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Carbonic anhydrase-9 expression in head and neck cancer: a meta-analysis

European Archives of Oto-Rhino-Laryngology volume 268, pages 661–670 (2011)Cite this article

Abstract

The purpose of the study was to compare CA-9 positivity versus CA-9 negativity in head and neck malignancies and to correlate levels of CA-9 with tumor grade, size, and nodal status. Overall and disease-free survival were also compared for CA-9 positive and negative tumors. A literature search was performed using Medline, Embase, Ovid and Cochrane databases for studies between 1990 and 2009. Carbonic anhydrase IX, CA IX, CA-9, head and neck, and survival were used as search terms. Random-effect meta-analytical techniques were conducted for outcome measures of overall survival and disease-free survival. Sixteen studies matched the selection criteria, reporting on 1,470 patients. Eight hundred and forty two specimens were reported as being CA-9 positive or negative: 512 (60.81%) were CA-9 positive and 330 (39.19%) were CA-9 negative. Nine hundred and eighty specimens had levels of CA-9 expression recorded: 547 (55.82%) had high levels of CA-9 and 433 (44.18%) had low CA-9 levels. Survival was significantly reduced if the tumor was positive for CA-9 (P < 0.0001). Disease-free survival is significantly reduced in patients with CA-9 positive (P = 0.0008) head and neck malignant tumors. The presence of CA-9 in head and neck malignant tumors is associated with reduced overall survival and disease-free survival.

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Affiliations

  1. Department of Otolaryngology Head and Neck Surgery, Guy’s and St Thomas’ NHS Foundation Trust, Guy’s Hospital, Great Maze Pond, London, SE1 9RT, UK

    Stamatios Peridis & Gemma Pilgrim

  2. Department of Otolaryngology Head and Neck Surgery, “Aghia Sophia” Children’s Hospital, Athens, Greece

    Ioannis Athanasopoulos & Konstantinos Parpounas

Authors
  1. Stamatios Peridis
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  2. Gemma Pilgrim
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  4. Konstantinos Parpounas
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Correspondence to Stamatios Peridis.

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Peridis, S., Pilgrim, G., Athanasopoulos, I. et al. Carbonic anhydrase-9 expression in head and neck cancer: a meta-analysis. Eur Arch Otorhinolaryngol 268, 661–670 (2011). https://doi.org/10.1007/s00405-011-1488-z

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  • DOI: https://doi.org/10.1007/s00405-011-1488-z

Keywords

  • Carbonic anhydrase-9
  • CA-9
  • Expression
  • Survival
  • Comparative