Literature DB >> 28870944

Predictive Role of CYFRA21-1 and CEA for Subsequent Docetaxel in Non-small Cell Lung Cancer Patients.

Kazuki Sone1, Tetsuya Oguri2, Keima Ito1, Yuki Kitamura1, Yoshitsugu Inoue1, Akira Takeuchi1, Satoshi Fukuda1, Osamu Takakuwa1, Ken Maeno1, Takamitsu Asano1, Yoshihiro Kanemitsu1, Hirotsugu Ohkubo1, Masaya Takemura1, Yutaka Ito1, Akio Niimi1.   

Abstract

BACKGROUND/AIM: The aim of the present study was to determine the clinical value of tumor marker levels for previously treated NSCLC patients. PATIENTS AND METHODS: We retrospectively screened 113 previously treated patients with advanced NSCLC who were treated with docetaxel monotherapy regarding the pretreatment serum level of cytokeratin 19 fragment (CYFRA21-1) and carcinoembryonic antigen (CEA).
RESULTS: The thirty-two patients with normal CYFRA21-1 levels and high CEA levels had a significantly higher response rate than the other 81 patients (25% vs. 8.6%, p=0.031). The former group showed statistically longer progression-free survival (PFS) and overall survival (OS) than the latter group (median PFS, 180 vs. 59 days, p<0.001; median OS, 579 vs. 255 days, p=0.002). In multivariate analysis, tumor marker levels had a significant impact on PFS and OS.
CONCLUSION: Combination of the two tumor markers is a predictive and prognostic marker of docetaxel monotherapy for previously treated NSCLC patients. Copyright
© 2017, International Institute of Anticancer Research (Dr. George J. Delinasios), All rights reserved.

Entities:  

Keywords:  Cytokeratin 19 fragment; carcinoembryonic antigen; non-small cell lung cancer; subsequent docetaxel

Mesh:

Substances:

Year:  2017        PMID: 28870944     DOI: 10.21873/anticanres.11932

Source DB:  PubMed          Journal:  Anticancer Res        ISSN: 0250-7005            Impact factor:   2.480


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