CA 19-9 AS A PROGNOSTIC INDEX AFTER RESECTION FOR PANCREATIC-CANCER

被引:58
作者
SPERTI, C [1 ]
PASQUALI, C [1 ]
CATALINI, S [1 ]
CAPPELLAZZO, F [1 ]
BONADIMANI, B [1 ]
BEHBOO, R [1 ]
PEDRAZZOLI, S [1 ]
机构
[1] UNIV PADUA, DEPT SURG, VIA FACCIOLATI 71, I-35127 PADUA, ITALY
关键词
TUMOR MARKERS; CARBOHYDRATE ANTIGEN; FOLLOW-UP; PANCREATIC NEOPLASMS; PANCREATECTOMY;
D O I
10.1002/jso.2930520302
中图分类号
R73 [肿瘤学];
学科分类号
100214 ;
摘要
Serial serum CA 19-9 assays were performed in 30 consecutive patients who underwent resection for pancreatic cancer. Patients with preoperative CA 19-9 levels < 200 U/ml had significantly better prognosis than those with CA 19-9 > 200 U/ml (P < 0.001). Serum tumor marker normalized in 14 patients after tumor resection, and survival in this group was significantly higher than that of patients with persistently elevated CA 19-9 (P < 0.0001). Prognosis was also influenced by absence of lymph node metastases (P < 0.02) and radicality of resection (P < 0.005). Elevation of serum CA 19-9 levels after operation well predicted tumor recurrence from 1-10 months before clinical and radiological evidence. CA 19-9 determination is useful as a prognostic index after resection for pancreatic carcinoma and as a surveillance test in monitoring the efficacy of treatment.
引用
收藏
页码:137 / 141
页数:5
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