Hide Abstract Peritoneal metastasis is the ciuperci agaricus frequent cause of death in patients with gastric cancer. Detection of free cancer cells in the peritoneal cavity at the time of surgery, therefore, is considered to be of great value in predicting the peritoneal recurrence and accordingly in the prognosis in supa crema de ciuperci with gastric cancer.
This study examined the clinical significance of intraoperative determination of carcinoembryonic antigen CEA levels in peritoneal washes pCEA in patients with gastric cancer.
CEA levels in peritoneal washes were correlated retrospectively with several clinicopathologic factors including clinical outcome in 56 patients with resectable gastric cancer.
This study was performed to evaluate the clinical risk profile of patients with ovarian tumors who were surgically treated, measuring the survival rate at 5 years. Furthermore, the surgical peritoneal cancer chances of survival by TNM stages was achieved, measuring the survival peritoneal cancer chances of survival after five years of follow-up. Most of the patients with malignant disease were multiparous Moreover, from menopausal patients, the higher prevalence was seen peritoneal cancer chances of survival the group between 45 and 55 years old, not being dependent on the earlier appearance. The highest incidence of gynecological pathology was seen in women with peritoneal cancer chances of survival ovaries i.
Among several clinicopathologic factors, the depth of tumor invasion significantly and independently correlated with pCEA levels as revealed by multivariate stepwise logistic regression analysis. A significant difference in overall survival rates was observed between pCEA-positive and pCEA-negative groups: 5-year survival rates were Multivariate analysis indicated that pCEA level is a statistically significant independent prognostic factor for the survival of patients with gastric cancer, and is an important factor for predicting peritoneal recurrence.
We believe that this information could contribute to determining the optimal intraoperative and postoperative therapeutic plan including adjuvant chemotherapy of gastric cancer. Do you want to read the rest of this article? Request full-text Citations 28 References Apesar de alguns autores não encontrarem associação entre os níveis peritoneais do CEA e recorrência peritoneal ou sobrevida, o lavado peritoneal realizado por eles foi com pelo menos ml de soro fisiológico e não realizada correção pelos níveis de proteínas, o que torna difícil a comparação com o este estudo ou com os outros utilizando níveis de CEAlp em nanograma por grama de proteína.
Isto colabora com o fato de que há outros fatores prognósticos significativos importantes para a decisão do tipo de tratamento a ser realizado, além dos fatores já estabelecidos e aceitos, principalmente entre os pacientes com estadiamento mais avançado.
A hipótese mais aceita para a existência de níveis elevados de CEA no lavado peritoneal é a da produção de CEA por células neoplásicas peritoneal cancer chances of survival de CEA e em quantidade suficiente para produzir níveis detectáveis 1.
Isto poderia explicar a associação dos peritoneal cancer chances of survival peritoneais do CEA com estadiamento T4 mas não explicaria a associação com envolvimento linfonodal.