Yıl: 2019 Cilt: 26 Sayı: 12 Sayfa Aralığı: 2767 - 2770 Metin Dili: İngilizce DOI: 10.5455/annalsmedres.2019.09.569 İndeks Tarihi: 25-09-2020

Evaluation of relationships between clinical and radiological characteristics and tumor markers in hepatocellular carcinoma

Öz:
Aim: The aim of this study was to evaluate AFP, CEA and CA 19-9 levels in patients with HCC and non-HCC cirrhosis, and also toinvestigate the relationship between tumor radiological and clinical characteristics and these markers.Material and Methods: 572 patients with cirrhosis who were followed for cirrhosis between January 2010 and January 2019 in thegastroenterology outpatient clinic of Demiroglu Bilim University Faculty of Medicine were included in the study. Demographic (age,gender, BMI), laboratory (AFP, CEA, CA 19-9) and imaging findings of the cases were retrospectively screened and recorded. Thepatients were divided into two main groups as HCC and without HCC.Results: In the study, 252 patients were HCC and 320 patients were non-HCC. AFP values and male gender ratio were higher in HCCgroup, whereas CEA and CA 19-9 values were similar between the two groups. (respectively, p <0.001; p <0.013; p=0.157; p=0.294). Asignificant positive correlation was found between tumor size and AFP levels, but no correlation was found between CEA and CA 19-9and tumor sizes. (for AFP r=0.202, p <0.001). CEA level was significantly higher in patients with macrovascular invasion (p =0.011).Conclusion: In our study, positive correlation was found between tumor size and AFP levels in patients with HCC, and a significantcorrelation was found between CEA and macrovascular invasion. Our study showed that AFP and CEA are valuable markers that canbe used to determine prognosis and survival in HCC patients.
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  • 1. Parkin DM, Bray F, Ferlay J, et al. Global cancer statistics, 2002. CA Cancer J Clin 2005;55:74-108.
  • 2. Chang UK, Kim MS, Han CJ, et al. Clinical result of stereotactic radiosurgery for spinal metastasis from hepatocellular carcinoma: comparison with conventional radiation therapy. J Neurooncol 2014;119:141-8.
  • 3. Humans I. Tobacco smoke and involuntary smoking. IARC Monogr Eval Carcinog Risks Hum 2004;83:1- 1438.
  • 4. Yeo Y, Gwack J, Kang S, et al. Viral hepatitis and liver cancer in Korea: an epidemiological perspective. Asian Pac J Cancer Prev 2013;14:6227-31.
  • 5. Fattovich G, Stroffolini T, Zagni I, et al. Hepatocellular carcinomain cirrhosis: incidence and risk factors. Gastroenterology 2004;127:35–50.
  • 6. Bruix J, Sherman M. Practice Guidelines Committee, American Association for the Study of Liver Diseases. Management of hepatocellular carcinoma. Hepatology 2005;42:1208-36.
  • 7. Llovet JM, Bustamante J, Castells A, et al. Natural history of untreated nonsurgical hepatocellular carcinoma: rationale for the design and evaluation of therapeutic trials. Hepatology 1999;29:62-7.
  • 8. Pizzo PA, Poplack DG, ed. Principles and Practice of Pediatric Oncology. Philadelphia: JB Lippincott Co 1993;2:179-85.
  • 9. Rooney MT, Henry JB. Molecular markers of malignant neoplasms. In: Henry JB, ed. Clinical diagnosismanagement by laboratory methods. Philadelphia: WB Saunders Company 1991;18:285-306.
  • 10. Liu FJ, Düben JJ, Laufen Y, et al. Tumor markers. Clinical Chemistry. Philadelphia: JB Lippincott Co 1985;498-500.
  • 11. Johnson PJ. The role of serum alpha-fetoprotein estimation in the diagnosis and management of hepatocellular carcinoma. Clin Liver Dis 2001;5:145- 59.
  • 12. Perkins GL, Slater ED, Sanders GK, et al. Serum tumor markers. Am Fam Physician 2003;68:1075-82.
  • 13. Steinberg W. The clinical utility of the CA 19-9 tumorassociated antigen. Am J Gastroenterol 1990;85:350-5.
  • 14. Leandro G, Zizzari S, Fabris C, et al. Do CA 19-9 and TPA Play a Minor Role as Compared to AFP in Diagnosing Primary Hepatocellular Carcinoma? Oncology 1989;46:381-5.
  • 15. Perkins GL, Slater ED. Serum tumour markers. Am Fam Physician 2003;68:1075-82.
  • 16. Edoo M, Kumar V, Kwabena G, et al. Serum Biomarkers AFP, CEA and CA19-9 Combined Detection for Early Diagnosis of Hepatocellular Carcinoma. Iran J Public Health 2019;48:314-22.
