WEKO3
アイテム
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Gastrointestinal Endoscopy for Patients with High Levels of Serum CEA and CA19-9
https://showa.repo.nii.ac.jp/records/3459
https://showa.repo.nii.ac.jp/records/3459dd164854-b0f6-45c3-93aa-d3955aef6a9a
名前 / ファイル | ライセンス | アクション |
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S32_115.pdf (241.3 kB)
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Item type | 学内発行雑誌 / Departmental Bulletin Paper(1) | |||||
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公開日 | 2020-08-19 | |||||
タイトル | ||||||
タイトル | Gastrointestinal Endoscopy for Patients with High Levels of Serum CEA and CA19-9 | |||||
言語 | ||||||
言語 | eng | |||||
資源タイプ | ||||||
資源タイプ | departmental bulletin paper | |||||
著者 |
SUZUKI, Norihiro
× SUZUKI, Norihiro× KATAGIRI, Atsushi× NAKATANI, Shinya× KIKUCHI, Kazuo× GOCHO, Toshihiko× YANAGISAWA, Fumito× INOKI, Kazuya× KONDA, Kenichi× TOJO, Masayuki× KUBOTA, Yutaro× KONISHI, Kazuo× YAMAMURA, Fuyuhiko× YOSHIDA, Hitoshi |
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書誌情報 |
The Showa University journal of medical sciences 巻 32, 号 2, p. 115-123, 発行日 2020-07 |
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抄録 | ||||||
内容記述タイプ | Abstract | |||||
内容記述 | Serum levels of tumor markers, such as carcinoembryonic antigen (CEA) and carbohydrate antigen 19-9 (CA19-9), are often measured to detect potential malignancy. When these levels are high, the presence or absence of malignancy is confirmed via a more detailed examination using gastrointestinal (GI) endoscopy and computed tomography. The rate of confirmation of malignancy upon such a follow-up is unknown. This study aimed to investigate the malignancy detection rate via GI endoscopy for patients with high levels of serum CEA and CA19-9. All patients who underwent such GI endoscopy between January 2018 and February 2019 at Showa University Hospital were included in this study. The patients were divided into a follow-up group and a screening group, depending on the purpose of measuring their serum CEA/CA19-9 levels. There were 156 patients who underwent GI endoscopy because of high CEA/CA19-9 levels within the study period. Advanced malignant lesions were detected in 10 patients (6.4%), including seven cases of colorectal cancer and three cases of upper GI malignancies. In the screening group, six cases (5.7%) of GI malignancies were detected, none of which were found in asymptomatic patients without anemia. In the follow-up group, four cases (7.8%) of GI malignancies were detected; three patients were asymptomatic, and one patient had anemia. Our findings suggest that high serum CEA/CA19-9 levels in asymptomatic patients without anemia and without a history of malignancy do not indicate the presence of malignancy. However, high serum CEA/CA19-9 levels may indicate the potential presence of GI malignancies for patients with a history of malignant tumors, even if they are asymptomatic and do not have anemia. | |||||
DOI | ||||||
関連識別子 | 10.15369/sujms.32.115 | |||||
出版者 | ||||||
出版者 | Showa University Society | |||||
ISSN | ||||||
収録物識別子 | 2185-0968 | |||||
著者版フラグ | ||||||
出版タイプ | VoR |