients who were suspected as lung cancer were collected to compare the regular examination of sputum cells with detection of hnRNP A2/B1 by immunohistochemical staining method.Results: The sensitivity and specificity of regular examination of sputum cells were 31.8% and 100%,while the detection of hnRNP A2/B1 by immunohistochemical staining method were 80% and 68.4%.The detection of hnRNP A2/B1 was more effective by immunohistochemical staining method in diagnosis of lung cancer.Conclusions: Detection of hnRNP A2/B1 was valuable in early diagnosis of lung cancer.