Prognostic value of baseline carcinoembryonic antigen and cytokeratin 19 fragment levels in advanced non-small cell lung cancer
- Authors
- Baek, Ae Rin; Seo, Hyun Jung; Lee, June Hyuk; Park, Sung Woo; Jang, An Soo; Paik, Sang Hyun; Koh, Eun Suk; Shin, Hwa Kyun; Kim, Do Jin
- Issue Date
- 2018
- Publisher
- IOS Press
- Keywords
- CEA; CYFRA 21-1; tumor marker; prognostic factor; NSCLC
- Citation
- Cancer Biomarkers, v.22, no.1, pp 55 - 62
- Pages
- 8
- Journal Title
- Cancer Biomarkers
- Volume
- 22
- Number
- 1
- Start Page
- 55
- End Page
- 62
- URI
- https://scholarworks.bwise.kr/sch/handle/2021.sw.sch/6873
- DOI
- 10.3233/CBM-170885
- ISSN
- 1574-0153
1875-8592
- Abstract
- BACKGROUND: Serum carcinoembryonic antigen (CEA) and cytokeratin 19 fragment (CYFRA 21-1) levels are prognostic predictors in non-small cell lung cancer (NSCLC). However, even in patients with the same stage of cancer, the serum levels of those markers often vary. OBJECTIVE: We investigated the association between the initial biomarker levels and prognosis. METHODS: We retrospectively reviewed 445 patients with advanced NSCLC and their baseline serum CEA and CYFRA 21-1 levels. Patients were divided into four groups according to the initial levels of those markers: the NN, HN, NH, and HH group. Kaplan-Meier survival analysis with Log-rank test and Cox proportional hazards regression analysis were performed. RESULTS: The 5-year overall survival (OS) rate in the HN group was the highest (32.2%). Multivariate analyses indicated that the HN group (HR 0.520, 95% CI 0.309-0.878, P = 0.014), female sex (HR 0.685, 95% CI 0.498-0.944, P = 0.021), serum CRP level (HR 1.057, 95% CI 1.034-1.080, P < 0.001), chemotherapy (HR 0.324, 95% CI 0.228-0.460, P < 0.001), and chemotherapy/radiotherapy (HR 0.266, 95% CI 0.171-0.414, P < 0.001) were independent prognostic factors for overall survival. CONCLUSIONS: In advanced NSCLC, patients with baseline high serum CEA but low CYFRA 21-1 level have a significant longer overall survival regardless of clinical stage.
- Files in This Item
- There are no files associated with this item.
- Appears in
Collections - College of Medicine > Department of Cardiovascular Surgery > 1. Journal Articles
- College of Medicine > Department of Pathology > 1. Journal Articles
- College of Medicine > Department of Internal Medicine > 1. Journal Articles
Items in ScholarWorks are protected by copyright, with all rights reserved, unless otherwise indicated.