Impact of preoperative serum carcinoembryonic antigen, CA 19-9 and alpha fetoprotein levels in gastric cancer patients

被引:41
作者
Nakajima, K [1 ]
Ochiai, T [1 ]
Suzuki, T [1 ]
Shimada, H [1 ]
Hayashi, H [1 ]
Yasumoto, A [1 ]
Takeda, A [1 ]
Hishikawa, E [1 ]
Isono, K [1 ]
机构
[1] Chiba Univ, Sch Med, Dept Surg, Chuo Ku, Chiba 260, Japan
关键词
carcinoembryonic antigen; CA; 19-9; alpha fetoprotein; gastric cancer;
D O I
10.1159/000030038
中图分类号
R73 [肿瘤学];
学科分类号
100214 ;
摘要
The relationship between preoperative serum carcinoembryonic antigen (CEA), CA 19-9 and alpha-fetoprotein (AFP) levels and their clinicopathological features were evaluated in gastric cancer patients, The positive rates of CEA, CA 19-9 and AFP were 24.8, 27.6 and 12.7%, respectively. Gastric cancer with deeper tumor invasion was significantly more common among patients positive for these tumor markers, Patients with positive CEA or CA 19-9 values had a significantly high risk of lymph node metastases (p = 0.045 and p = 0.002, respectively), Synchronous liver metastases was more commonly found in patients with a positive CA 19-9 value. A significant difference (p < 0.001) in survival rate was found between patients with positive CA 19-9 values and those with negative values. CA 19-9 is useful for the prognosis of gastric cancer patients, whereas CEA, although unsuitable for prognosis, contributes to the prediction of cancer invasion.
引用
收藏
页码:464 / 469
页数:6
相关论文
共 20 条
[1]  
[Anonymous], 1995, JAP CLASS GASTR CARC
[2]  
BERG EL, 1991, J BIOL CHEM, V266, P14869
[3]  
CAMBELL MJ, 1993, MED STAT COMMONSENSE
[4]  
CHANG YC, 1990, AM J GASTROENTEROL, V85, P1480
[5]  
Dawson-Saunders B., 1994, Basic and clinical biostatistics, V2
[6]   SPECIFIC CARCINOEMBRYONIC ANTIGENS OF HUMAN DIGESTIVE SYSTEM [J].
GOLD, P ;
FREEDMAN, SO .
JOURNAL OF EXPERIMENTAL MEDICINE, 1965, 122 (03) :467-&
[7]   Preoperative CEA and TAG-72 serum levels as prognostic indicators in resectable gastric carcinoma [J].
Gonzalez, A ;
Vizoso, F ;
Allende, MT ;
Sanchez, MT ;
Balibrea, JL ;
Ruibal, A .
INTERNATIONAL JOURNAL OF BIOLOGICAL MARKERS, 1996, 11 (03) :165-171
[8]  
HOSTETTER RB, 1990, ARCH SURG-CHICAGO, V125, P300
[9]   CARCINOEMBRYONIC ANTIGEN AS A SELECTIVE ENHANCER OF COLORECTAL-CANCER METASTASIS [J].
HOSTETTER, RB ;
AUGUSTUS, LB ;
MANKARIOUS, R ;
CHI, KF ;
FAN, D ;
TOTH, C ;
THOMAS, P ;
JESSUP, JM .
JOURNAL OF THE NATIONAL CANCER INSTITUTE, 1990, 82 (05) :380-385
[10]  
Ikeguchi M, 1997, HEPATO-GASTROENTEROL, V44, P866