Preoperative CA125 value predicts Glisson capsule involvement in patients with peritoneal carcinomatosis undergoing cytoreductive surgery and hyperthermic intraperitoneal chemotherapy

The difficulty of detecting lesions smaller than 1 cm in the preoperative period is still a continuing problem in peritoneal carcinomatosis. The prospective data of 106 peritoneal carcinomatosis patients were included this study. Preoperative AFP, carcinoembryonic antigen, CA19.9, CA125, neutrophil/...

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Veröffentlicht in:Biomarkers in medicine 2019-04, Vol.13 (5), p.359-369
Hauptverfasser: Duzgun, Ozgul, Sarici, Inanc Samil
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description The difficulty of detecting lesions smaller than 1 cm in the preoperative period is still a continuing problem in peritoneal carcinomatosis. The prospective data of 106 peritoneal carcinomatosis patients were included this study. Preoperative AFP, carcinoembryonic antigen, CA19.9, CA125, neutrophil/lymphocyte ratio, platelet/lymphocyte ratio, mean platelet value, platelet distribution width, red cell distribution width and radiological findings compared according to Glisson capsule tumor involvement. Preoperative radiological imaging methods have low accuracy in demonstrating Glisson capsule involvement. Inflammatory and serum tumor markers, except CA125, have been shown to be ineffective at detecting preoperative Glisson capsule involvement. CA125 levels higher than 52.4 were found to be significant in indicating Glisson's capsule involvement. CA125 is more sensitive than radiological and nuclear imaging methods in detecting tumors smaller than 1 cm.
doi_str_mv 10.2217/bmm-2019-0009
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The prospective data of 106 peritoneal carcinomatosis patients were included this study. Preoperative AFP, carcinoembryonic antigen, CA19.9, CA125, neutrophil/lymphocyte ratio, platelet/lymphocyte ratio, mean platelet value, platelet distribution width, red cell distribution width and radiological findings compared according to Glisson capsule tumor involvement. Preoperative radiological imaging methods have low accuracy in demonstrating Glisson capsule involvement. Inflammatory and serum tumor markers, except CA125, have been shown to be ineffective at detecting preoperative Glisson capsule involvement. CA125 levels higher than 52.4 were found to be significant in indicating Glisson's capsule involvement. 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Sarici, Inanc Samil</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c371t-2a106ef04ca6336688f7c0628403f8470599830f48b97cde17be5dad989a3a13</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2019</creationdate><topic>Abdomen</topic><topic>Adult</topic><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Biomarkers</topic><topic>CA-125 Antigen - blood</topic><topic>CA125</topic><topic>Carcinoembryonic antigen</topic><topic>CEA</topic><topic>Chemotherapy</topic><topic>Colorectal cancer</topic><topic>Cytoreduction Surgical Procedures</topic><topic>cytoreductive surgery</topic><topic>Diagnostic Imaging</topic><topic>Female</topic><topic>Gastric cancer</topic><topic>Glisson capsule</topic><topic>Humans</topic><topic>Hyperthermia, Induced</topic><topic>hyperthermic intraperitoneal chemotherapy (HIPEC)</topic><topic>Inflammation</topic><topic>Liver - diagnostic imaging</topic><topic>Liver - pathology</topic><topic>Male</topic><topic>Medical prognosis</topic><topic>Mesothelioma</topic><topic>Middle Aged</topic><topic>neutrophil/lymphocyte ratio</topic><topic>NMR</topic><topic>Nuclear magnetic resonance</topic><topic>Ovarian cancer</topic><topic>Peritoneal Neoplasms - blood</topic><topic>Peritoneal Neoplasms - diagnostic imaging</topic><topic>Peritoneal Neoplasms - pathology</topic><topic>Peritoneal Neoplasms - therapy</topic><topic>Peritoneum</topic><topic>platelet/lymphocyte ratio</topic><topic>Platelets</topic><topic>Preoperative Period</topic><topic>ROC Curve</topic><topic>Studies</topic><topic>Surgery</topic><topic>Tumor Burden</topic><topic>Tumor markers</topic><topic>Tumors</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Duzgun, Ozgul</creatorcontrib><creatorcontrib>Sarici, Inanc Samil</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Health &amp; 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The prospective data of 106 peritoneal carcinomatosis patients were included this study. Preoperative AFP, carcinoembryonic antigen, CA19.9, CA125, neutrophil/lymphocyte ratio, platelet/lymphocyte ratio, mean platelet value, platelet distribution width, red cell distribution width and radiological findings compared according to Glisson capsule tumor involvement. Preoperative radiological imaging methods have low accuracy in demonstrating Glisson capsule involvement. Inflammatory and serum tumor markers, except CA125, have been shown to be ineffective at detecting preoperative Glisson capsule involvement. CA125 levels higher than 52.4 were found to be significant in indicating Glisson's capsule involvement. CA125 is more sensitive than radiological and nuclear imaging methods in detecting tumors smaller than 1 cm.</abstract><cop>England</cop><pub>Future Medicine Ltd</pub><pmid>30758236</pmid><doi>10.2217/bmm-2019-0009</doi><tpages>11</tpages></addata></record>
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subjects Abdomen
Adult
Aged
Aged, 80 and over
Biomarkers
CA-125 Antigen - blood
CA125
Carcinoembryonic antigen
CEA
Chemotherapy
Colorectal cancer
Cytoreduction Surgical Procedures
cytoreductive surgery
Diagnostic Imaging
Female
Gastric cancer
Glisson capsule
Humans
Hyperthermia, Induced
hyperthermic intraperitoneal chemotherapy (HIPEC)
Inflammation
Liver - diagnostic imaging
Liver - pathology
Male
Medical prognosis
Mesothelioma
Middle Aged
neutrophil/lymphocyte ratio
NMR
Nuclear magnetic resonance
Ovarian cancer
Peritoneal Neoplasms - blood
Peritoneal Neoplasms - diagnostic imaging
Peritoneal Neoplasms - pathology
Peritoneal Neoplasms - therapy
Peritoneum
platelet/lymphocyte ratio
Platelets
Preoperative Period
ROC Curve
Studies
Surgery
Tumor Burden
Tumor markers
Tumors
title Preoperative CA125 value predicts Glisson capsule involvement in patients with peritoneal carcinomatosis undergoing cytoreductive surgery and hyperthermic intraperitoneal chemotherapy
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