胃癌不同分期术前血清CEA、ca19 -9水平的临床意义

Mymensingh medical journal : MMJ Pub Date : 2025-07-01
A B M Sharif, M M H Khan, M M Rahman, M M Pervin, M M Bahar, M A A Simon, A Akter
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引用次数: 0

摘要

本前瞻性研究的目的是确定CEA、CA 19-9与不同分期胃癌的关系。目前的研究于2021年1月至2022年2月在孟加拉国Bangabandhu Sheikh Mujib医科大学普通外科进行。在这项横断面观察性研究中,纳入了52例组织学确定的胃癌患者。术前测定CEA和CA19-9水平,将患者分为CEA升高/不升高组和CA19-9组。约65.4%的癌症为III期,23.1%为IV期,但I期肿瘤仅占所有恶性肿瘤的1.9%。胃癌1、2、3、4期CEA分别升高4.3%、13%、60.9%、21.7%,CA19-9分别升高0.0%、21.1%、63.2%、15.8%。血清CEA和ca19 -9水平升高的胃癌可表现为晚期胃癌。在这个阶段,任何广泛的手术都可能产生较差的结果。在GC中,ca19 -9和CEA可作为监测和预后的工具。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Clinical Significance of Preoperative Serum CEA and CA 19-9 Level in Different Stages of Gastric Cancer.

The aim of this prospective study was to identify any relationship of CEA, CA 19-9 with different stages of carcinoma stomach. The current study was conducted at the Department of General Surgery, Bangabandhu Sheikh Mujib Medical University, Bangladesh from January 2021 to February 2022. In this cross-sectional observational study, 52 patients with histologically established stomach cancer were enrolled. Patient was categorized into two groups (elevated /not elevated CEA and CA19-9 group) after preoperative measurement of CEA and CA19-9 level. About 65.4% of cancers are stage III, 23.1% are stage IV, but stage I tumors account for only 1.9% of all malignancies. In stage I, II, III, IV stomach cancer, CEA increased by 4.3%, 13%, 60.9%, 21.7% and CA19-9 increased by 0.0%, 21.1%, 63.2%, 15.8%. Gastric cancer with raised serum CEA and CA 19-9 level may present as advanced stage. Any extensive surgery in this stage may produce poorer outcome. In GC, CA 19-9 and CEA may be used as monitoring and prognostic tool.

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