Clinicopathological Study on Colorectal Cancer with Recurrence after Curative Surgery According to the Serum Levels of CEA
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- Sato Harunobu
- Department of Surgery, Fujita Health University
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- Maeda Koutarou
- Department of Surgery, Fujita Health University
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- Hanai Tsunekazu
- Department of Surgery, Fujita Health University
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- Koide Yoshikazu
- Department of Surgery, Fujita Health University
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- Matsuoka Hiroshi
- Department of Surgery, Fujita Health University
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- Katsuno Hidetoshi
- Department of Surgery, Fujita Health University
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- Noro Tomohito
- Department of Surgery, Fujita Health University
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- Honda Katsuyuki
- Department of Surgery, Fujita Health University
Bibliographic Information
- Other Title
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- 術前血清CEA値別にみた大腸癌術後再発に関する検討
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Abstract
This study investigated the significance of pre- and postoperative serum CEA level in monitoring colorectal cancer after surgery. The study included 144 colorectal cancer patients with recurrence after curative surgery. Of these, 65 patients with high serum CEA level before surgery (high group) were clinicopathologically compared with 79 patients with serum CEA level within the normal limit (normal group). Hepatic recurrence was detected in 55% of cases by postoperative regular check of serum CEA level and operation was performed in 50% of these cases. Lung recurrence in the high group was found in 58% of cases by postoperative regular check of serum CEA level, but operation was performed in only 21.1% of them. As a result, none of them survived more than 5 years. Local recurrence was found in 56% of cases by symptoms. The regular check of serum CEA level was useful for detection in only 21% of local recurrence cases. Regular check of serum CEA level was thought to be useful in monitoring and detecting hepatic recurrence. It is thought to be important to examine symptoms/signs and to perform regular examinations in monitoring lung and local recurrence.<br>
Journal
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- Nippon Daicho Komonbyo Gakkai Zasshi
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Nippon Daicho Komonbyo Gakkai Zasshi 61 (7), 396-403, 2008
The Japan Society of Coloproctology
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Details 詳細情報について
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- CRID
- 1390282679831356160
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- NII Article ID
- 10021303410
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- NII Book ID
- AN00195100
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- ISSN
- 18829619
- 00471801
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- Text Lang
- ja
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- Data Source
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- JaLC
- Crossref
- CiNii Articles
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- Abstract License Flag
- Disallowed