effects of laparoscopic operation combined neoadjuvant chemotherapy on serum levels of cea, ca242, ca19-9, ca724, icam-1 and vcam-1 in patients with colorectal carcinoma
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2017
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Abstract
Objective: To observe the effects of neoadjuvant chemotherapy on the basis of laparoscopic
operation on colorectal carcinoma patients, serum CEA, CA242, CA19-9, CA724, ICAM-1
and VCAM-1 levels. Methods: A total of 120 cases of colorectal carcinoma in our hospital
from January 2012 to January 2015 were retrospectively analyzed and divided into control
group and observation group, with each group of 60 patients. All patients were given
laparoscopic operation, the patients in the observation group were given neoadjuvant
chemotherapy (FOLFOX4 regimen) four cycles before laparoscopic surgery, fasting venous
blood before and after treatment in the morning was taken and centrifuged, and the serum
CA242, CA19-9, ICAM-1 and VCAM-1 levels were measured by ELISA, and the serum CEA
levels were measured by MEIA, and the serum CA724 levels were measured by ECLI, and
compared with those of the two groups. Results: (1) Before treatment, there was no statistically
significant difference in the serum CEA, CA242, CA19-9 and CA724 levels between the two
groups. After treatment, compared with the same group before treatment, the serum CEA,
CA242, CA19-9 and CA724 levels of the two groups were significantly lower, and those levels
of observation group were significantly better than the control group, there was significant
difference between the two groups; (2) Before treatment, there was no statistically significant
difference in the serum ICAM-1, VCAM-1 levels between the two groups. After treatment,
compared with the same group before treatment, the serum ICAM-1, VCAM-1 levels of the
two groups were significantly lower, and those levels of observation group were significantly
better than the control group, there was significant difference between the two groups.
Conclusion: The treatment of colorectal cancer patients with neoadjuvant chemotherapy
combined with laparoscopic operation can effectively reduce serum CEA, CA242, CA19-9,
CA724, ICAM-1 and VCAM-1 levels, indicating that the program can regulate cancer-related
tumor markers and the expression of relative factors, to promote the recovery of patients
with autoimmune system, ease the patient's condition, safe and reliable, worthy of clinical
application.
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| Authors | ;Wen-Jie Xie;Yan-Hong Li;Chang-Fang Xie;Xin-Liang Liu;Shuai Zhang |
| Journal | journal of communications |
| Year | 2017 |
| DOI |
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