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Table 6 Comparison of Diagnostic Results of NAB alone and NAB combined with Tumor Markers according to histological subtype

From: Additional diagnostic value of tumor markers in cytological fluid for diagnosis of non-small-cell lung cancer

Diagnostic Method

Sensitivity(%)

Specificity(%)

Accuracy(%)

PPV (%)

NPV (%)

Adencarcinoma subtype (n=92)

NAB alone

79.3

100

87.1

100

74.3

NAB+Serum Tumor marker

CYFRA (3.3)

81.5

81.8

81.6

88.2

72.6

CEA (5)

81.5

90.9

85

93.8

74.6

SCC (2)

79.3

92.7

84.4

94.8

72.9

NAB+Cytological Tumor marker

CYFRA (15.7)

92.4

98.2

94.6

98.8

88.5

CEA (0.6)

89.1

92.7

90.5

95.3

83.6

SCC (0.86)

83.5

70.9

81.6

88

78

Squamous cell carcinoma subtype (n=29)

NAB alone

89.7

100

96.4

100

94.8

NAB+Serum Tumor marker

CYFRA (3.3)

93.1

81.8

85.7

73

95.7

CEA (5)

93.1

90.9

91.7

84.4

96.2

SCC (2)

93.1

92.7

92.9

87.1

96.2

NAB+Cytological Tumor marker

CYFRA (15.7)

100

98.2

98.8

96.7

100

CEA (0.6)

96.6

92.7

94

87.5

98.1

SCC (0.86)

100

70.9

81

64.4

100

  1. Note-Numbers in parentheses are cut-off levels of tumor markers in ng/mL.
  2. Abbreviations: PPV, positive predictive value; NPV, negative predictive value; CEA, carcinoembryonic antigen; SCC, squamous cell carcinoma; CYFRA, cytokeratin 19 fragments; NAB, needle aspiration biopsy.