Diagnostic and Prognostic Value of CEA and CA19-9 in Colorectal Cancer.

CA19-9 CEA biomarkers carbohydrate antigen 19-9 carcinoembryonic antigen colorectal cancer prognosis survival tumor markers

Journal

Diseases (Basel, Switzerland)
ISSN: 2079-9721
Titre abrégé: Diseases
Pays: Switzerland
ID NLM: 101636232

Informations de publication

Date de publication:
17 Mar 2021
Historique:
received: 11 02 2021
revised: 07 03 2021
accepted: 10 03 2021
entrez: 3 4 2021
pubmed: 4 4 2021
medline: 4 4 2021
Statut: epublish

Résumé

Colorectal cancer (CRC) is the third most common cancer worldwide. A diagnosis at early stages with enhanced screening methods is vital as metastases and recurrences increase mortality. The aim of this study was to analyze the tumor markers CEA and CA19-9 combined in correlation with diagnostics and prognosis. Therefore, 1487 patients with CRC who were diagnosed and treated between 2000 and 2015 at the University Hospital Ulm, Germany, were retrospectively evaluated. Overall and recurrence-free survival was analyzed in association with preoperative CEA and CA19-9 separately and combined and a multivariate analysis was performed. The 5-year overall survival was significantly shorter in patients with a CEA or CA19-9 level ≥200 compared to patients with an increased, but <200, or normal level (CEA: 69%/44%/7%; CA19-9: 66%/38%/8%). Patients with both tumor markers increased also showed a remarkably shorter 5-year survival rate (CEA+/CA19-9+: 23%). The multivariate analysis emphasizes these results (

Identifiants

pubmed: 33802962
pii: diseases9010021
doi: 10.3390/diseases9010021
pmc: PMC8006010
pii:
doi:

Types de publication

Journal Article

Langues

eng

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Auteurs

Leilani Lakemeyer (L)

Department of General and Visceral Surgery, University Hospital Ulm, 89081 Ulm, Germany.

Silvia Sander (S)

Institute of Epidemiology and Medical Biometry, University of Ulm, 89081 Ulm, Germany.

Mathias Wittau (M)

Department of General and Visceral Surgery, University Hospital Ulm, 89081 Ulm, Germany.

Doris Henne-Bruns (D)

Department of General and Visceral Surgery, University Hospital Ulm, 89081 Ulm, Germany.

Marko Kornmann (M)

Department of General and Visceral Surgery, University Hospital Ulm, 89081 Ulm, Germany.

Johannes Lemke (J)

Department of General and Visceral Surgery, University Hospital Ulm, 89081 Ulm, Germany.

Classifications MeSH