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Research ArticleOriginal Article
Open Access

Application of serum gastric function markers and digestive tumor indices to the diagnosis of early gastric cancer and precancerous lesions

Zhu Yanan, Wang Juan, Wang Jun, Ma Xin, Wu Kejian and Wang Fangyu
Saudi Medical Journal August 2023, 44 (8) 795-800; DOI: https://doi.org/10.15537/smj.2023.44.8.20230231
Zhu Yanan
From the Department of Gastroenterology and Hepatology (Yanan, Fangyu), Jinling Hospital, Jinling Clinical College of Nanjing Medical University, Nanjing, and from the Department of Gastroenterology (Yanan, Juan, Jun, Xin, Kejian), the affiliated Hospital of Xuzhou Medical University, XuZhou, China.
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Wang Juan
From the Department of Gastroenterology and Hepatology (Yanan, Fangyu), Jinling Hospital, Jinling Clinical College of Nanjing Medical University, Nanjing, and from the Department of Gastroenterology (Yanan, Juan, Jun, Xin, Kejian), the affiliated Hospital of Xuzhou Medical University, XuZhou, China.
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Wang Jun
From the Department of Gastroenterology and Hepatology (Yanan, Fangyu), Jinling Hospital, Jinling Clinical College of Nanjing Medical University, Nanjing, and from the Department of Gastroenterology (Yanan, Juan, Jun, Xin, Kejian), the affiliated Hospital of Xuzhou Medical University, XuZhou, China.
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Ma Xin
From the Department of Gastroenterology and Hepatology (Yanan, Fangyu), Jinling Hospital, Jinling Clinical College of Nanjing Medical University, Nanjing, and from the Department of Gastroenterology (Yanan, Juan, Jun, Xin, Kejian), the affiliated Hospital of Xuzhou Medical University, XuZhou, China.
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Wu Kejian
From the Department of Gastroenterology and Hepatology (Yanan, Fangyu), Jinling Hospital, Jinling Clinical College of Nanjing Medical University, Nanjing, and from the Department of Gastroenterology (Yanan, Juan, Jun, Xin, Kejian), the affiliated Hospital of Xuzhou Medical University, XuZhou, China.
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Wang Fangyu
From the Department of Gastroenterology and Hepatology (Yanan, Fangyu), Jinling Hospital, Jinling Clinical College of Nanjing Medical University, Nanjing, and from the Department of Gastroenterology (Yanan, Juan, Jun, Xin, Kejian), the affiliated Hospital of Xuzhou Medical University, XuZhou, China.
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  • For correspondence: [email protected]
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Article Figures & Data

Tables

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    Table 1

    - Expression of tumor indicators in different lesions.

    GroupsNumber of casesTumor indicators
    CEA (ng/ml)CA242 (u/ml)CA724 (u/ml)CA199 (u/ml)
    Normal402.1±0.794.52±1.342.14±0.4211.01±2.57
    LGIN†432.33±0.934.24±1.132.30±0.6710.24±1.96
    HGIN†252.41±0.677.37±2.012.92±0.8911.38±2.39
    EGC†632.86±1.096.97±2.313.61±1.0317.25±4.17
    AGC†403.4±0.8517.36±3.973.17±1.0434.19±5.74
    P-values p>0.05*p<0.05*p>0.05*p<0.05*
      p>0.05†p>0.05†p>0.05†p>0.05†
    • Values are presented as mean ± standard deviation (SD).

    • ↵* comparison among all groups

    • ↵† comparison among the LGIN, HGIN, and EGC groups.

    • CEA: carcinoembryonic antigen, CA: carbohydrate antigen, LGIN: low-grade intraepithelial neoplasia, HGIN: high-grade intraepithelial neoplasia, EGC: early gastric cancer, AGC: advanced gastric cancer

    • View popup
    Table 2

    - Pepsinogen I, pepsinogen II, and gastrin-17 levels in early gastric cancer and intraepithelial neoplasia.

