The role of tumour markers in improving the accuracy of conventional chest X-ray and liver echography in the post-operative detection of thoracic and liver metastases from breast cancer
2000

Using Tumor Markers to Detect Metastases in Breast Cancer

Sample size: 377 publication Evidence: high

Author Information

Author(s): Nicolini A, Carpi A, Ferrari P, Anselmi L, Spinelli C, Conte M, Miccoli P

Primary Institution: University of Pisa, Pisa, Italy

Hypothesis

Can a serum tumor marker panel improve the detection of thoracic and liver metastases in breast cancer patients with equivocal imaging results?

Conclusion

The study found that the tumor marker panel effectively identifies breast cancer patients at high risk for developing metastases when imaging results are unclear.

Supporting Evidence

  • The study included 467 breast cancer patients followed up postoperatively.
  • Among the metastatic patients, 36 showed thoracic or liver metastases.
  • The tumor marker panel had a 100% positive predictive value for predicting thoracic metastases.
  • The tumor marker panel had a 100% positive predictive value for predicting liver metastases.

Takeaway

Doctors can use special blood tests to help find out if breast cancer has spread to the lungs or liver when X-rays or scans are not clear.

Methodology

This retrospective study followed 467 breast cancer patients postoperatively, assessing the effectiveness of a tumor marker panel alongside imaging techniques.

Participant Demographics

Patients included 341 non-relapsed and 126 metastatic breast cancer patients.

Digital Object Identifier (DOI)

10.1054/bjoc.2000.1477

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