The influence of the host on the course of gastric carcinoma
1992

The Influence of the Host on Gastric Cancer

Sample size: 143 publication Evidence: high

Author Information

Author(s): C.W. Janssen Jr, R.T. Lie, C.-F. Bassoe, H. Maartmann-Moe, R. Matres

Primary Institution: The Gade Institute, University of Bergen

Hypothesis

Is the altered immune state found in many cancer patients a consequence of malignancy or rather a state that influences the growth and spread of cancer?

Conclusion

The preoperative immune state significantly influences whether gastric cancer will recur and how soon.

Supporting Evidence

  • The preoperative concentrations of C1-INH and C4 were higher in patients with recurrence than in 5-year survivors.
  • 76% of patients were correctly classified as to recurrence based on preoperative immune data.
  • The preoperative C1-INH concentration had a highly significant effect on time to recurrence of cancer.

Takeaway

Doctors studied blood from patients with stomach cancer to see how their immune system affects cancer recurrence. They found that certain immune markers can help predict if the cancer will come back.

Methodology

Patients with gastric carcinoma were followed for 5 years, with preoperative serum samples analyzed for immunoglobulins and complement components.

Limitations

The study excluded patients with other diseases or a history of another malignant disease within 5 years before surgery.

Participant Demographics

Mean age was 67.1 years, 38.3% were women.

Statistical Information

P-Value

0.0007

Statistical Significance

p<0.0005

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