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Published in: Surgery Today 2/2012

01-02-2012 | Original Article

Reevaluation of serum p53 antibody as a tumor marker in colorectal cancer patients

Authors: Hiroki Ochiai, Takashi Ohishi, Koji Osumi, Jo Tokuyama, Hidejirou Urakami, Shikou Seki, Atsushi Shimada, Akira Matsui, Yoh Isobe, Yuya Murata, Takashi Endo, Yoshiyuki Ishii, Hirotoshi Hasegawa, Sumio Matsumoto, Yuko Kitagawa

Published in: Surgery Today | Issue 2/2012

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Abstract

Purpose

We reevaluated the serum p53 antibody (S-p53Ab) ELISA kit, which was approved as a tumor marker of colon cancer in the Japanese Health Insurance System in 2007.

Methods

S-p53Ab was measured as a tumor marker in 154 colorectal cancer patients, and the results were categorized by clinical and pathological variables. We then compared the positive frequency of S-p53Ab, carcinoembryonic antigen (CEA), and carbohydrate 19-9 (CA19-9).

Results

S-p53Ab was positive in 33.1% of the colorectal cancer patients. The positive rate was significantly higher in patients with lymph nodes metastasis (P = 0.025) and lymphatic invasion (P = 0.023). In patients with stage I colorectal cancer, the positive rate of S-p53Ab (23.7%) was significantly higher than that of CEA (5.3%) or CA19-9 (7.9%).

Conclusion

The approved kit for S-p53Ab testing was found to be an effective tumor marker of colorectal cancer. The positive rate of S-p53Ab was significantly higher in patients with cancer involvement of the lymphoid tissues. The positive rate of S-p53Ab was higher than that of CEA and CA19-9 in patients with stage I colorectal cancer, suggesting that the S-p53Ab is a useful tumor marker for patients with early-stage disease.
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Metadata
Title
Reevaluation of serum p53 antibody as a tumor marker in colorectal cancer patients
Authors
Hiroki Ochiai
Takashi Ohishi
Koji Osumi
Jo Tokuyama
Hidejirou Urakami
Shikou Seki
Atsushi Shimada
Akira Matsui
Yoh Isobe
Yuya Murata
Takashi Endo
Yoshiyuki Ishii
Hirotoshi Hasegawa
Sumio Matsumoto
Yuko Kitagawa
Publication date
01-02-2012
Publisher
Springer-Verlag
Published in
Surgery Today / Issue 2/2012
Print ISSN: 0941-1291
Electronic ISSN: 1436-2813
DOI
https://doi.org/10.1007/s00595-011-0044-1

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