The diagnostic value of serum MMP-7 and MMP-9 combined with gastric filling ultrasound in preoperative TNM staging of gastric cancer
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The diagnostic value of serum MMP-7 and MMP-9 combined with gastric filling ultrasound in preoperative TNM staging of gastric cancer
Journal of Clinical Ultrasound in MedicineVol. 23, Issue 9, (2021)
作者机构:
1. 义乌市中心医院胃肠疝外科
2. 新疆维吾尔自治区人民医院胰腺外科
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DOI:
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Published:2021,
Published Online:29 September 2021,
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The diagnostic value of serum MMP-7 and MMP-9 combined with gastric filling ultrasound in preoperative TNM staging of gastric cancer. [J]. Journal of Clinical Ultrasound in Medicine 23(9).(2021)
DOI:
The diagnostic value of serum MMP-7 and MMP-9 combined with gastric filling ultrasound in preoperative TNM staging of gastric cancer. [J]. Journal of Clinical Ultrasound in Medicine 23(9).(2021)DOI:
The diagnostic value of serum MMP-7 and MMP-9 combined with gastric filling ultrasound in preoperative TNM staging of gastric cancer
Objective: After detecting the correlation between the expression of serum MMP-7 and MMP-9 and the degree of differentiation
depth of tumor invasion
and lymph node metastasis in patients with gastric cancer
gastric filling ultrasound
serum MMP-7
MMP-9 and combined screening in different stages of gastric cancer Middle value. Methods: A retrospective analysis of 82 patients with gastric cancer was admitted between February 2018 and February 2020
and they were all tested for serum MMP-7
MMP-9 and gastric filling ultrasound (FUS; Filling Ultra Ssound) to analyze the differentiation of serum in gastric cancer patients After the degree
the depth of tumor invasion
and the expression in lymph node metastasis
pathological biopsy
"International Anti-Cancer Alliance and American Cancer Federation TNM Staging System (8th Edition)" as the gold standard
use ROC to analyze gastric filling ultrasound and serum MMP -7. The value of MMP-9 and combined screening in different stages of gastric cancer. Results: The positive rate of MMP-7 and MMP-9 expression was correlated with the degree of differentiation
lymph node metastasis
and depth of invasion (P<0.05). The FUS has a total accuracy rate of 84.51% for T1 to T4
85.92% for N1 to N3
and 84.51% for M1 staging; MMP-7 has a total accuracy of 81.69% for T1 to T4. The total accuracy of N1~N3 is 78.87%
the accuracy of M1 staging is 83.10%; the total accuracy of MMP-9 is 80.28% for T1~T4
the total accuracy of N1~N3 is 77.46%
and the accuracy of M1 staging is accurate The rate is 81.69%. At the same time
through serum testing
MMP-7 and MMP-9 in T4 stage patients are higher than those in other stages; MMP-7 and MMP-9 in N3 stage patients are higher than those in other stages; MMP-7 and MMP-9 in M1 stage patients are higher than M0 Period (P<0.05). ROC curve analysis showed that the AUC of FUS diagnosis for T staging was 0.741; the AUC for N staging was 0.748; the AUC for M staging was 0.695; the AUC of MMP-7 diagnosis was 0.681 for T staging; the AUC for N staging was 0.667 ; AUC for M staging is 0.643; MMP-9 diagnosis AUC for T staging is 0.720; AUC for N staging is 0.674; AUC for M staging is 0.636; AUC for T staging is 0.993 for combined diagnosis; N staging The AUC for M staging is 0.993; the AUC for M staging is 0.948
indicating that the combined diagnosis has a certain accuracy. Conclusion: Serum MMP-7 and MMP-9 expressions are closely related to gastric cancer staging
degree of differentiation
and depth of tumor invasion. Combined with FUS diagnosis
it can improve the accuracy of gastric cancer staging.
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