High Serum CA19-9 Concentration Predicts Poor Prognosis in Elderly Patients with Stage IV Colorectal Cancer.

Carbohydrate antigen 19-9 Elderly patient Stage IV colorectal cancer

Journal

Gastrointestinal tumors
ISSN: 2296-3774
Titre abrégé: Gastrointest Tumors
Pays: Switzerland
ID NLM: 101644585

Informations de publication

Date de publication:
Feb 2019
Historique:
received: 19 06 2018
accepted: 17 09 2018
entrez: 13 4 2019
pubmed: 13 4 2019
medline: 13 4 2019
Statut: ppublish

Résumé

The optimal treatment strategy for elderly patients with stage IV colorectal cancer (CRC) remains controversial due to limited research data. The purpose of this study was to evaluate treatment results and to clarify the prognostic factors, especially poor prognosis factors, in elderly patients with stage IV CRC. We retrospectively reviewed the data of 82 elderly patients (aged ≥75 years) with stage IV CRC who underwent surgical treatment at our hospital between April 2001 and March 2017. Factors that affected prognosis and the ability to undergo treatment were analyzed via multivariate analysis. The median overall survival (OS) in the patients with high pretreatment serum carbohydrate antigen 19-9 (CA19-9) concentration (> 370 U/mL) was significantly worse than in those with lower serum CA19-9 concentration (0-370 U/mL) (8.5 vs. 19.2 months, A high pretreatment serum CA19-9 concentration (> 370 U/mL) was a reliable predictive factor for poor prognosis, and aggressive treatments should be performed carefully in these patients. Moreover, various treatments, including surgery and chemotherapy, might improve OS in elderly patients with stage IV CRC.

Sections du résumé

BACKGROUND/AIM OBJECTIVE
The optimal treatment strategy for elderly patients with stage IV colorectal cancer (CRC) remains controversial due to limited research data. The purpose of this study was to evaluate treatment results and to clarify the prognostic factors, especially poor prognosis factors, in elderly patients with stage IV CRC.
METHODS METHODS
We retrospectively reviewed the data of 82 elderly patients (aged ≥75 years) with stage IV CRC who underwent surgical treatment at our hospital between April 2001 and March 2017. Factors that affected prognosis and the ability to undergo treatment were analyzed via multivariate analysis.
RESULTS RESULTS
The median overall survival (OS) in the patients with high pretreatment serum carbohydrate antigen 19-9 (CA19-9) concentration (> 370 U/mL) was significantly worse than in those with lower serum CA19-9 concentration (0-370 U/mL) (8.5 vs. 19.2 months,
CONCLUSIONS CONCLUSIONS
A high pretreatment serum CA19-9 concentration (> 370 U/mL) was a reliable predictive factor for poor prognosis, and aggressive treatments should be performed carefully in these patients. Moreover, various treatments, including surgery and chemotherapy, might improve OS in elderly patients with stage IV CRC.

Identifiants

pubmed: 30976583
doi: 10.1159/000493793
pii: gat-0005-0117
pmc: PMC6422141
doi:

Types de publication

Journal Article

Langues

eng

Pagination

117-124

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Auteurs

Eiji Hidaka (E)

Digestive Disease Center, Showa University Northern Yokohama Hospital, Yokohama, Japan.

Chiyo Maeda (C)

Digestive Disease Center, Showa University Northern Yokohama Hospital, Yokohama, Japan.

Kenta Nakahara (K)

Digestive Disease Center, Showa University Northern Yokohama Hospital, Yokohama, Japan.

Kunihiko Wakamura (K)

Digestive Disease Center, Showa University Northern Yokohama Hospital, Yokohama, Japan.

Yasuhiro Ishiyama (Y)

Digestive Disease Center, Showa University Northern Yokohama Hospital, Yokohama, Japan.

Shoji Shimada (S)

Digestive Disease Center, Showa University Northern Yokohama Hospital, Yokohama, Japan.

Junichi Seki (J)

Digestive Disease Center, Showa University Northern Yokohama Hospital, Yokohama, Japan.

Yojiro Takano (Y)

Digestive Disease Center, Showa University Northern Yokohama Hospital, Yokohama, Japan.

Sonoko Oae (S)

Digestive Disease Center, Showa University Northern Yokohama Hospital, Yokohama, Japan.

Yuta Enami (Y)

Digestive Disease Center, Showa University Northern Yokohama Hospital, Yokohama, Japan.

Naruhiko Sawada (N)

Digestive Disease Center, Showa University Northern Yokohama Hospital, Yokohama, Japan.

Fumio Ishida (F)

Digestive Disease Center, Showa University Northern Yokohama Hospital, Yokohama, Japan.

Shin-Ei Kudo (SE)

Digestive Disease Center, Showa University Northern Yokohama Hospital, Yokohama, Japan.

Classifications MeSH