Clinical Impact of Carcinoembryonic
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Journal Article
Clinical Impact ofCarcinoembryonic AntigenMessenger Ribonucleic Acid
Expression in Tumor-DrainingVein Blood on PostoperativeLiver Metastasis in Patients WithColorectal Carcinoma
A Prospective, Cohort Study
Journal Diseases of the
Colon & Rectum
Publisher Springer New YorkISSN 0012-3706 (Print)
1530-0358(Online)
Subject Medicine
Issue Volume 46,
Number 4 / April,2003
DOI 10.1007/s10350-004-6584-3
Pages 467-473Online Date Thursday,
February 19, 2004
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Koki Sunouchi1 ,
Rikuo Machinami1,
Masaki Mori1,
Kazunobu Namiki1,
Shouichi Hattori1,
Yujiro Murata1,
Takeshi Tsuchiya1,Hideaki Mizuno1and
Masao Tadokoro1
(1) Departments ofSurgery,Pathology, andInternal Medicine,Kawakita GeneralHospital,Suginami-ku,Tokyo, Japan
Abstract PURPOSE:This study wasdesigned to determinethe clinical impact ofcarcinoembryonicantigen messengerribonucleic acidexpression in tumor-draining vein blood onpostoperative livermetastasis in patients
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all three patients withsynchronous livermetastasis.Immunohistochemicalstudies revealed thatall tumor specimenswith stromal type(5/5) ofcarcinoembryonicantigen staining had
positive expression ofcarcinoembryonicantigen messengerribonucleic acid.Postoperative livermetastasis wasdetected in fourpatients, three ofwhom (75 percent)had positiveexpression ofcarcinoembryonicantigen messenger
ribonucleic acid intumor-draining veinblood. CONCLUSIONS:Positive expression ofcarcinoembryonicantigen messengerribonucleic acid intumor-draining veinblood differed by thetype ofimmunohistochemicalstaining withcarcinoembryonic
antigen. These datasuggest that patientswith positiveexpression ofcarcinoembryonicantigen messengerribonucleic acid intumor-draining veinblood may be at a highrisk for postoperativeliver metastasis.
Keywords Colorectal
carcinoma - Livermetastasis - Tumor-draining vein - CEAmRNA - Polymerasechain reaction
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