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接受辅助免疫(化学)治疗的结直肠癌患者的癌胚抗原(CEA)水平变化情况

Serial CEA levels in colorectal carcinoma on adjuvant immuno (chemo) therapy.

作者信息

Carluccio L, Colizza S, Costantino A, Di Paola M, Sopranzi N

出版信息

J Surg Oncol. 1978;10(6):511-7. doi: 10.1002/jso.2930100606.

DOI:10.1002/jso.2930100606
PMID:732334
Abstract

Serial CEA levels have been studied preoperatively, and one day, 10--15 days, four months, and eight months after surgery in a group of colon cancer patients who started soon after surgery a protocol of adjuvant immuno(chemo)therapy with Levamisole R and BCG R. Results showed a decrease of mean values of plasma CEA levels from preoperatively to four months after surgery, while eight months after surgery a slight increase was noted. Some of the patients in whom disease recurred showed persistent high levels of CEA, while one patient was consistently a false-negative notwithstanding a bone recurrence. While the prognostic value of serial CEA determinations is confirmed, the possibility of restarting (or intensifying) a protocol of adjuvant immunochemotherapy given high CEA levels and a negative clinical picture is discussed.

摘要

对一组结肠癌患者术前以及术后1天、10 - 15天、4个月和8个月的癌胚抗原(CEA)水平进行了连续研究,这些患者术后不久即开始采用左旋咪唑R和卡介苗R进行辅助免疫(化学)治疗方案。结果显示,血浆CEA水平的平均值从术前到术后4个月有所下降,而术后8个月则出现轻微上升。一些疾病复发的患者CEA水平持续较高,而有一名患者尽管出现骨转移复发,但CEA一直呈假阴性。虽然连续CEA测定的预后价值得到了证实,但也讨论了在CEA水平高而临床症状为阴性的情况下重启(或强化)辅助免疫化学治疗方案的可能性。

相似文献

1
Serial CEA levels in colorectal carcinoma on adjuvant immuno (chemo) therapy.接受辅助免疫(化学)治疗的结直肠癌患者的癌胚抗原(CEA)水平变化情况
J Surg Oncol. 1978;10(6):511-7. doi: 10.1002/jso.2930100606.
2
Serial CEA levels in colorectal carcinoma on adjuvant immuno(chemo)therapy--further follow-up. Modulation of adjuvant treatment.
J Surg Oncol. 1980;13(2):169-76. doi: 10.1002/jso.2930130212.
3
Are carcinoembryonic antigen levels of value in the curative management of colorectal cancer?癌胚抗原水平在结直肠癌的治疗管理中有价值吗?
Surgery. 1981 Mar;89(3):290-5.
4
Transient carcinoembryonic antigen (CEA) elevations following resection of colorectal cancer: a limitation in the use of serial CEA levels as an indicator for second-look surgery.
J Natl Cancer Inst. 1978 Aug;61(2):315-8.
5
CEA monitoring among patients in multi-institutional adjuvant G.I. therapy protocols.多机构辅助胃肠道治疗方案中患者的癌胚抗原监测。
Ann Surg. 1982 Aug;196(2):162-9. doi: 10.1097/00000658-198208000-00008.
6
Prognostic significance of CEA in colorectal cancer: a statistical study.癌胚抗原在结直肠癌中的预后意义:一项统计学研究。
J Clin Chem Clin Biochem. 1981 Nov;19(11):1117-23. doi: 10.1515/cclm.1981.19.11.1117.
7
[Interest and limits of estimation of the carcinoembryonic antigen in colonic and rectal (author's transl)].[结肠和直肠癌胚抗原估计的意义与局限性(作者译)]
J Chir (Paris). 1979 Nov;116(11):633-6.
8
CEA radioimmunoassay. Clinical applications in colorectal cancer.癌胚抗原放射免疫测定。在结直肠癌中的临床应用。
Acta Chir Belg. 1983 Mar-Apr;83(2):77-88.
9
[Using CEA for diagnostic, therapeutic and prognostic evaluation in colorectal cancers].[癌胚抗原在结直肠癌诊断、治疗及预后评估中的应用]
Gan To Kagaku Ryoho. 1984 Jan;11(1):111-6.
10
Carcinoembryonic antigen in patients with colorectal cancer: correlation between stage of disease and antigen level.结直肠癌患者的癌胚抗原:疾病分期与抗原水平之间的相关性。
Isr J Med Sci. 1983 Sep;19(9):801-5.