[Value of the preoperative carcinoembryonic antigen as an independent prognostic factor in cancer of the colon and rectum]. 2002

Frank Young Tabusso, and Eduardo Payet Meza, and Juan Celis Zapata, and Eloy Ruiz Figueroa, and Francisco Berrospi Espinoza
Departamento de Cirugia de Abdomen del Instituto de Enfermedades Neoplasicas Eduardo Caceres Graziani, Lima Peru.

The carcinoembryonic antigen (CEA) has diverse applications when dealing with patients with colon-rectal cancer. The clinical value may be divided between preoperative evaluation of the tumor extension and its prognosis and the postoperative monitoring of the recurrence. We carried out this study to investigate and determine whether there is a relation between the preoperative value of the CEA and survival and if it may be considered as an independent prognosis factor in colon-rectal cancer. We evaluated 122 patients with colon-rectal cancer, who had had curative surgery and we analyzed different variables in univaried and multivaried form, to determine independent prognosis factors (CEA, sex, age, degree of differentiation, tumor size, ganglionar compromise, and the level of wall infiltration). The ganglionar compromise, the level of intestine wall infiltration and the CEA preoperative value lower than 5 ng/ml had a significantly higher survival than those with values higher than 5 ng/ml, regardless of other factors. We concluded that the preoperative determination of Carcinoembryonic Antigen represents a non-invasive study clinically useful in dealing with colon-rectal cancer and that its value has a significant statistical value as an independent prognosis factor in colon-rectal patient survival.

UI MeSH Term Description Entries
D008207 Lymphatic Metastasis Transfer of a neoplasm from its primary site to lymph nodes or to distant parts of the body by way of the lymphatic system. Lymph Node Metastasis,Lymph Node Metastases,Lymphatic Metastases,Metastasis, Lymph Node
D008297 Male Males
D008875 Middle Aged An adult aged 45 - 64 years. Middle Age
D009361 Neoplasm Invasiveness Ability of neoplasms to infiltrate and actively destroy surrounding tissue. Invasiveness, Neoplasm,Neoplasm Invasion,Invasion, Neoplasm
D009367 Neoplasm Staging Methods which attempt to express in replicable terms the extent of the neoplasm in the patient. Cancer Staging,Staging, Neoplasm,Tumor Staging,TNM Classification,TNM Staging,TNM Staging System,Classification, TNM,Classifications, TNM,Staging System, TNM,Staging Systems, TNM,Staging, Cancer,Staging, TNM,Staging, Tumor,System, TNM Staging,Systems, TNM Staging,TNM Classifications,TNM Staging Systems
D010568 Peru A country in western South America, bordering the South Pacific Ocean, and located between Chile and Ecuador.
D011300 Preoperative Care Care given during the period prior to undergoing surgery when psychological and physical preparations are made according to the special needs of the individual patient. This period spans the time between admission to the hospital to the time the surgery begins. (From Dictionary of Health Services Management, 2d ed) Care, Preoperative,Preoperative Procedure,Preoperative Procedures,Procedure, Preoperative,Procedures, Preoperative
D011379 Prognosis A prediction of the probable outcome of a disease based on a individual's condition and the usual course of the disease as seen in similar situations. Prognostic Factor,Prognostic Factors,Factor, Prognostic,Factors, Prognostic,Prognoses
D012004 Rectal Neoplasms Tumors or cancer of the RECTUM. Cancer of Rectum,Rectal Cancer,Rectal Tumors,Cancer of the Rectum,Neoplasms, Rectal,Rectum Cancer,Rectum Neoplasms,Cancer, Rectal,Cancer, Rectum,Neoplasm, Rectal,Neoplasm, Rectum,Rectal Cancers,Rectal Neoplasm,Rectal Tumor,Rectum Cancers,Rectum Neoplasm,Tumor, Rectal
D002272 Carcinoembryonic Antigen A glycoprotein that is secreted into the luminal surface of the epithelia in the gastrointestinal tract. It is found in the feces and pancreaticobiliary secretions and is used to monitor the response to colon cancer treatment. Antigens, CD66e,CD66e Antigen,Antigen, CD66e,Antigen, Carcinoembryonic,CD66e Antigens

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