T. Nakayama et al., SLOPE ANALYSIS OF CA19-9 AND CEA FOR PREDICTING RECURRENCE IN COLORECTAL-CANCER PATIENTS, Anticancer research, 17(2B), 1997, pp. 1379-1382
CA19-9 and CEA are two serum tumor marker that are associated with gas
trointestinal malignancy, including colorectal cancer. We measured the
slopes of the serum CA19-9 and CEA concentrations in 264 patients wit
h colorectal cancer. A positive CA19-9 slope was noted in 15, 1% of th
e patients, and a positive CEA slope was noted in19.5%. No clear-cut c
orrelations were observed between the slopes of the two markers The sl
opes of the CA19-9 and CEA correlated with both recurrence and surviva
l Measuring the slopes of the CA19-9 and CEA concentrations makes it p
ossible to differentiate local from distant recurrences in patients wi
th colorectal cancer. The combination of CA19-9 and CEA is more sensit
ive than either test alone for detecting recurrences. The assessment o
f both the serum CA19-9 and the serum CEA concentration is important i
n the clinical management of patients with colorectal cancer.