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Peritoneal lavage CEA/CA125 is a prognostic factor for gastric cancer patients

  • Manabu Yamamoto
  • Hideo Baba
  • Yasushi Toh
  • Takeshi Okamura
  • Yoshihiko Maehara
Original Paper

Abstract

Background

We recently found an elevation in the pre-operative peritoneal lavage carcinoembryonic antigen (CEA) level to be associated with an earlier detection of recurrent peritoneal dissemination and a poor prognosis.

Method

Two hundred and twenty-nine patients with gastric cancer were intraoperatively measured for tumor markers, CEA and CA125 based on peritoneal lavage using a chemiluminescent enzyme immunoassay.

Results

The patients were divided into four groups. (A) The peritoneal lavage CEA (−) CA125 (−) group (CEA < 0.4 ng/ml, CA125 < 200 ng/ml, n = 129); (B) the peritoneal lavage CEA (−) CA125 (+) group (CEA < 0.4 ng/ml, CA125 ≧ 200 ng/ml, n = 50); (C) the peritoneal lavage CEA (+) CA125 (−) group (CEA ≧ 0.4 ng/ml, CA125 < 200 ng/ml, n = 18); and (D) the peritoneal lavage CEA (+) CA125 (+) group (CEA ≧ 0.4 ng/ml, CA125 ≧ 200 ng/ml, n = 32). The 5-year survival of the patients in groups C and D was 40 and 26%, respectively, which was lower than that of the patients in any other group (group A, B; p < 0.0001). Recurrent sites were both peritoneal dissemination and lymph node/liver in group C, while those were only peritoneal dissemination in group D.

Conclusion

This combined analysis of these markers is therefore considered to be helpful method to accurately estimate the recurrent sites and prognosis for advanced gastric cancer patients.

Keywords

Tumor marker Recurrence Gastric cancer Peritoneal dissemination 

Abbreviations

1CEA

Carcinoembryonic antigen

2CY(+)

Peritoneal lavage cytological positive

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Copyright information

© Springer-Verlag 2007

Authors and Affiliations

  • Manabu Yamamoto
    • 1
  • Hideo Baba
    • 2
  • Yasushi Toh
    • 3
  • Takeshi Okamura
    • 3
  • Yoshihiko Maehara
    • 2
  1. 1.Department of SurgeryHiroshima Red Cross Hospital and Atomic Bomb Survivors HospitalHiroshimaJapan
  2. 2.Department of Surgery and Sciences, Graduate School of Medical SciencesKyushu UniversityFukuokaJapan
  3. 3.Department of Gastroenterological SurgeryNational Kyushu Cancer CenterFukuokaJapan

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