首页|Normal carcinoembryonic antigen indicates benefit from perioperative chemotherapy to gastric carcinoma patients

Normal carcinoembryonic antigen indicates benefit from perioperative chemotherapy to gastric carcinoma patients

扫码查看
AIM:To evaluate pretreatment serum carcinoembryonic antigen (CEA) as a predictor of survival for patients with locally advanced gastric cancer receiving perioperative chemotherapy.METHODS:We retrospectively studied a cohort of 228gastric cancer patients who underwent D2 gastrectomy combined with chemotherapy at the Sun Yat-sen University Cancer Center between January 2005 and December 2009.Among them,168 patients received 6-12 cycles of oxaliplatin-based adjuvant (post-operative) chemotherapy,while 60 received perioperative chemotherapy (2 cycles of FOLFOX6 or XELOX before surgery and 4-10 cycles after surgery).Serum CEA was measured using an enzyme immunoassay.The followup lasted until December 2010.RESULTS:In the group that had elevated serum CEA,the difference in survival time between patients receiving perioperative chemotherapy and those receiving adjuvant chemotherapy had no statistical significance (P >0.05).However,in the group that had normal serum CEA,patients receiving perioperative chemotherapy had a longer survival time.In multivariate analysis,T staging and lymph node metastatic rate were independent prognostic factors for the patients.Perioperative chemotherapy improved the overall survival of patients who had a normal pretreatment CEA level (P =0.070).CONCLUSION:Normal pretreatment serum CEA is a predictor of survival for patients receiving perioperative chemotherapy.

Carcinoembryonic antigenPerioperative chemotherapyPrognosisGastric adenocarcinomaSurvival

Shi Chen、Ying-Bo Chen、Yuan-Fang Li、Xing-Yu Feng、Zhi-Wei Zhou、Xiu-Hong Yuan、Chao-Nan Qian

展开 >

State Key Laboratory of Oncology in South China, Sun Yat-sen University Cancer Center, Guangzhou 510060, Guangdong Province,China

Department of Abdominal Surgery, Sun Yat-sen University Cancer Center,Guangzhou 510060, Guangdong Province, China

Grant from the State Key Program of the National Natural Science Foundation of China

81030043

2012

世界胃肠病学杂志(英文版)
太原消化病研治中心

世界胃肠病学杂志(英文版)

SCI
影响因子:1.001
ISSN:1007-9327
年,卷(期):2012.18(29)
  • 9
  • 34