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. 2020 Sep 28;11(11):3234–3242. doi: 10.1111/1759-7714.13654

Table 4.

Sensitivity comparison between CACs and tumor biomarker in patients

Positive (sensitivity)
Characteristics CACs Tumor biomarkers TPSA SCC PRO NSE CA19 CEA CYPFRA21
Total 156 (67.2%) 113 (48.7%)** 45 (19.4%)** 22 (9.5%)** 1 (0.4%)** 38 (16.4%)** 15 (6.5%)** 22 (9.5%)** 31 (13.4%)**
Adenocarcinoma types
MIA and AIS 52 (71.2%) 26(35.6%)** 11(15.1%)** 7(9.6%)** 0 (0) ** 8 (10.96%)** 3 (4.1%)** 1(1.4%)** 6(8.2%)**
IAC 98 (65.8%) 80 (53.7%)* 33(22.1%)** 13(8.7%)** 1 (0.7%)** 28 (18.79%)** 10 (6.7%)** 18 (12.1%)** 21 (14.1%)**
Nodule size
≤10 mm 34 (65.4%) 19(36.5%)* 10(19.2%)** 4(7.7%)** 0 (0)** 5 (9.62%)** 2 (3.8%)** 1(1.9%)** 6 (11.5%)**
10–20 mm 83 (68.0%) 61(50.0%)* 23(18.9%)** 12(9.8%)** 1 (0.8%)** 21 (17.21%)** 8 (6.6%)** 13 (10.7%)** 15 (12.3%)**
>20 mm 39 (67.2%) 33 (56.9%) 12 (20.7%)** 6(10.3%)** 0 (0)** 12 (20.69%)** 5 (8.6%)** 8 (13.8%)** 10 (17.2%)**
Nodule type
Solid nodules 58 (63.0%) 54 (58.7%) 17 (18.5%)** 12 (13.0%)** 1(1.1%)** 13 (14.13%)** 9 (9.8%)** 18 (19.6%)** 13 (14.1%)**
pGGNs 44 (66.7%) 27 (40.9%)* 12 (18.2%)** 8 (12.1%)** 0 (0)** 10 (15.15%)** 1 (1.5%)** 2 (3.0%)** 8 (12.1%)**
mGGNs 54 (73.0%) 32(43.2%)** 16 (21.6%)** 2 (2.7%)** 0(0)** 15 (20.27%)** 5 (6.8%)** 2 (2.7%)** 10 (13.5%)**
*

P < 0.05 compared with CACs;

**

P < 0.001 compared with CACs.

Any tumor biomarkers positive: CEA + NSE + TPSA + SCC + ProGRP + CA19‐9 + CYFRA21‐1.

AIS, adenocarcinoma in situ; CA19‐9, carbohydrate antigen 19‐9; CACs, circulating genetically abnormal cells; CEA, carcinoembryonic antigen; CYFRA21‐1, cytokeratin 19 fragment 21‐1; IAC, invasive adenocarcinoma; mGGNs, mixed ground‐glass nodules; MIA, minimally invasive adenocarcinoma; NSE, neuron‐specific enolase; pGGNs, pure ground‐glass nodules; ProGRP, progastrin‐releasing peptide; SCC‐Ag, squamous cell carcinoma antigen; TPSA, total prostate specific antigen.