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Usefulness of Bone Metabolic Markers in the Diagnosis of Bone Metastasis from Lung Cancer
Yonsei Medical Journal ; : 388-393, 2005.
Artículo en Inglés | WPRIM | ID: wpr-74458
ABSTRACT
Bone metastasis is common in lung cancer patient and the diagnosis of bone metastasis is usually made by using imaging techniques, especially bone scintigraphy. However, the diagnostic yield from bone scintigraphy is limited. The aim of this study is to assess the clinical usefulness of urinary pyridinoline cross-linked N-telopeptides of Type I collagen (NTx), urinary deoxypyridinoline (DPD), and serum alkaline phosphatase (ALP) in the assessment of bone metastasis in patients with lung cancer. Urinary NTx, DPD, and serum ALP were measured in 151 lung cancer patients (33 with and 118 without bone metastasis). Lung cancer patients with bone metastasis had a higher urinary excretion of NTx and DPD, and a higher serum ALP than those without bone metastasis. NTx had a better receiver operating characteristic (ROC) curve than DPD and ALP, since the areas under the ROC curve were 0.82, 0.79, and 0.71, respectively. Although correlation coefficients among NTx, DPD and ALP were significantly positive (p < 0.005), the strongest relationship was appeared between NTx and DPD (R=0.616). In conclusion, our results showed the utility of the new bone markers in detecting bone metastasis and suggested that measurement of urinary NTx was valid diagnostic method of bone metastasis from lung cancer.
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Texto completo: Disponible Índice: WPRIM (Pacífico Occidental) Asunto principal: Péptidos / Neoplasias Óseas / Biomarcadores de Tumor / Valor Predictivo de las Pruebas / Colágeno / Fosfatasa Alcalina / Aminoácidos / Neoplasias Pulmonares Tipo de estudio: Estudio diagnóstico / Estudio pronóstico Límite: Adulto / Anciano / Aged80 / Humanos Idioma: Inglés Revista: Yonsei Medical Journal Año: 2005 Tipo del documento: Artículo

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Texto completo: Disponible Índice: WPRIM (Pacífico Occidental) Asunto principal: Péptidos / Neoplasias Óseas / Biomarcadores de Tumor / Valor Predictivo de las Pruebas / Colágeno / Fosfatasa Alcalina / Aminoácidos / Neoplasias Pulmonares Tipo de estudio: Estudio diagnóstico / Estudio pronóstico Límite: Adulto / Anciano / Aged80 / Humanos Idioma: Inglés Revista: Yonsei Medical Journal Año: 2005 Tipo del documento: Artículo