Importance of determination of protein C reactive (CRP), antigen carcino embryonnaire (ACE) and lacticodeshydrogenase (LDH) in cancer colorectal

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Hajer Abaza
Abderraouf Ghanem
Aouatef Jmal
Hamouda Boussen
Latifa Harzallah
Khaled Rahal
Fethi Guemira

Abstract

Aim : Evaluate and show the importance of CRP, ACE and LDH in colorectal cancer.
Methods: Our prospective study interested 30 patients, from 26 to 93 years old and present a colorectal cancer, confirmed histologically, during the period going from March 2003 to April 2004, and 30 healthy controls. A blood sample was collected from each patient respectively in preoperative, 48 hours before any treatment, and 6 months after surgical operation to measure serum LDH, CRP, and ACE.
Results: The mean serum of LDH, CRP and ACE values were significant higher in patients than those in controls (p respectively: 0,01; 0,04 et 0,01). Moreover, the level of three parameters varied significantly with stages of tumor. After follow up, we have noticed e normalisation of the mean of the level of LDH, CRP and ACE with
favorable evolution. Analysis of survival at 2 years showers that survival is better in patients with normal value of CRP, ACE and LDH.
Conclusion : CRP, LDH and ACE values have a great importance during follows up after colorectal cancer surgery.

Keywords:

Colorectal cancer, lactic deshydrogenase, C reactive protein, antigen carcino embryonnaire, survival

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References

  1. Benhamiche AM. Cancer du colon : Epidémiologie descriptive et groupes à risque élevé. Gastroentérol Clin Biol 2004 ; 28 :21-32.
  2. Bedioui H. La prise en charge des adénocarcinomes du colon. Apropos de 55 cas. Thèse de Médecine Tunis 2001.
  3. Bel Hadj Hmida Y, Tahri N, Sellami A, Yangui N, Jlidi R, Beyrouti MI et all. Sensibilité, spécificité et valeur pronostique de l'ACE dans le cancer colorectal : résultats des séries tunisiennes et revue de la littérature. Tunis Med 2001 ; 79:434-40.
  4. Slentz K, Senagore A, Hibbert J, Mazier WP, Talbott TM. Can preoperative and postoperative CEA predict survival after colon cancer resection? Am Surg 1994; 60: 528-32.
  5. Hamdani I. Les cancers colorectaux. Profil epidemiologique et évolutif. A propos de 150 cas. Thèse Médicine Tunis 2004.
  6. Fernandes L, Kim SB, Matos D. Cytokeratines and carcinoembryonic antigen in diagnosis, staging and prognosis of colorectal cancer. World J Gastroenterolol 2005; 11:645-8.
  7. Schwartz M K. Lactic dehydrogenase. An old enzyme reborn or a cancer marker. Am J clin Path 1991; 96:441-3.
  8. Bonthius D, Landheer M, Bilgen E, Slootmans F, Lier H. Small but significant survival benefit in patients who undergo routine follow-up after colorectal cancer surgery. European Journal of Surgical oncology 2004; 30:1093-7.
  9. McCall JL, Black R, Rich C, Harvey J, Baker R, Watts J. The value of serum carcinoembryonic antigen in predicting recurrent disease following curative resection of colorectal cancer. Dis Colon Rectum 1994; 37:875.
  10. Cerdan F, Diez M, Gomez JJ, Balibrea JL. The prognostic value of common predictive variables in rectal cancer. Rev Esp Enferm Dig 1995; 87:205-10.
  11. Forones N, Tanaka M. CEA and CA19-9 as prognostic indexes in colorectal cancer. Hepatogastroenterology 1999; 46:905.
  12. Reiter W, Stieber P, Reuter C, Nagel D, Lau-werner U. Multivariate analysis of the prognostic value of CEA and CA 19-9 serum levels in colorectal cancer. Anticancer Res 2000; 20:5195-8.
  13. Chen CC, Yang Sh, Lin JK, Lin TC, Chen W Jiang JK et all. Is it reasonable to add preoperative serum level of CEA and CA 19-9 to staging for colorectal cancer? J Surg Res 2005; 124:169-74.
  14. Casamassima A, Picciariello M, Quarranta M, Berardino R, Ranierie C et coll. C-reactive protein : a biomarker of survival in patients with metastatic renal cell carcinoma treated with subcutaneous interleukin-2 based immunotherpy. J Urol 2005;173 :52-5.
  15. Kami J, Kowalska M, Noacki M, Chwali M, Rysi A, Fuksiewicz M.CRP, TNF· , IL-1, IL6, IL8 and IL10 in blood serum of colorectal cancer patients. Path Oncol Res 2000;6:38-41.
  16. Hatada T, Miki C. Nutritional status and postoperative cytokine response in colorectal cancer patients. Cytokine 2000; 12:1331-6.
  17. Erlinger T, Platz E, Rifai N, Helzlsouer K. C-reactive protein and the risk of incident colorectal cancer. JAMA 2004; 291:585-90.
  18. Nozoe T, Matsumata T, Kitamura M. Significance of preoperative elevation of serum C-reactive protein as an indicator for prognostic in colorectal cancer. Am J Surg 1998;176:335-8.
  19. Nielson H, Christensen I, Sorensen S. Preoperative plasminogen activator inhibitor type-1 and serum C-recative protein levels in patients with colorectal cancer. Ann Surg Oncol 2000; 7:617-23.
  20. Elahi MM, Mc Milan D, Mc Ardle C, Angerson W, Sattar N. Score based on hypoalbuminemia and elevated C-reactive protein predicts survival in patients with advanced gastrointestinal cancer. Nutr Cancer 2004; 48:171-3.
  21. Hashimoto K, Ikeda Y, Korenaga D, Tanoue K, Hamatake M. The impact of preoperative serum C-reactive protein on the prognostic of patients with hepatocellular carcinoma. Cancer 2005; 103:1856-64.
  22. Mahmoud FA, Rivera NI. The role of C-reactive protein as a prognostic indicator in advanced cancer. Curr Oncol Rep 2002; 4:250-5.
  23. Miki C, Konishi N, Ojima E, Hatada T, Inoue Y, Kusunoki M. Creactive protein as a prognostic variable that reflets uncontrolled upregulation of the IL-1, Il-6 network system in colorectal carcinoma. Dig Dis Sci 2004; 49:970-6.
  24. Nikiteas N, Tzanakis N, Gazouli M. Serum IL6, TNF· and CRP levels in greek colorectal cancer patients: prognostic implications. World J Gastroenterol 2005,21:1639-43.
  25. Henk J, Gerard TB, Rusol PH. The clinical value of lactate dehydrogenase in serum: a quantitative review. Eur J clin Chem clin Biochem 1997; 35:569-79.
  26. Mate J, Duran R, Lara S, Pajares JM, Moreno R. A study of the lactic dehydrogenase isoenzyme patterns in the adenoma-carcinoma sequence of the colon. Hepatogastroenterology 1993; 40:471-4.
  27. GriffiniP, Freitas I, Vigorelli E, Van Noorden CJ. Changes in the zonation of of lactate dehydrogenase activity in lobules of rate liver after experimentally induced colon carcinoma metastases. Anticancer Res 1994; 14:2537-40.
  28. Lin JT, Wang WS, Yen CC, Liu JH, Yang MH. Outcome of colorectal carcinoma in patients under 40 years of age. J Gastroenterol Hepatol 2005; 20:900-5.