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Predictive and prognostic value of preoperative serum tumor markers in resectable adenosqamous lung carcinoma

Adenosquamous carcinoma is a rare and aggressive form of lung cancer. The prognostic and predictive value of preoperative serum tumor markers and frequency of EGFR mutations in adenosquamous lung carcinoma are unclear. We retrospectively analyzed data and samples collected from 106 radically resecte...

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Published in:Oncotarget 2016-10, Vol.7 (40), p.64798-64809
Main Authors: Zhi, Qiongjie, Wang, Yuqian, Wang, Xinyue, Yue, Dongsheng, Li, Kai, Jiang, Richeng
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description Adenosquamous carcinoma is a rare and aggressive form of lung cancer. The prognostic and predictive value of preoperative serum tumor markers and frequency of EGFR mutations in adenosquamous lung carcinoma are unclear. We retrospectively analyzed data and samples collected from 106 radically resected adenosquamous lung carcinoma patients with pathological stage I-IIIA between 2008 and 2013. Correlations between serum tumor marker levels and EGFR mutations as well as survival parameters were analyzed and prognostic factors were identified. Of the 106 adenosquamous lung carcinoma patients, 29 (27.4%) harbored EGFR mutations. By univariate analysis, advanced clinical stage (P = 0.009 for disease-free survival [DFS]; P = 0.046 for overall survival [OS]), larger tumor size (P = 0.001 for DFS; P = 0.002 for OS), regional lymph node metastasis (P = 0.024 for DFS; P = 0.030 for OS), higher NSE level (P = 0.002 for DFS; P < 0.001 for OS), and higher TMI (tumor marker index) (P = 0.009 for OS) were significantly correlated with a worse prognosis. By multivariate analysis, NSE (P = 0.014) was confirmed as independent predictor for DFS, while NSE (P = 0.001) and TMI (P = 0.038) were independent prognostic factors for OS. Adenosquamous lung carcinoma is an aggressive malignancy with relatively high EGFR mutation frequency. Elevated preoperative NSE level and TMI are adverse predictive and prognostic indicators.
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subjects Adult
Aged
Aged, 80 and over
Antigens, Neoplasm - blood
Carcinoembryonic Antigen - blood
Carcinoma, Adenosquamous - diagnosis
Carcinoma, Adenosquamous - mortality
Carcinoma, Adenosquamous - pathology
Female
Humans
Keratin-19 - blood
Lung Neoplasms - diagnosis
Lung Neoplasms - mortality
Lung Neoplasms - pathology
Lymphatic Metastasis
Male
Middle Aged
Mutation - genetics
Neoplasm Staging
Phosphopyruvate Hydratase - blood
Predictive Value of Tests
Prognosis
Receptor, Epidermal Growth Factor - genetics
Research Paper
Retrospective Studies
Serpins - blood
title Predictive and prognostic value of preoperative serum tumor markers in resectable adenosqamous lung carcinoma
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