CA125加强是癌症吗？
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><img src="//q1.itc.cn/q_70/images03/20240520/20f426dd9f5f4ec0bf797b7aae42d824.jpeg" style="width: 50%; margin-bottom: 20px;"></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">小李姑娘前几年<span style="color: black;">起始</span>痛经，并且越来越严重，去医院<span style="color: black;">检测</span>诊断为子宫内膜异位症，CA125<span style="color: black;">上升</span>，是正常值的三倍，其它<span style="color: black;">检测</span><span style="color: black;">无</span><span style="color: black;">发掘</span>问题。但还是有点淡定不了，担心CA125<span style="color: black;">上升</span>是癌症。特意来门诊咨询。</span></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">CA125，全<span style="color: black;">叫作</span>是肿瘤<span style="color: black;">关联</span>抗原125，是一种糖蛋白性肿瘤抗原标志物之一。<span style="color: black;">重点</span>存在于上皮性卵巢癌组织和血清<span style="color: black;">其中</span>，一般用于诊断浆液性卵巢癌和上皮性卵巢癌，<span style="color: black;">同期</span><span style="color: black;">亦</span>用于术后放疗、化疗的<span style="color: black;">评定</span>。</span></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;"><span style="color: black;">倘若</span><span style="color: black;">检测</span>肿瘤六项，结果<span style="color: black;">表示</span><span style="color: black;">仅有</span>CA125偏高，虽然特异性不高，<span style="color: black;">然则</span>在临床上<span style="color: black;">亦</span>应得到<span style="color: black;">注意</span>。</span></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><img src="//q4.itc.cn/q_70/images03/20240520/68e2ae914b784ec3b30a863030c4ed61.jpeg" style="width: 50%; margin-bottom: 20px;"></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">临床上CA125<span style="color: black;">检测</span>结果正常参考值范围是血清<span style="color: black;">少于</span>35KU/L。在临床上常用于卵巢癌的筛查，其它的像子宫内膜癌、胰腺癌、乳腺癌以及肠癌、肺癌<span style="color: black;">亦</span>可以有不同程度的<span style="color: black;">上升</span>。</span></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">子宫腺肌症是子宫内膜移位到子宫肌壁间<span style="color: black;">导致</span>的，<span style="color: black;">能够</span><span style="color: black;">导致</span>痛经进行性加重，<span style="color: black;">大姨妈</span>量<span style="color: black;">增加</span>，受孕困难。超声<span style="color: black;">检测</span>提示子宫体积呈现球形增大，<span style="color: black;">经过</span>这些<span style="color: black;">检测</span>，<span style="color: black;">能够</span>诊断为子宫腺肌症。</span></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">当女性<span style="color: black;">身患</span>子宫腺肌症时，查血清CA125水平可能会有<span style="color: black;">上升</span>，<span style="color: black;">通常</span>是在100-200U/ml之间。<span style="color: black;">然则</span>CA125诊断子宫腺肌症，<span style="color: black;">敏锐</span>性和特异性均比较低，<span style="color: black;">不可</span><span style="color: black;">做为</span>独立的诊断依据。</span></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><img src="//q7.itc.cn/q_70/images03/20240520/46a9f115266846b49bb04af86e010d94.jpeg" style="width: 50%; margin-bottom: 20px;"></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">并非CA125<span style="color: black;">升高</span><span style="color: black;">必定</span>存在肿瘤，部分炎性病变<span style="color: black;">亦</span><span style="color: black;">能够</span>导至CA125<span style="color: black;">上升</span>。比较<span style="color: black;">平常</span>的慢性炎症有咽炎、胃炎、肝炎、胆囊炎、盆腔炎、宫颈炎、附件炎症等，这些慢性炎症<span style="color: black;">疾患</span>都<span style="color: black;">能够</span><span style="color: black;">引起</span>CA125偏高。<span style="color: black;">倘若</span>盆腔、腹腔结核的<span style="color: black;">病人</span><span style="color: black;">能够</span>产生腹水，<span style="color: black;">亦</span>会<span style="color: black;">引起</span>CA125<span style="color: black;">显著</span>升高。</span></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;"><span style="color: black;">因此</span>，<span style="color: black;">倘若</span>只是CA125<span style="color: black;">上升</span>，<span style="color: black;">意见</span>1-3个月后进行复查。</span></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">一番科普，小李姑娘淡定了，连声说谢谢，轻快的起身<span style="color: black;">离开</span>……</span></p>
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