KMID : 0857020020170010054
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Kosin Medical Journal 2002 Volume.17 No. 1 p.54 ~ p.57
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Serum Pepsinogens as a Predict of Stomach Cancer
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Yoon Ki-Young
Lee Sang-Ho Choi Kyung-Hyun
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Abstract
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Background : Human pepsinogens ¥° and ¥±, a precursor of pepsin, is secreted by the mucous neek and chief cells of fundic gland and antrium, previous reports suggest that a low serum level of pepsinogen ¥°, ¥± correlated well with the extent of premalignant lesions in the stomach, such as intestinal metaplasia and atrophic gastritis, and may act as a predictor of increased risk of gastric carcinoma. In previous studies, factors influencing the serum level of pepsinogen I have been thought to be only tumor histology.
Methods : The arm of the present study was to measure the serum levels of pepsinogen ¥° and ¥± and ¥°/¥± ratio 74 patient with gastric cancer and another 30 healthy controls. The histological of gastric cancer was classified into diffuse and intestinal type in accordance with Lauren¡¯s classification and early gastric cancer, advanced gastric cancer.
Result : The pepsinogen ¥° and ¥± levels among patients were higher and pepsinogen ¥°/¥± ratio may be a useful screening test for gastric carcinoma. This impression should be confirmed by more extensive fields trial to determine.
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KEYWORD
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gastric carcinoma, serum pepsinogens
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