Comparison of Serum Ca72-4, Cea, Tpa, Ca19-9 and Ca125 Levels in Gastric Cancer Patients and Correlation with Recurrence

Background/Aims: Serum tumor markers were investigated as prognostic factors for recurrence in patients with gastric cancers. Methodology: Preoperative serum levels of CEA, CA72 -4, CA19-9, TPA and CA125 were sampled in 196 patients with gastric cancers undergoing curative surgery. The results were compared with the clinical recurrence and various clinicopathological factors. Results: CA72-4; CEA, CA19-9, TPA and CA125 had sensitivities of 16.4%, 31.4%, 16.1%, 31.6 %, and 6%, respectively. Sensitivity of two combinations was as high as 56.5 %. Seventy-seven patients (39.9%) had clinical recurrence in the follow-up periods. For those with preoperatively elevated serum tumor markers, 38% (12/32) had CA 72-4, 42% (13/31) had CA19-9, 48% (29/60) and had CEA, 54% (6/11) had CA 125, and,62% (37/61) had TPA, and, remained, disease-free. Univariate analysis showed that TNM staging, Tumor size, Borrmann classification of tumor growth , and preoperative serum CA72-4 level, were correlated with recurrence of disease. Multivariate analysis showed that independent prognostic factor of recurrence was TNM staking (P=0.0007). Conclusions: Preoperative serum CA12-4 level is correlated with staging of disease, but is not an independent predictor for clinical recurrence of disease in patients with gastric cancers that undergo surgery