Reevaluation of serum p53 antibody as a tumor marker in colorectal cancer patients

被引:25
作者
Ochiai, Hiroki [1 ,2 ]
Ohishi, Takashi [2 ]
Osumi, Koji [2 ]
Tokuyama, Jo [2 ]
Urakami, Hidejirou [2 ]
Seki, Shikou [2 ]
Shimada, Atsushi [2 ]
Matsui, Akira [2 ]
Isobe, Yoh [2 ]
Murata, Yuya [3 ]
Endo, Takashi [1 ]
Ishii, Yoshiyuki [1 ]
Hasegawa, Hirotoshi [1 ]
Matsumoto, Sumio [2 ]
Kitagawa, Yuko [1 ]
机构
[1] Keio Univ, Sch Med, Dept Surg, Shinjuku Ku, Tokyo 1608582, Japan
[2] Natl Tokyo Med Ctr, Dept Surg, Tokyo, Japan
[3] Natl Tokyo Med Ctr, Dept Pathol, Tokyo, Japan
基金
芬兰科学院;
关键词
Colorectal cancer; Tumor marker; Serum p53 antibody; SQUAMOUS-CELL CARCINOMA; ANTI-P53; ANTIBODIES; MUTATIONS; ACCUMULATION; AUTOANTIBODIES; PREDICTOR; SURVIVAL;
D O I
10.1007/s00595-011-0044-1
中图分类号
R61 [外科手术学];
学科分类号
摘要
We reevaluated the serum p53 antibody (S-p53Ab) ELISA kit, which was approved as a tumor marker of colon cancer in the Japanese Health Insurance System in 2007. S-p53Ab was measured as a tumor marker in 154 colorectal cancer patients, and the results were categorized by clinical and pathological variables. We then compared the positive frequency of S-p53Ab, carcinoembryonic antigen (CEA), and carbohydrate 19-9 (CA19-9). S-p53Ab was positive in 33.1% of the colorectal cancer patients. The positive rate was significantly higher in patients with lymph nodes metastasis (P = 0.025) and lymphatic invasion (P = 0.023). In patients with stage I colorectal cancer, the positive rate of S-p53Ab (23.7%) was significantly higher than that of CEA (5.3%) or CA19-9 (7.9%). The approved kit for S-p53Ab testing was found to be an effective tumor marker of colorectal cancer. The positive rate of S-p53Ab was significantly higher in patients with cancer involvement of the lymphoid tissues. The positive rate of S-p53Ab was higher than that of CEA and CA19-9 in patients with stage I colorectal cancer, suggesting that the S-p53Ab is a useful tumor marker for patients with early-stage disease.
引用
收藏
页码:164 / 168
页数:5
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