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Relationship between Preoperative Serum CA15-3 and CEA Levels and Clinicopathological Parameters in Breast Cancer

  • Published : 2014.02.28

Abstract

Background: CEA and CA 15.3 serum tumor markers are currently used in clinical practice for monitoring therapy. The aim of this study was to evaluate serum level of these markers among healthy females and invasive breast carcinoma (IBC) patients and to determine any relationships with clinicopathological factors. Materials and Methods: 60 Iranian females were enrolled in this study, 30 healthy and 30 diagnosed with breast cancer who had not received any preoperative chemotherapy or hormone therapy. Enzyme linked immunosorbent assays were used for the quantitative determination of the cancer associated antigens, CEA and MUC1 (CA15-3). Results: The serological levels of CEA and CA15-3 ($5.0033{\pm}0.49{\mu}g/L$ and $178.1667{\pm}15.11$ U/ml) in the breast cancer patients were significantly higher (p=0.00) than the serum levels of normal controls ($1.1237{\pm}0.11{\mu}g/L$ and $21.13{\pm}3.058$ U/ml). Regarding the CEA marker, a significant correlation with grade of tumor was shown. Furthermore, there was a low correlation between CA15-3 and CEA marker with correlation coefficient r=0.08. Conclusions: Collectively, markedly high levels of CEA and CA15-3 were found in our patients, pointing to their use as additional tools after clinical diagnosis.

Keywords

References

  1. Agha-Hosseini F, Mirzaii-Dizgah I, Rahimi A (2009). Correlation of serum and salivary CA15-3 levels in patients with breast cancer. Med Oral Patol Oral Cir Bucal, 10, 521-4.
  2. Atoum M, Nimer N, Abdeldayem S, Nasr H (2012). Relationships among serum CA15-3 tumor marker, TNM staging, and estrogen and progesterone receptor expression in benign and malignant breast lesions. Asian Pac J Cancer Prev, 3, 857-60.
  3. Barros AC, Fry W Jr, Nazario AC, Santos MO, Sato MK (1994). Experience with CA 15.3 as a tumor marker in breast cancer. Eur J Surg Oncol, 20, 130-3.
  4. Begum M, Karim S, Malik A, et al (2012). CA15-3 (Mucin-1) and physiological characteristics of breast cancer from Lahore, Pakistan. Asian Pac J Cancer Prev, 10, 5257-61.
  5. Compton CC, Fielding LP, Burgart LJ, et al (2000). Prognostic factors in colorectal cancer. Arch Pathol Lab Med, 124, 979-94.
  6. Duffy MJ (1989). New cancer markers. Ann Clin Biochem, 26, 379-87. https://doi.org/10.1177/000456328902600501
  7. Duffy MJ (1999). CA15.3 and related mucins as circulating markers in breast cancer. Ann Clin Biochem, 36, 579-86. https://doi.org/10.1177/000456329903600503
  8. Dunnwald LK, Rossing MA, Li1 CI (2007). Hormone receptor status, tumor characteristics, and prognosis: a prospective cohort of breast cancer patients. Breast Cancer Res, 9, 1-10.
  9. Keyhani M, Nasizadeh S, Dehghannejad A (2005). Serum CA15-3 measurements in breast cancer patient before and after mastectomy. Arch Iranian Med, 4, 263-6.
  10. Martoni A, Zamagni C, Bellanova B, et al (1995). CEA, MCA, CA15.3 and CA 549 and their combinations in expressing and monitoring metastatic breast cancer: a prospective comparative study. Eur J Cancer, 31, 1615-21. https://doi.org/10.1016/0959-8049(95)00340-O
  11. Mousavi SM, Mohaghegghi MA, Mousavi-Jerrahi A, Nahvijou A, Seddigh Z (2006). Burden of breast cancer in Iran: a study of the Tehran population based cancer registry. Asian Pac J Cancer Prev, 7, 571-4.
  12. Mousavi SM, Gouya MM, Ramazani R, et al (2009). Cancer incidence and mortality in Iran. Ann Oncol, 20, 556-63.
  13. Serdarevic NJ, Mehanovic S (2012). The possible role of tumor antigen CA 15-3, CEA and ferritin in malignant and benign disease. J Health Sci, 2, 138-43. https://doi.org/10.17532/jhsci.2012.52
  14. Thriveni K, Krishnamoorthy L, Ramaswamy G (2007). Correlation study of carcino embryonic antigen & cancer antigen 15.3 in pretreated female breast cancer patients. Indian J Clin Biochem, 22, 57-60. https://doi.org/10.1007/BF02912882
  15. Tondini C, Hayes DF, Kufe DW (1989). Circulating tumor markers in breast cancer. Hematol/Onco Clin North Am, 3, 653-74.
  16. Vukobrat-Bijedic Z, Husic-Selimovic A, Sofic A, et al (2012). The application of current diagnostic protocols of patients with colon cancer in preparation for therapy. Acta Inform Med, 4, 238-41.
  17. Zare M, Rezaee A, Zakiani SH, Zare A (2012). Study of Iranian breast cancer registration via established online system during 2011. IOS Press, 4, 1197-201.

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