作者: Helen E. Davies , Ross S. Sadler , Silvia Bielsa , Nicholas A. Maskell , Najib M. Rahman
DOI: 10.1164/RCCM.200811-1729OC
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摘要: Rationale: Serum mesothelin is a new biomarker for the diagnosis of mesothelioma. Patients with mesothelioma commonly present pleural effusions. To define clinical utility quantification in fluid, we assessed its additional value over fluid cytology and short-term reproducibility reliability after inflammatory processes, including pleurodesis.Objectives: assess diagnostic role effect common factors that may influence measurement accuracy.Methods: Mesothelin was quantified 424 64 serum samples by ELISA. Fluid collected prospectively from 167 patients who presented effusions investigation. Serial were obtained (n = 33) requiring repeated drainage. levels also measured 32) prepleurodesis postpleurodesis.Measurements Main Results: Pleural concentrations significa...