[CEA and Cyfra 21.1 study pre-treatment in 252 patients with head and neck carcinomas].

Abstract

INTRODUCTION:

Squamous cell carcinoma is the most frequent malignant tumor in the head and neck. As in most malignant tumors, the earlier the diagnosis, is made the longer the survivalis. Several molecules, including CEA and Cyfra 21.1, have been evaluated in an attempt to improve diagnosis and follow-up.

OBJECTIVE:

To investigate whether CEA and Cyfra 21.1 present pathological increased values prior to treatment, and to correlate tumor and patient characteristics with CEA and Cyfra 21.1 levels.

MATERIAL AND METHODS:

CEA and Cyfra 21.1 were measured pre-treatment in sera of 252 patients treated for head and neck tumors from1999 to 2003.

RESULTS:

Increases of CEA were detected in 23.6%, and increases of Cyfra 21.1 in 19.1% of patients. Significative differences were found between the concentrations of Cyfra 21.1 related to the tumor stage, local extension, histological grade, and an increasing relation with age. No differences were found in relation to the primary tumor site. Regarding CEA, the only finding was an increased relation between concentrations of this marker and cigarette and alcohol habits.

CONCLUSIONS:

Cyfra 21.1 does not appear to be a good marker for tumoral screening of head and neck carcinomas. However, a good correlation was observed between sera concentrations of Cyfra 21.1, tumoral burden, and histological grade of the tumor, but this was not the case with CEA.

• Authors: M Costey, J Mora, X León, M López, C Orús, J Vergés, L Gañán, M Quer
• Journal: Acta otorrinolaringologica espanola (Acta Otorrinolaringol Esp) 2004 Aug-Sep Vol. 55 Issue 7 Pg. 338-42 ISSN: 0001-6519 [Print] Spain
• Vernacular Title: Estudio de CEA y Cyfra 21.1 pre-tratamiento en 252 pacientes con carcinoma de cabeza y cuello.
• PMID: 15554590 (Publication Type: English Abstract, Journal Article)

Chemical References

• Antigens, Neoplasm
• Biomarkers, Tumor
• Carcinoembryonic Antigen
• Keratin-19
• antigen CYFRA21.1
• Keratins

Topics

• Adult
• Aged
• Aged, 80 and over
• Antigens, Neoplasm (blood)
• Biomarkers, Tumor (blood)
• Carcinoembryonic Antigen (blood)
• Carcinoma, Squamous Cell (blood)
• Female
• Head and Neck Neoplasms (blood)
• Humans
• Keratin-19
• Keratins
• Male
• Middle Aged