    GroupsPGIPGIIPGRG-17
    Control143.15±21.2616.87±3.6110.89±1.4910.05±2.59
    LGIN†187.21±25.7318.95±3.9612.33±2.8214.26±3.47
    HGIN†146.16±17.4817.76±4.7113.19±3.3018.66±4.82
    EGC†119.35±25.5220.55±4.5711.24±2.7521.72±5.58
    Advanced cancer94.85±28.7217.3± 5.239.83±2.6722.38±5.35
    P-valuesp<0.05*p>0.05*p>0.05*p<0.05*
    p<0.05†p>0.05†p>0.05†p<0.05†
    • Values are presented as mean ± standard deviation (SD).

    • ↵* comparison among all groups

    • ↵† comparison among the LGIN, HGIN, and EGC groups.

    • PG: pepsinogen, PGR: PGI/PGII ratio, G-17: gastrin-17, LGIN: low-grade intraepithelial neoplasia, HGIN: high-grade intraepithelial neoplasia, EGC: early gastric cancer

    • View popup
    Table 3

    - Indices of serum gastric function in Helicobacter pylori-infect`ed and uninfected patients.

    GroupsPGIPGIIG-17
     H. pylori (+)P-valueH. pylori (-)P-valueH. pylori (+)P-valueH. pylori (-)P-valueH. pylori (+)P-valueH. pylori (-)P-value
    LGIN238.51±25.48<0.05157.82±14.78<0.0527.6±3.57<0.0514.05±2.01<0.0510.98±1.74>0.0513.83±2.35>0.05
    HGIN171.13±21.46 109.00±11.25 22.70±4.82 16.97±3,14 13.49±2.85 16.13±3.48 
    EGC130.82±18.37 103.47±9.87 13.69±2.18 9.83±1.78 22.51±3.94 20.41±4.06 
    • Values are presented as mean ± standard deviation (SD). PG: pepsinogen, G-17: gastrin-17, H. pylori: Helicobacter pylori, LGIN: low-grade intraepithelial neoplasia, HGIN: high-grade intraepithelial neoplasia, EGC: early gastric cancer

    • View popup
    Table 4

    - Expression of Ki67 among the groups.

    GroupsCasesKi67P-valuesP-values*
    Negative++++++PositivePositive rate (%)
    Negative control2014420630.0  
    LGIN432316402046.5  
    HGIN251111301456.0  
    EGC6317132584673.0 >0.05
    AGC2032871785.0<0.05 
    • LGIN: low-grade intraepithelial neoplasia, HGIN: high-grade intraepithelial neoplasia, EGC: early gastric cancer, AGC: advanced gastric cancer, P: comparison among these groups.

    • ↵P*: comparison among LGIN, HGIN, early gastric cancer

    • View popup
    Table 5

    - Abnormal p27 expression rate in each group.

    GroupsCasesp27P-valuesP-values*
    <10%10-20%21-30%30% aboveAbnornal expression rate (%)
    Negative control201201715.0  
    LGIN433303713.9  
    HGIN254417032.0  
    EGC63341051469.8 <0.05
    AGC201144175.0<0.05 
    • LGIN: low-grade intraepithelial neoplasia, HGIN: high-grade intraepithelial neoplasia, EGC: early gastric cancer, AGC: advanced gastric cancer, P: comparison among these group

    • ↵P*: comparison among LGIN, GHIN, ECG

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Saudi Medical Journal: 44 (8)
Saudi Medical Journal
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1 Aug 2023
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Application of serum gastric function markers and digestive tumor indices to the diagnosis of early gastric cancer and precancerous lesions
Zhu Yanan, Wang Juan, Wang Jun, Ma Xin, Wu Kejian, Wang Fangyu
Saudi Medical Journal Aug 2023, 44 (8) 795-800; DOI: 10.15537/smj.2023.44.8.20230231

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Application of serum gastric function markers and digestive tumor indices to the diagnosis of early gastric cancer and precancerous lesions
Zhu Yanan, Wang Juan, Wang Jun, Ma Xin, Wu Kejian, Wang Fangyu
Saudi Medical Journal Aug 2023, 44 (8) 795-800; DOI: 10.15537/smj.2023.44.8.20230231
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