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Citation: An-hui TAN, Teng-fei KE. Rectal Cancer Preoperative Clinical Staging and Postoperative Recurrence and Metastasis Prediction by Carcinoembryonic Antigen[J]. Journal of Kunming Medical University, 2021, 42(12): 36-40. doi: 10.12259/j.issn.2095-610X.S20211217

Rectal Cancer Preoperative Clinical Staging and Postoperative Recurrence and Metastasis Prediction by Carcinoembryonic Antigen

doi: 10.12259/j.issn.2095-610X.S20211217
  • Received Date: 2021-09-13
    Available Online: 2021-11-17
  • Publish Date: 2021-12-15
  •   Objective   To explore the correlation between preoperative clinical stage, carcinoembryonic antigen and postoperative prognosis in patients with rectal cancer.   Methods   200 patients with rectal cancer from October 2013 to October 2015 were collected from The Central Hospital of Enshi Prefecture. Pathological T, N, AND M staging, preoperative CEA value, lesion location, length of involved bowel (measured by CT image), proportion of involved bowel, positive periintestinal lymph nodes, positive circumferential resection margin, distance from anus, and infiltration of extraneous vessels were collected retrospectively. The patients were followed up to observe whether the patients had recurrence, metastasis and death after surgery, and the time of recurrence, metastasis and death was recorded. Cox multivariate correlation analysis was used to analyze the correlation between the above indicators and postoperative recurrence and metastasis, and to find the factors that predicted postoperative recurrence and metastasis. Recurrence and metastasis were described by Kaplan-Meier curve and their differences were tested by Log-Rank.   Results   The factors related to postoperative metastasis were N stage, P = 0.001; HR = 11.22; 95%CI (2.55, 49.25), preoperative CEA value P < 0.001, HR = 1.00; 95%CI (1.002, 1.006); and these two factors were associated with distant metastasis after surgery. The factors associated with local recurrence were T stage (P = 0.036); HR = 1.726; 95%CI (1.03, 2.87), preoperative CEA value P = 0.034; HR = 1.00; 95%CI (0.99, 1.005).   Conclusion   T staging was significantly associated with postoperative local recurrence, and N staging was associated with postoperative distant metastasis. Preoperative T staging can predict postoperative local recurrence of rectal cancer. Preoperative N staging and CEA can predict postoperative distant metastasis of rectal cancer.
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