Intensive post-operative follow-up of breast cancer patients with tumour markers: CEA, TPA or CA15.3 vs MCA and MCA-CA15.3 vs CEA-TPA-CA15.3 panel in the early detection of distant metastases
2006

Post-Operative Follow-Up in Breast Cancer Using Tumor Markers

Sample size: 289 publication Evidence: moderate

Author Information

Author(s): Nicolini Andrea, Tartarelli Gianna, Carpi Angelo, Metelli Maria Rita, Ferrari Paola, Anselmi Loretta, Conte Massimo, Berti Piero, Miccoli Paolo

Primary Institution: University of Pisa

Hypothesis

Can the CEA-TPA-CA15.3 panel improve early detection of distant metastases in breast cancer patients compared to MCA and MCA-CA15.3?

Conclusion

The CEA-TPA-CA15.3 panel is more accurate than the MCA-CA15.3 association for early detection of relapsed breast cancer patients.

Supporting Evidence

  • MCA sensitivity was higher than that of CEA, TPA, or CA15.3.
  • The CEA-TPA-CA15.3 panel detected 74% of recurrences.
  • MCA specificity was lower than that of CEA and CA15.3.

Takeaway

Doctors can use certain blood tests to find out if breast cancer has come back after surgery, and some tests work better than others.

Methodology

The study compared the sensitivity and specificity of various tumor markers in 289 breast cancer patients during post-operative follow-up.

Potential Biases

Potential bias in the selection of tumor markers and patient demographics.

Limitations

The study's findings may not apply to all breast cancer patients due to the specific population studied.

Participant Demographics

Patients aged 27 to 80 years, with a median age of 51; 93% were disease-free at the start of the study.

Statistical Information

Statistical Significance

p n.s.

Digital Object Identifier (DOI)

10.1186/1471-2407-6-269

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