Statements in which the resource exists as a subject.
PredicateObject
rdf:type
lifeskim:mentions
pubmed:issue
2
pubmed:dateCreated
2009-7-24
pubmed:abstractText
The purpose of the present study was to retrospectively analyze the clinicopathological characteristics and clarify whether or not the preoperative carcinoembryonic antigen (CEA) level could be used as a decision-making factor as an adjunct to the TNM staging system in patients with clinical stage I non-small cell lung cancer (NSCLC). Between 1993 and 2006, 815 patients who had clinical stage I NSCLC were analyzed retrospectively. The CEA level was defined as being either normal (CEA<or=5 ng/ml), high (5<CEA<or=30 ng/ml) and very high (CEA>30 ng/ml) sub-groups. The rate of patients with an elevated CEA level was 33.6%. The five-year disease-free survival rates for patients with normal, high and very high CEA levels were 76.7, 60.0 and 31.3%, respectively. The survival curve for patients with a normal CEA level almost overlapped that for p-stage I, that for a high CEA level nearly overlapped that for p-stage II, and that for a very high CEA level nearly overlapped that for p-stage III. The present study demonstrated that the preoperative CEA level was a very good predictor of the pathological stage. These findings suggest that the preoperative CEA level may be useful as an adjunct to the TNM staging system.
pubmed:language
eng
pubmed:journal
pubmed:citationSubset
IM
pubmed:chemical
pubmed:status
MEDLINE
pubmed:month
Aug
pubmed:issn
1569-9285
pubmed:author
pubmed:issnType
Electronic
pubmed:volume
9
pubmed:owner
NLM
pubmed:authorsComplete
Y
pubmed:pagination
199-202
pubmed:dateRevised
2010-11-18
pubmed:meshHeading
pubmed-meshheading:19457896-Aged, pubmed-meshheading:19457896-Carcinoembryonic Antigen, pubmed-meshheading:19457896-Carcinoma, Non-Small-Cell Lung, pubmed-meshheading:19457896-Disease-Free Survival, pubmed-meshheading:19457896-Female, pubmed-meshheading:19457896-Humans, pubmed-meshheading:19457896-Kaplan-Meier Estimate, pubmed-meshheading:19457896-Lung Neoplasms, pubmed-meshheading:19457896-Male, pubmed-meshheading:19457896-Neoplasm Staging, pubmed-meshheading:19457896-Odds Ratio, pubmed-meshheading:19457896-Predictive Value of Tests, pubmed-meshheading:19457896-Preoperative Care, pubmed-meshheading:19457896-Proportional Hazards Models, pubmed-meshheading:19457896-Retrospective Studies, pubmed-meshheading:19457896-Risk Assessment, pubmed-meshheading:19457896-Risk Factors, pubmed-meshheading:19457896-Time Factors, pubmed-meshheading:19457896-Treatment Outcome, pubmed-meshheading:19457896-Up-Regulation
pubmed:year
2009
pubmed:articleTitle
Clinical significance of preoperative carcinoembryonic antigen level for clinical stage I non-small cell lung cancer: can preoperative carcinoembryonic antigen level predict pathological stage?
pubmed:affiliation
Thoracic Surgery Division, Kyorin University Hospital, Mitaka-shi, Tokyo 181-0004, Japan. rkawachi@kpe.biglobe.ne.jp
pubmed:publicationType
Journal Article