  • 17. Ferlay J, Soerjomataram I, Dikshit R, et al. Cancer incidence and mortality worldwide: sources, methods and major patterns in GLOBOCAN 2012. Int J Cancer 2015;136:359-86.
  • 18. Howel D, Metcalf JV, Gray J. “Cancer risk in primary biliary cirrhosis: a study in northern England”. Gut 1999;45:756-60.
  • 19. Gao Y, Wang J, Zhou Y, et al. Evaluation of Serum CEA, CA19-9, CA72-4, CA125 and Ferritin as Diagnostic Markers and Factors of Clinical Parameters for CRC Sci Rep 2018;8:2732.
  • 20. Huang X, Li J, Wang F, et al. CT combined with tumor markers in the diagnosis and prognosis of hepatocellular carcinoma. Jbuon 2018;23:985-91.
  • 21. Zhou L, Rui JA, Wang SB, et al. Carbohydrate Antigen 19-9 Increases the Predictive Efciency of alphaFetoprotein for Prognosis of Resected Hepatocellular Carcinoma. Am Surg 2018;84:805.
  • 22. Vukobrat-Bijedic Z, Husic-Selimovic A, Sofic A, et al. Cancer antigens (CEA and CA 19-9) as markers of advanced stage of colorectal carcinoma. Med Arh 2013;67:393-6.
APA Oral A, Şahin T (2019). Evaluation of relationships between clinical and radiological characteristics and tumor markers in hepatocellular carcinoma. , 2767 - 2770. 10.5455/annalsmedres.2019.09.569
Chicago Oral Alihan,Şahin Tolga Evaluation of relationships between clinical and radiological characteristics and tumor markers in hepatocellular carcinoma. (2019): 2767 - 2770. 10.5455/annalsmedres.2019.09.569
MLA Oral Alihan,Şahin Tolga Evaluation of relationships between clinical and radiological characteristics and tumor markers in hepatocellular carcinoma. , 2019, ss.2767 - 2770. 10.5455/annalsmedres.2019.09.569
AMA Oral A,Şahin T Evaluation of relationships between clinical and radiological characteristics and tumor markers in hepatocellular carcinoma. . 2019; 2767 - 2770. 10.5455/annalsmedres.2019.09.569
Vancouver Oral A,Şahin T Evaluation of relationships between clinical and radiological characteristics and tumor markers in hepatocellular carcinoma. . 2019; 2767 - 2770. 10.5455/annalsmedres.2019.09.569
IEEE Oral A,Şahin T "Evaluation of relationships between clinical and radiological characteristics and tumor markers in hepatocellular carcinoma." , ss.2767 - 2770, 2019. 10.5455/annalsmedres.2019.09.569
ISNAD Oral, Alihan - Şahin, Tolga. "Evaluation of relationships between clinical and radiological characteristics and tumor markers in hepatocellular carcinoma". (2019), 2767-2770. https://doi.org/10.5455/annalsmedres.2019.09.569
APA Oral A, Şahin T (2019). Evaluation of relationships between clinical and radiological characteristics and tumor markers in hepatocellular carcinoma. Annals of Medical Research, 26(12), 2767 - 2770. 10.5455/annalsmedres.2019.09.569
Chicago Oral Alihan,Şahin Tolga Evaluation of relationships between clinical and radiological characteristics and tumor markers in hepatocellular carcinoma. Annals of Medical Research 26, no.12 (2019): 2767 - 2770. 10.5455/annalsmedres.2019.09.569
MLA Oral Alihan,Şahin Tolga Evaluation of relationships between clinical and radiological characteristics and tumor markers in hepatocellular carcinoma. Annals of Medical Research, vol.26, no.12, 2019, ss.2767 - 2770. 10.5455/annalsmedres.2019.09.569
AMA Oral A,Şahin T Evaluation of relationships between clinical and radiological characteristics and tumor markers in hepatocellular carcinoma. Annals of Medical Research. 2019; 26(12): 2767 - 2770. 10.5455/annalsmedres.2019.09.569
Vancouver Oral A,Şahin T Evaluation of relationships between clinical and radiological characteristics and tumor markers in hepatocellular carcinoma. Annals of Medical Research. 2019; 26(12): 2767 - 2770. 10.5455/annalsmedres.2019.09.569
IEEE Oral A,Şahin T "Evaluation of relationships between clinical and radiological characteristics and tumor markers in hepatocellular carcinoma." Annals of Medical Research, 26, ss.2767 - 2770, 2019. 10.5455/annalsmedres.2019.09.569
ISNAD Oral, Alihan - Şahin, Tolga. "Evaluation of relationships between clinical and radiological characteristics and tumor markers in hepatocellular carcinoma". Annals of Medical Research 26/12 (2019), 2767-2770. https://doi.org/10.5455/annalsmedres.2019.09.569