Evidence map›Paper›PMID 30843272›Full record

ArticleJournal of clinical laboratory analysis2019

The association of five preoperative serum tumor markers and pathological features in patients with breast cancer.

Mingjian Lian, Cuixia Zhang, Dongdong Zhang, Ping Chen, Huijing Yang, Yuanyuan Yang, Shidong Chen, Guolin Hong

Open access · goldAbstract read
In one paragraph

Article in Journal of clinical laboratory analysis, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed, 1 pooled it
1.6field-weighted citation impact, top 15% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

19 citing papers in PubMed, 1 synthesis or guideline pooled it, 27 citations in OpenAlex.

  1. Pooled it
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors at 2 institutions in 1 country.

Mingjian LianDepartment of Clinical Laboratory, The First Affiliated Hospital of Xiamen University, Xiamen, China.ORCID https://orcid.org/0000-0002-4982-4161
Cuixia ZhangDepartment of Pathology, The First Affiliated Hospital of Xiamen University, Xiamen, China.
Dongdong ZhangDepartment of Clinical Laboratory, The First Affiliated Hospital of Xiamen University, Xiamen, China.
Ping ChenDepartment of Clinical Laboratory, The First Affiliated Hospital of Xiamen University, Xiamen, China.
Huijing YangMedical Department, Fujian Medical University, Fuzhou, China.
Yuanyuan YangDepartment of Clinical Laboratory, The First Affiliated Hospital of Xiamen University, Xiamen, China.
Shidong ChenDepartment of Clinical Laboratory, The First Affiliated Hospital of Xiamen University, Xiamen, China.
Guolin HongDepartment of Clinical Laboratory, The First Affiliated Hospital of Xiamen University, Xiamen, China.
First Affiliated Hospital of Xiamen University · CNFujian Medical University · CN

Funding

the Natural Science Foundation of China 81772287the Natural Science Foundation of Fujian Province 2016J01643the Youth Foundation of the First Affiliated Hospital of Xiamen University XYY2017012
6 · The paper itself

Abstract

backgroundThe utility of frequently used serum tumor markers in breast cancer remains controversial. The study aimed to investigate the role of preoperative carcinoembryonic antigen (CEA), cancer antigen 125 (CA125), cancer antigen 153 (CA153), cancer antigen 724 (CA724), and ferritin (FER) in the management of breast cancer and their relationships with pathological features.

methodsA total of 804 patients with breast mass who underwent breast surgery and 305 healthy volunteers were enrolled. Preoperative serum levels of CEA, CA125, CA153, CA724, and FER were measured. And the pathological features of all the patients were recorded. The association of preoperative serum tumor markers and pathological features was analyzed.

resultsAmong the 804 patients, 355 were identified as malignant cases and 449 as benign cases. CEA, CA153, and FER of patients with breast cancer were higher than those of healthy volunteer group and patients with benign breast diseases. The area under curve (AUC) of CEA, CA153, and FER for distinguishing patients with breast cancer and subjects with non-breast cancer was 0.688 (95% CI: 0.656-0.721), 0.609 (95% CI: 0.574-0.645), and 0.623 (95% CI: 0.586-0.660), respectively. CA153 correlated with tumor size, node status, and TNM stage, whereas CA125 with node status. No statistic differences of the five markers were observed among the four molecular subtypes.

conclusionPreoperative levels of CEA, CA153, and FER exhibit low diagnostic accuracy for breast cancer (stage I-III). CA153 correlates with tumor burden, suggesting its prognostic value. The five serum markers do not correlate with molecular subtypes.

Indexed as

AdultAgedAged, 80 and overAntigens, NeoplasmAntigens, Tumor-Associated, CarbohydrateBiomarkers, TumorBreast NeoplasmsCA-125 AntigenCarcinoembryonic AntigenCase-Control StudiesChildFemaleFerritinsHumansMiddle AgedPreoperative PeriodAntigens, NeoplasmAntigens, Tumor-Associated, CarbohydrateBiomarkers, TumorCA-125 AntigenCA153 protein, humanCA-72-4 antigenCarcinoembryonic AntigenFerritinsbreast cancermolecular subtypepathological featureprognosistumor marker

Identifiers

PMID30843272
PMCPMC6595372
OpenAlexW2920851641

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.