Serum Carcinoembryonic Antigen Levels Before the First Curative Hepatectomy for Metastatic Colorectal Cancer Is a Predictor of Recurrence

The aim of this study was to evaluate the usefulness of serum carcinoembryonic antigen (CEA) levels before the first curative hepatectomy for metastatic colorectal cancer as a predictor of recurrence. Between 2003 and 2010, 66 patients (45 male and 21 female) who underwent a first curative hepatecto...

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Veröffentlicht in:Anticancer research 2018-09, Vol.38 (9), p.5351-5355
Hauptverfasser: Kawahara, Hidejiro, Yoshida, Seiya, Tohyama, Yoichi, Yanagisawa, Satoru, Misawa, Takeyuki, Yanaga, Katsuhiko
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container_end_page 5355
container_issue 9
container_start_page 5351
container_title Anticancer research
container_volume 38
creator Kawahara, Hidejiro
Yoshida, Seiya
Tohyama, Yoichi
Yanagisawa, Satoru
Misawa, Takeyuki
Yanaga, Katsuhiko
description The aim of this study was to evaluate the usefulness of serum carcinoembryonic antigen (CEA) levels before the first curative hepatectomy for metastatic colorectal cancer as a predictor of recurrence. Between 2003 and 2010, 66 patients (45 male and 21 female) who underwent a first curative hepatectomy for metastatic colorectal cancer in our hospital were evaluated retrospectively. The mean patient age was 65.2 years (range=31-80 years). A total of 28 patients had synchronous liver metastasis, and the other 38 patients developed metachronous liver metastasis. The 5-year relapse-free survival rate after the first hepatectomy of the 16 patients with normal serum CEA level was 61.1%, whereas that of the 50 patients with abnormal serum CEA level was 34.3% (p
doi_str_mv 10.21873/anticanres.12863
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Between 2003 and 2010, 66 patients (45 male and 21 female) who underwent a first curative hepatectomy for metastatic colorectal cancer in our hospital were evaluated retrospectively. The mean patient age was 65.2 years (range=31-80 years). A total of 28 patients had synchronous liver metastasis, and the other 38 patients developed metachronous liver metastasis. The 5-year relapse-free survival rate after the first hepatectomy of the 16 patients with normal serum CEA level was 61.1%, whereas that of the 50 patients with abnormal serum CEA level was 34.3% (p&lt;0.001). Among patients whose serum CEA levels were abnormal, the 5-year relapse-free survival rate after the first hepatectomy of the 34 patients with serum CEA levels less than 50 ng/ml was 48.1%, whereas that of the 16 patients with serum CEA level equal to or greater than 50 ng/ml was 6.3% (p&lt;0.001). All eleven patients whose serum CEA levels were at least 100 ng/ml developed recurrence within one year after hepatectomy. Serum CEA levels before the first curative hepatectomy for metastatic colorectal cancer seem to be a predictor of recurrence.</description><identifier>ISSN: 0250-7005</identifier><identifier>EISSN: 1791-7530</identifier><identifier>DOI: 10.21873/anticanres.12863</identifier><identifier>PMID: 30194188</identifier><language>eng</language><publisher>Greece: International Institute of Anticancer Research</publisher><subject>Antigens ; Cancer ; Carcinoembryonic antigen ; Colorectal cancer ; Colorectal carcinoma ; Hepatectomy ; Liver ; Metastases ; Metastasis ; Patients ; Survival</subject><ispartof>Anticancer research, 2018-09, Vol.38 (9), p.5351-5355</ispartof><rights>Copyright© 2018, International Institute of Anticancer Research (Dr. George J. 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subjects Antigens
Cancer
Carcinoembryonic antigen
Colorectal cancer
Colorectal carcinoma
Hepatectomy
Liver
Metastases
Metastasis
Patients
Survival
title Serum Carcinoembryonic Antigen Levels Before the First Curative Hepatectomy for Metastatic Colorectal Cancer Is a Predictor of Recurrence
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