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结直肠癌肝转移与血清肿瘤标志物水平的关系 被引量:8

Relationship Between Serum Tumor Markers and Hepatic Metastasis from Colorectal Cancer
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摘要 目的:对结直肠癌肝转移的临床特征进行分析,探讨影响结直肠癌肝转移的危险因素。方法:收集2007年11月至2010年6月武汉大学中南医院所收治的101例结直肠癌肝转移患者的临床病理特征,包括肿瘤大小、肿瘤组织学分级、淋巴结转移、术前血清肿瘤标志物水平等,并随机抽取2007年11月至2010年6月间无肝转移的结直肠癌患者81例作为对照组,进行Logistic多因素回归分析,研究与结直肠癌肝转移相关的危险因素。结果:血清CEA、CA125、CA19-9水平升高与肝转移危险增加相关(P<0.05)。Logistic多因素回归分析显示血清CEA、CA125、CA19-9水平是结直肠癌肝转移的独立相关因素(P<0.05)。结论:血清CEA、CA125、CA19-9水平是结直肠癌肝转移的危险因素。 Objective: To determine the risk factors affecting hepatic metastasis from colorectal cancer. Methods: The clinicopathologieal factors, such as gender, age, tumor size, histological grade, lymph node metastasis and serum level of tumor markers were analyzed in 101 cases of colorectal cancer with hepatic metastasis and 81 cases without hepatic metastasis. Results: The elevated ser- um levels of CEA, CA125, and CA19-9 were associated with hepatic metastasis. Logistic regres- sion analysis revealed that the independent risk factors of hepatic metastasis were the serum level of CEA, CA125, and CA19-9 (P〈0.05). Conclusion: The serum levels of CEA, CA125, and CA19-9 were statistically significant risk factors for hepatic metastasis from colorectal cancer.
出处 《武汉大学学报(医学版)》 CAS 北大核心 2013年第2期222-224,共3页 Medical Journal of Wuhan University
关键词 结直肠癌 肝转移 CEA CA19-9 Colorectal Cancer Hepatic Metastasis CEA CA19-9
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参考文献7

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同被引文献89

  • 1赵先文,江波,韩存芝,荆洁线.大肠癌患者血清肿瘤标志物含量测定与临床研究[J].中华肿瘤杂志,2005,27(5):286-288. 被引量:49
  • 2孟军,徐立群.结、直肠癌患者血清CEA,CA242联合测定的临床意义[J].临床军医杂志,2005,33(3):274-275. 被引量:7
  • 3余剑英,李菁.血清CA242、CA125、CA199含量对消化系肿瘤的诊断价值[J].实用预防医学,2005,12(4):787-788. 被引量:22
  • 4Rees M, Paris P, Welsh F, et al. Evaluation of long-term survival after he- patic resection for metastatic colorectal cancer: a muhifactorial model of 929 patients]. Annals of Surgery,2008,247 : 125-135.
  • 5Pawlik TM, Choti MA. Surgical therapy for colorectal metastases to the liver. J Gastrointest Surg ,2007,11 : 1057-1077.
  • 6中华医学会外科学分会胃肠外科学组,中华医学会外科学分会结直肠肛门外科学组,中国抗癌协会大肠癌专业委员会.结直肠癌肝转移诊断和综合治疗指南(V2010).中华胃肠外科杂志,2010,13:457-470.
  • 7Tomlinson JS, JamaginWR, DeMatteo RP,et al. ActuallO-year survival after resection of colorectal livermet 一 astasesdefines cure[ J). J Clin Oncol,2007,25 (39) :4575-4580.
  • 8Gwak JH’Oh BY,Lee RA,et al. Clinical applications of ra-dio-frequency ablation in liver metastasis of colorectal canc-er[ J] . J Korean Soc Coloproctol,2011,27(4) :202-210.
  • 9Swan PJ, Welsh FK, Chandrakumaran K, et al. Long-termsurvival following delayed presentation and resection ofcolorectal liver metastases [ J]. Br J Surg,2011,98 (9):1309-1317.
  • 10Takahashi S,Konishi M,Nakagohri T,et al. Shorttime to re-currence after hepatic resecti on correlateswith poor progno-sis in colorectal hepatic metastasis[ J]. Jpn J Clin Oncol,2006,36(6):368-375.

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