[HTML][HTML] Serum markers of CYFRA 21-1 and C-reactive proteins in oral squamous cell carcinoma

YP Hsu, CH Hsieh, HT Chien, CH Lai, CK Tsao… - World journal of surgical …, 2015 - Springer
YP Hsu, CH Hsieh, HT Chien, CH Lai, CK Tsao, CT Liao, CJ Kang, HM Wang, JTC Chang…
World journal of surgical oncology, 2015Springer
Abstract Background CYFRA 21-1 (cytokeratin 19 fragment) and C-reactive proteins (CRP)
were separately reported to be associated with prognosis of head and neck squamous cell
carcinoma. The combined roles of CYFRA 21-1 and CRP levels were rarely investigated in
oral squamous cell carcinoma (OSCC). The purpose of the present study was to analyze the
relationship between preoperative levels of both CYFRA 21-1 and CRP, with
clinicopathological factors and prognosis in OSCC patients. Methods A retrospective study …
Background
CYFRA 21-1 (cytokeratin 19 fragment) and C-reactive proteins (CRP) were separately reported to be associated with prognosis of head and neck squamous cell carcinoma. The combined roles of CYFRA 21-1 and CRP levels were rarely investigated in oral squamous cell carcinoma (OSCC). The purpose of the present study was to analyze the relationship between preoperative levels of both CYFRA 21-1 and CRP, with clinicopathological factors and prognosis in OSCC patients.
Methods
A retrospective study was performed on 130 OSCC patients between December 2010 and June 2013. Their serum CYFRA 21-1 and CRP levels were measured preoperatively.
Results
CYFRA 21-1 level of ≥3.3 ng/mL and CRP level of ≥5.0 mg/L were significantly associated with pathological tumor status (P < 0.001), tumor depth (>10 vs. ≤10 mm, P = 0.001), bone invasion (P = 0.001), skin invasion (P = 0.006), pathologic nodal metastasis (P = 0.012), and disease-free survival (P = 0.009). Higher CYPFRA 21-1 and CRP levels were also associated with higher risks of distant metastasis (log-rank test, P = 0.013, (HR [95 % CI]) 1.692 [1.097–2.414]).
Conclusions
Preoperative CYFRA 21-1 and CRP levels are probable candidates as biomarkers for risk stratification in OSCC.
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