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Assessment of the value of carcinoembryonic antigen reduction ratio as a prognosis factor in rectal cancer |
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| Authors: | Chih-Sheng Huang Jen-Kou Lin Ling-Wei Wang Wen-Yih Liang Chun-Chi Lin Yuan-Tzu Lan Huann-Sheng Wang Shung-Haur Yang Jeng-Kai Jiang Wei-Shone Chen Tzu-Chen Lin Shih-Ching Chang |
| Affiliation: | 1. Division of Colon and Rectal Surgery, Department of Surgery, Taipei Veterans General Hospital, No. 201, Section 2. Shih-Pai Road, Taipei 11217, Taiwan;2. School of Medicine, National Yang-Ming University, Taiwan;3. Cancer Center, Taipei Veterans General Hospital, Taiwan;4. Department of Pathology, Taipei Veterans General Hospital, Taiwan |
| Abstract: | BackgroundCarcinoembryonic antigen (CEA) is the most widely used tumor marker for colorectal cancer. This study aimed to investigate the role of CEA reduction ratio after preoperative chemoradiotherapy (CRT).MethodsWe enrolled 284 patients who underwent preoperative CRT followed by radical surgical resection. Patients were divided into 3 groups: serum CEA levels before CRT (pre-CRT CEA) less than 5 ng/mL (group 1); pre-CRT CEA of 5 ng/mL or more with CEA reduction ratio of 50% or more (group 2); and pre-CRT CEA of 5 ng/mL or more with CEA reduction ratio less than 50% (group 3).ResultsThe 5-year disease-free survival (DFS) rate was not different between groups 1 (71.8%) and 2 (69.4%) but was signi?cantly lower in group 3 (49.5%). CEA group, lymph node status after CRT (ypN) stage, and histologic type were independent prognostic factors for DFS on multivariate analysis.ConclusionsCEA reduction ratio might be an independent prognostic factor for DFS in rectal cancer patients treated with preoperative CRT and radical surgery. |
| Keywords: | Rectal cancer Preoperative chemoradiotherapy Carcinoembryonic antigen CEA reduction ratio |
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