CARCINOEMBRYONIC ANTIGEN LEVELS AS AN INDICATOR FOR REOPERATION IN PATIENTS WITH CARCINOMA OF THE COLON AND RECTUM
- 1 January 1979
- journal article
- research article
- Vol. 149 (1) , 22-26
Abstract
The experience with routine reoperations in cancers classified as Dukes'' C suggests only a small minority of patients found to have asymptomatic recurrences will benefit from an additional operation. Morbidity and mortality will be significant. The presence of a rising carcinoembryonic antigen level following a potentially curative operation was suggested as a more selective indicator for reoperation. Carcinoembryonic antigen levels are a far more sensitive indicator of hepatic metastases; the group usually not helped by operation. Patients with local-regional recurrent carcinoma of the colon and rectum.sbd.the group most likely to benefit from reoperation.sbd.often have normal carcinoembryonic antigen levels. The importance of patient selectivity for reoperation and the usefulness of the Astler-Coller staging system to define risk factors were stressed.This publication has 5 references indexed in Scilit:
- The USE of CEA as an early indicator for gastrointestinal tumor recurrence and second-look proceduresCancer, 1977
- VALUE OF A FOLLOW-UP-STUDY OF RECURRENT CARCINOMA OF COLON AND RECTUM1977
- Assessment of serial carcinoembryonic antigen (CEA) assays in postoperative detection of recurrent colorectal cancerCancer, 1976
- Carcinoembryonic antigen assay in hepatic metastases detection. An adjunct to liver scanningJAMA, 1976
- Patterns of recurrence following surgery alone for adenocarcinoma of the colon and rectumCancer, 1976