Ann Lab Med.  2021 May;41(3):339-341. 10.3343/alm.2021.41.3.339.

Algorithm using Neuron-Specific Enolase and ProGastrin-Releasing Peptide to Increase the Diagnostic Accuracy for Small Cell Lung Cancer

Affiliations
  • 1Department of Thoracic and Cardiovascular Surgery, Kosin University Gospel Hospital, Busan, Korea
  • 2Division of Pulmonology, Department of Internal Medicine, Kosin University Gospel Hospital, Busan, Korea
  • 3Department of Laboratory Medicine, Kosin University Gospel Hospital, Busan, Korea


Figure

  • Fig. 1 Algorithm for differentiating between SCLC and NSCLC. The cutoff value for ProGRP is 85.70 pg/mL, and that for NSE is 17.30 ng/mL. When a discordant result is observed between ProGRP and NSE, two cutoff values are used. One of the values is 14.24 ng/mL, which is the cutoff value for 100% sensitivity of NSE based on the ROC curve analysis, and the other is 83.97 ng/mL, which is the mean value plus 3SD of NSE in the NSCLC patient group. We calculated these values based on the test results of 100 patients. Therefore, these values could be adjusted based on the evaluated patient groups in each institution. Abbreviations: NSE, neuron-specific enolase; ProGRP, pro-gastrinreleasing peptide; SCLC, small cell lung cancer.


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