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Preoperative radiotherapy, whether it is long course radiotherapy (LCRT) or short course radiotherapy (SCRT), is the standard neoadjuvant treatment strategy for the treatment of locally advanced rectal cancer (LARC)
Preoperative radiotherapy, whether it is long course radiotherapy (LCRT) or short course radiotherapy (SCRT), is the standard neoadjuvant treatment strategy for the treatment of locally advanced rectal cancer (LARC)
The study collected relevant data of LARC patients diagnosed from 2011 to 2015 in the SEER database, and divided them into surgical treatment group (S) and preoperative radiotherapy continuous surgical treatment group ((RT+S) according to the inclusion criteria
The study collected relevant data of LARC patients diagnosed from 2011 to 2015 in the SEER database, and divided them into surgical treatment group (S) and preoperative radiotherapy continuous surgical treatment group ((RT+S) according to the inclusion criteria
A total of 2760 patients were eligible, including 350 (12.
Before PSM, the 1, 3, and 4-year CSS of the RT+S and S groups were 98.
Before PSM, the 1, 3, and 4-year CSM of the two groups were 1.
In the matched cohort, 420 patients had normal CEA levels, including 213 patients in the S group and 207 patients in the RT+S group
In the matched cohort, 242 patients had elevated CEA levels before treatment, including 118 in the S group and 124 in the RT+S group
CEA level after PSM affects
CSM
CEA level
after PSMaffects CSMCEA level after PSMaffects CSMCEA level after PSM affects CSM
In addition, a multivariate analysis of the subgroup with elevated CEA showed that preoperative radiotherapy was an independent protective factor for CSS and CSM (CSS: HR = 0.
36, 95% CI = 0.
15 0.
83, p = 0.
017; CSM: HR = 0.
41, 95% CI = 0.
18 0.
94, p = 0.
036)
.
36, 95% CI = 0.
15 0.
83, p = 0.
017; CSM: HR = 0.
41, 95% CI = 0.
18 0.
94, p = 0.
036)
.
In addition, a multivariate analysis of the subgroup with elevated CEA showed that preoperative radiotherapy was an independent protective factor for CSS and CSM (CSS: HR = 0.
36, 95% CI = 0.
15 0.
83, p = 0.
017; CSM: HR = 0.
41, 95% CI = 0.
18 0.
94, p = 0.
036)
.
In addition, a multivariate analysis of the subgroup with elevated CEA showed that preoperative radiotherapy was an independent protective factor for CSS and CSM (CSS: HR = 0.
36, 95% CI = 0.
15 0.
83, p = 0.
017; CSM: HR = 0.
41, 95% CI = 0.
18 0.
94, p = 0.
036)
.
Factors related to CSS and CSM in patients with elevated CEA
In summary, studies have shown that the level of CEA before treatment is considered a potential marker for screening LARC patients who have obtained long-term survival from preoperative radiotherapy
.
.
Studies have shown that the level of CEA before treatment is considered a potential marker for screening LARC patients who have obtained long-term survival from preoperative radiotherapy
.
Studies have shown that the level of CEA before treatment is considered a potential marker for screening LARC patients who have obtained long-term survival from preoperative radiotherapy
.
Original source:
Original source:Wang L, Zhong X, Lin H, Shao L, Chen G and Wu J (2021) The Correlation Between Survival Benefit of Preoperative Radiotherapy and Pretreatment Carcinoembryonic Antigen Level in Locally Advanced Rectal Cancer.
Front.
Oncol.
11:735882.
doi: 10.
3389 /fonc.
2021.
735882
Front.
Oncol.
11:735882.
doi: 10.
3389 /fonc.
2021.
735882
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