Elevated tumour markers prior to complete tumour removal in patients with pseudomyxoma peritonei predict early recurrence.

作者: F Alexander‐Sefre , K Chandrakumaran , S Banerjee , R Sexton , JM Thomas

DOI: 10.1111/J.1463-1318.2005.00773.X

关键词:

摘要: Objective  To assess the potential value of pre-operative CEA, CA 125 and 19–9 in identifying Pseudomyxoma peritonei (PMP) patients at risk recurrence following complete cytoreductive surgery intraperitoneal chemotherapy. Method  Between March 1996 October 2001, 35 patients, with documented tumour marker measurements, underwent cytoreduction. Outcome 32 survivors was recorded. Results  Median age 53 years (range: 32–74). There were 17[53%] females. In 9/32[28%] all markers normal. The most common abnormality elevated CEA level 14/32[44%]. follow up 23 months 11–74). Recurrence detected 8/32[25%]. 2-year free interval 53% those compared 94% normal CEA. disease intervals 100% 9 preop 66% for group least one abnormal marker. Conclusion  PMP or more than serum maker, are developing recurrent disease.

参考文章(24)
D Fleischhacker, I Wertheim, R S Berkowitz, B A Goff, C M McLachlin, L W Rice, Pseudomyxoma peritonei: a review of 23 cases. Obstetrics & Gynecology. ,vol. 84, pp. 17- 21 ,(1994)
Donna K Pauler, Usha Menon, Martin McIntosh, Heather L Symecko, Steven J Skates, Ian J Jacobs, None, Factors Influencing Serum CA125II Levels in Healthy Postmenopausal Women Cancer Epidemiology, Biomarkers & Prevention. ,vol. 10, pp. 489- 493 ,(2001)
Himnobu Sasano, Soichirou Shlzawa, Hiroshi Nagura, Toshihiko Yamaki, Mucinous adenocarcinoma arising in a giant urachal cyst associated with pseudomyxoma peritonei and stromal osseous metaplasia Pathology International. ,vol. 47, pp. 502- 505 ,(1997) , 10.1111/J.1440-1827.1997.TB04531.X
Masafumi Ikeda, Shuichi Okada, Koichi Tokuuye, Hideki Ueno, Takuji Okusaka, Prognostic factors in patients with locally advanced pancreatic carcinoma receiving chemoradiotherapy. Cancer. ,vol. 91, pp. 490- 495 ,(2001) , 10.1002/1097-0142(20010201)91:3<490::AID-CNCR1027>3.0.CO;2-L
Paul H. Sugarbaker, David Chang, Results of treatment of 385 patients with peritoneal surface spread of appendiceal malignancy. Annals of Surgical Oncology. ,vol. 6, pp. 727- 731 ,(1999) , 10.1007/S10434-999-0727-7
Mitsugu Kochi, Masashi Fujii, Noriaki Kanamori, Teruo Kaiga, Tetsuya Kawakami, Kazuo Aizaki, Mitsuko Kasahara, Fumiro Mochizuki, Yuichi Kasakura, Motoo Yamagata, Evaluation of serum CEA and CA19-9 levels as prognostic factors in patients with gastric cancer. Gastric Cancer. ,vol. 3, pp. 177- 186 ,(2000) , 10.1007/PL00011715
GLENN STEELE, SUSAN ELLENBERG, KENNETH RAMMING, MICHAEL OʼCONNELL, CHARLES MOERTEL, HOWARD LESSNER, HOWARD BRUCKNER, JOHN HORTON, PHILLIP SCHEIN, NORMAN ZAMCHECK, JOEL NOVAK, E. DOUGLAS HOLYOKE, CEA Monitoring Among Patients in Multi-institutional Adjuvant G.I. Therapy Protocols Annals of Surgery. ,vol. 196, pp. 162- 169 ,(1982) , 10.1097/00000658-198208000-00008
J. David Beatty, Clinical Value of Carcinoembryonic Antigen Archives of Surgery. ,vol. 114, pp. 563- 567 ,(1979) , 10.1001/ARCHSURG.1979.01370290013002