The İmportance of tumor markers in patients undergoing resection for lung metastasis of colorectal carcinoma

Abstract Objectives In patients with suitable conditions, complete resection is a potential curative treatment for lung metastases of colorectal cancers (CRC). Various prognostic factors affecting survival have been reported in these patients. In our study, the prognostic significance of CEA and CA1...

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Main Authors: Gizem Kececi Ozgur, Ahmet Kayahan Tekneci, Edward Hassan Bakali, Tevfik Ilker Akcam, Ayse Gul Ergonul, Ali Ozdil, Kutsal Turhan, Alpaslan Cakan, Ufuk Cagırıcı
Format: Article
Language:English
Published: Wiley 2023-05-01
Series:The Clinical Respiratory Journal
Subjects:
Online Access:https://doi.org/10.1111/crj.13611
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author Gizem Kececi Ozgur
Ahmet Kayahan Tekneci
Edward Hassan Bakali
Tevfik Ilker Akcam
Ayse Gul Ergonul
Ali Ozdil
Kutsal Turhan
Alpaslan Cakan
Ufuk Cagırıcı
author_facet Gizem Kececi Ozgur
Ahmet Kayahan Tekneci
Edward Hassan Bakali
Tevfik Ilker Akcam
Ayse Gul Ergonul
Ali Ozdil
Kutsal Turhan
Alpaslan Cakan
Ufuk Cagırıcı
author_sort Gizem Kececi Ozgur
collection DOAJ
description Abstract Objectives In patients with suitable conditions, complete resection is a potential curative treatment for lung metastases of colorectal cancers (CRC). Various prognostic factors affecting survival have been reported in these patients. In our study, the prognostic significance of CEA and CA19‐9 tumor markers in patients who underwent lung resection for CRC metastasis was researched. Methods Fifty‐three patients who underwent lung resection for CRC metastasis between January 2015 and July 2021 were included in the study. The relationship between preoperative and postoperative CEA and CA19‐9 values, survival times, tumor size, and preoperative CEA and CA19‐9 levels were investigated. Results Patients with high preoperative and postoperative CEA had shorter survival (OS) compared with patients with lower values (p ≤ 0.001 and p = 0.009, respectively). Disease‐free survival (DFS) was also shorter in patients with higher preoperative CEA values (p = 0.008). For patients with higher preoperative and postoperative CA 19–9 values, OS and DFS were shorter (p = 0.013 and p ≤ 0.001) and (p = 0.042 and p ≤ 0.001), respectively. There was a weak positive correlation between preoperative CEA value and tumor size (p = 0.008, Pearson correlation coefficient = 0.360). However, a strong positive correlation between preoperative CA19‐9 value and tumor size was discovered (p ≤ 0.001, Pearson correlation coefficient = 0.603). Conclusion In our study, it was shown that preoperative‐postoperative CEA and CA19‐9 levels in patients with metastatic colon carcinoma are associated with overall survival.
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spelling doaj.art-1b61c14424d2490e99511da3cb1d1b9f2023-05-26T10:50:31ZengWileyThe Clinical Respiratory Journal1752-69811752-699X2023-05-0117542943810.1111/crj.13611The İmportance of tumor markers in patients undergoing resection for lung metastasis of colorectal carcinomaGizem Kececi Ozgur0Ahmet Kayahan Tekneci1Edward Hassan Bakali2Tevfik Ilker Akcam3Ayse Gul Ergonul4Ali Ozdil5Kutsal Turhan6Alpaslan Cakan7Ufuk Cagırıcı8Department of Thoracic Surgery Ege University School of Medicine Izmir TurkeyDepartment of Thoracic Surgery Ege University School of Medicine Izmir TurkeyDepartment of Thoracic Surgery Ege University School of Medicine Izmir TurkeyDepartment of Thoracic Surgery Ege University School of Medicine Izmir TurkeyDepartment of Thoracic Surgery Ege University School of Medicine Izmir TurkeyDepartment of Thoracic Surgery Ege University School of Medicine Izmir TurkeyDepartment of Thoracic Surgery Ege University School of Medicine Izmir TurkeyDepartment of Thoracic Surgery Ege University School of Medicine Izmir TurkeyDepartment of Thoracic Surgery Ege University School of Medicine Izmir TurkeyAbstract Objectives In patients with suitable conditions, complete resection is a potential curative treatment for lung metastases of colorectal cancers (CRC). Various prognostic factors affecting survival have been reported in these patients. In our study, the prognostic significance of CEA and CA19‐9 tumor markers in patients who underwent lung resection for CRC metastasis was researched. Methods Fifty‐three patients who underwent lung resection for CRC metastasis between January 2015 and July 2021 were included in the study. The relationship between preoperative and postoperative CEA and CA19‐9 values, survival times, tumor size, and preoperative CEA and CA19‐9 levels were investigated. Results Patients with high preoperative and postoperative CEA had shorter survival (OS) compared with patients with lower values (p ≤ 0.001 and p = 0.009, respectively). Disease‐free survival (DFS) was also shorter in patients with higher preoperative CEA values (p = 0.008). For patients with higher preoperative and postoperative CA 19–9 values, OS and DFS were shorter (p = 0.013 and p ≤ 0.001) and (p = 0.042 and p ≤ 0.001), respectively. There was a weak positive correlation between preoperative CEA value and tumor size (p = 0.008, Pearson correlation coefficient = 0.360). However, a strong positive correlation between preoperative CA19‐9 value and tumor size was discovered (p ≤ 0.001, Pearson correlation coefficient = 0.603). Conclusion In our study, it was shown that preoperative‐postoperative CEA and CA19‐9 levels in patients with metastatic colon carcinoma are associated with overall survival.https://doi.org/10.1111/crj.13611CA 19‐9 valuecolorectal carcinomalung metastasespulmonary metastasectomy
spellingShingle Gizem Kececi Ozgur
Ahmet Kayahan Tekneci
Edward Hassan Bakali
Tevfik Ilker Akcam
Ayse Gul Ergonul
Ali Ozdil
Kutsal Turhan
Alpaslan Cakan
Ufuk Cagırıcı
The İmportance of tumor markers in patients undergoing resection for lung metastasis of colorectal carcinoma
The Clinical Respiratory Journal
CA 19‐9 value
colorectal carcinoma
lung metastases
pulmonary metastasectomy
title The İmportance of tumor markers in patients undergoing resection for lung metastasis of colorectal carcinoma
title_full The İmportance of tumor markers in patients undergoing resection for lung metastasis of colorectal carcinoma
title_fullStr The İmportance of tumor markers in patients undergoing resection for lung metastasis of colorectal carcinoma
title_full_unstemmed The İmportance of tumor markers in patients undergoing resection for lung metastasis of colorectal carcinoma
title_short The İmportance of tumor markers in patients undergoing resection for lung metastasis of colorectal carcinoma
title_sort importance of tumor markers in patients undergoing resection for lung metastasis of colorectal carcinoma
topic CA 19‐9 value
colorectal carcinoma
lung metastases
pulmonary metastasectomy
url https://doi.org/10.1111/crj.13611
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