Disappearance curves of tumor markers after radical surgery

Int J Biol Markers. 1994;9(1):33-7. doi: 10.1177/172460089400900107.

Abstract

CEA serum levels were sampled from 15 patients with lung carcinoma, 12 patients with colon carcinoma, and 5 patients with gastric carcinoma before and after radical excision of the malignancy. In addition, TPA serum levels were measured in 7 patients with lung carcinoma and CA 19.9 serum levels in 9 patients with colon carcinoma, before and after curative surgery. Irrespective of the primary malignancy, a CEA half-life of approximately 3 days was calculated. The normalization time was related to the preoperative level of the marker, being longer when the preoperative CEA level was > 20 ng/ml. The TPA half-life was slightly longer than 1 day, ranging from less than 1 day to more than 3 days, with a normalization time of about 20 days. The CA 19.9 half-life was slightly longer than 1 day with variations from less than 1 day to about 3 days. Many factors, especially associated inflammatory processes and hepatic clearance imbalances, may influence marker kinetics in the postoperative period. A correct evaluation of the clinical significance of tumor marker half-life after radical surgery will require a larger number of patients as well as careful and prolonged follow-up.

MeSH terms

  • Adenocarcinoma / blood
  • Adenocarcinoma / immunology
  • Adenocarcinoma / surgery
  • Adult
  • Aged
  • Antigens, Neoplasm / blood
  • Antigens, Tumor-Associated, Carbohydrate / blood
  • Biomarkers, Tumor / blood*
  • Carcinoembryonic Antigen / blood
  • Carcinoma, Squamous Cell / blood
  • Carcinoma, Squamous Cell / immunology
  • Carcinoma, Squamous Cell / surgery
  • Colonic Neoplasms / blood
  • Colonic Neoplasms / immunology
  • Colonic Neoplasms / surgery
  • Female
  • Half-Life
  • Humans
  • Lung Neoplasms / blood
  • Lung Neoplasms / immunology
  • Lung Neoplasms / surgery
  • Male
  • Middle Aged
  • Neoplasms / blood*
  • Neoplasms / immunology
  • Neoplasms / surgery*
  • Peptides / blood
  • Peptides / immunology
  • Stomach Neoplasms / blood
  • Stomach Neoplasms / immunology
  • Stomach Neoplasms / surgery
  • Tissue Polypeptide Antigen

Substances

  • Antigens, Neoplasm
  • Antigens, Tumor-Associated, Carbohydrate
  • Biomarkers, Tumor
  • Carcinoembryonic Antigen
  • Peptides
  • Tissue Polypeptide Antigen