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Prognostic Effect of Perioperative Change of Serum Carcinoembryonic Antigen Level: A Useful Tool for Detection of Systemic Recurrence in Rectal Cancer

Authors
 Yoon-Ah Park  ;  Kang Young Lee  ;  Nam Kyu Kim  ;  Seung Hyuk Baik  ;  Seung Kook Sohn  ;  Chang Whan Cho 
Citation
 ANNALS OF SURGICAL ONCOLOGY, Vol.13(5) : 645-650, 2006 
Journal Title
 ANNALS OF SURGICAL ONCOLOGY 
ISSN
 1068-9265 
Issue Date
2006
MeSH
Adenocarcinoma/blood* ; Adenocarcinoma/pathology ; Adenocarcinoma/surgery ; Adult ; Aged ; Biomarkers, Tumor/blood* ; Carcinoembryonic Antigen/blood* ; Chi-Square Distribution ; Female ; Humans ; Male ; Middle Aged ; Neoplasm Invasiveness ; Neoplasm Recurrence, Local/blood* ; Predictive Value of Tests ; Prognosis ; Proportional Hazards Models ; Rectal Neoplasms/blood* ; Rectal Neoplasms/pathology ; Rectal Neoplasms/surgery ; Risk Factors ; Survival Rate
Keywords
Rectal cancer ; Perioperative serum CEA change ; Recurrence ; Prognosis
Abstract
BACKGROUND: The prognosis of patients even with the same stage of rectal cancer varies widely. We analyzed the capability of perioperative change of serum carcinoembryonic antigen (CEA) level for predicting recurrence and survival in rectal cancer patients. METHODS: We reviewed 631 patients who underwent potentially curative resection for stage II or III rectal cancer. Patients were categorized into three groups according to their serum CEA concentrations on the seventh day before and on the seventh day after surgery: group A, normal CEA level (<or=5 ng/mL) in both periods; group B, increased preoperative and normal postoperative CEA; and group C, continuously increased CEA in both periods. The prognostic relevance of the CEA group was investigated by analyses of recurrence patterns and survival. RESULTS: Stage III patients showed higher systemic recurrence (P = .001) and worse 5-year survival rates (P < .0001) for group C than for groups A and B. On multivariate analysis, the CEA group was a significant predictor for recurrence (P < .001; relative risk, 2.740; 95% confidence interval, 1.677-4.476) and survival (P = .001; relative risk, 2.174; 95% confidence interval, 1.556-3.308). CONCLUSIONS: The perioperative serum CEA change was a useful prognostic indicator to predict for systemic recurrence and survival in stage III rectal cancer patients.
Full Text
http://link.springer.com/article/10.1245%2FASO.2006.03.090
DOI
10.1245/ASO.2006.03.090
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Surgery (외과학교실) > 1. Journal Papers
Yonsei Authors
Kim, Nam Kyu(김남규) ORCID logo https://orcid.org/0000-0003-0639-5632
Baik, Seung Hyuk(백승혁) ORCID logo https://orcid.org/0000-0003-4183-2332
Sohn, Seung Kook(손승국)
Lee, Kang Young(이강영)
Cho, Chang Hwan(조장환)
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/109641
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