Serum tumour marker (CEA, CA 19-9 and CA 27-29) levels and their association with clinicopathological parameters in Nigerian breast cancer patients

INTRODUCTION: To hasten management and improve patients’ quality of life, there is a need for quick, cheap and accessible biomarkers of breast cancer prognosis following confirmatory diagnosis. Tumour markers are substances produced by the tumours or by other cells of the body in response to cancer...

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Main Authors: Ganiyu Olatunbosun Arinola, Mutiu Alani Jimoh, Kehinde Adigun, Mosunmade Babatunde Oshingbesan
Format: Article
Language:English
Published: Via Medica 2025-01-01
Series:Medical Research Journal
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Online Access:https://journals.viamedica.pl/medical_research_journal/article/view/103650
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author Ganiyu Olatunbosun Arinola
Mutiu Alani Jimoh
Kehinde Adigun
Mosunmade Babatunde Oshingbesan
author_facet Ganiyu Olatunbosun Arinola
Mutiu Alani Jimoh
Kehinde Adigun
Mosunmade Babatunde Oshingbesan
author_sort Ganiyu Olatunbosun Arinola
collection DOAJ
description INTRODUCTION: To hasten management and improve patients’ quality of life, there is a need for quick, cheap and accessible biomarkers of breast cancer prognosis following confirmatory diagnosis. Tumour markers are substances produced by the tumours or by other cells of the body in response to cancer or certain benign conditions, but the role of serum tumour markers in breast cancer prognosis remains controversial due to multiorgan sources of a biomarker. This study aimed to evaluate the association of serum carcinoembryonic antigen (CEA) and carbohydrate antigen (CA 19-9 and 27-29) levels with clinicopathological parameters in patients with breast cancer. MATERIALS AND METHODS: Sera from a total of 183 breast cancer patients of different clinic-pathological characteristics were analysed for CEA, CA 19-1 and CA 27-29 using a Hitachi automatic immunoassay analyser based on chemiluminescence principle. The mean values were compared using the Student t-test while the frequencies of prevalence were compared using the X2 test. RESULTS: Mean serum CA 19-9 level was significantly higher in well-differentiated compared with moderately- differentiated or ductal- compared with lobular- breast cancer patients. The mean serum CEA 19-9 level was significantly higher in ductal- compared with lobular- breast cancer patients. A higher prevalence of metastatic or moderately-differentiated breast cancer patients had levels of CA19-9 above reference ranges while a higher prevalence of stage 2 breast cancer patients had levels of CA 27-29 above reference ranges. CONCLUSIONS: CA 19-9 differentiates breast cancer histological grades and metastasis. Therefore, CA 19-9 provides additional insight into breast cancer clinicopathological types than CEA or CA 27-29.
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spelling doaj-art-b37e7553f58d4498a862ecdc44795b112025-08-20T14:22:37ZengVia MedicaMedical Research Journal2451-25912451-41012025-01-0110210.5603/mrj.103650Serum tumour marker (CEA, CA 19-9 and CA 27-29) levels and their association with clinicopathological parameters in Nigerian breast cancer patientsGaniyu Olatunbosun Arinola0https://orcid.org/0000-0001-7901-1498Mutiu Alani Jimoh1https://orcid.org/0000-0002-6383-3961Kehinde Adigun2https://orcid.org/0000-0002-7534-1163Mosunmade Babatunde OshingbesanUniversity of Ibadan, NigeriaUniversity of Ibadan, NigeriaUniversity of Ibadan, NigeriaINTRODUCTION: To hasten management and improve patients’ quality of life, there is a need for quick, cheap and accessible biomarkers of breast cancer prognosis following confirmatory diagnosis. Tumour markers are substances produced by the tumours or by other cells of the body in response to cancer or certain benign conditions, but the role of serum tumour markers in breast cancer prognosis remains controversial due to multiorgan sources of a biomarker. This study aimed to evaluate the association of serum carcinoembryonic antigen (CEA) and carbohydrate antigen (CA 19-9 and 27-29) levels with clinicopathological parameters in patients with breast cancer. MATERIALS AND METHODS: Sera from a total of 183 breast cancer patients of different clinic-pathological characteristics were analysed for CEA, CA 19-1 and CA 27-29 using a Hitachi automatic immunoassay analyser based on chemiluminescence principle. The mean values were compared using the Student t-test while the frequencies of prevalence were compared using the X2 test. RESULTS: Mean serum CA 19-9 level was significantly higher in well-differentiated compared with moderately- differentiated or ductal- compared with lobular- breast cancer patients. The mean serum CEA 19-9 level was significantly higher in ductal- compared with lobular- breast cancer patients. A higher prevalence of metastatic or moderately-differentiated breast cancer patients had levels of CA19-9 above reference ranges while a higher prevalence of stage 2 breast cancer patients had levels of CA 27-29 above reference ranges. CONCLUSIONS: CA 19-9 differentiates breast cancer histological grades and metastasis. Therefore, CA 19-9 provides additional insight into breast cancer clinicopathological types than CEA or CA 27-29.https://journals.viamedica.pl/medical_research_journal/article/view/103650breast cancer typescarbohydrate antigenscarcinoembryonic antigen
spellingShingle Ganiyu Olatunbosun Arinola
Mutiu Alani Jimoh
Kehinde Adigun
Mosunmade Babatunde Oshingbesan
Serum tumour marker (CEA, CA 19-9 and CA 27-29) levels and their association with clinicopathological parameters in Nigerian breast cancer patients
Medical Research Journal
breast cancer types
carbohydrate antigens
carcinoembryonic antigen
title Serum tumour marker (CEA, CA 19-9 and CA 27-29) levels and their association with clinicopathological parameters in Nigerian breast cancer patients
title_full Serum tumour marker (CEA, CA 19-9 and CA 27-29) levels and their association with clinicopathological parameters in Nigerian breast cancer patients
title_fullStr Serum tumour marker (CEA, CA 19-9 and CA 27-29) levels and their association with clinicopathological parameters in Nigerian breast cancer patients
title_full_unstemmed Serum tumour marker (CEA, CA 19-9 and CA 27-29) levels and their association with clinicopathological parameters in Nigerian breast cancer patients
title_short Serum tumour marker (CEA, CA 19-9 and CA 27-29) levels and their association with clinicopathological parameters in Nigerian breast cancer patients
title_sort serum tumour marker cea ca 19 9 and ca 27 29 levels and their association with clinicopathological parameters in nigerian breast cancer patients
topic breast cancer types
carbohydrate antigens
carcinoembryonic antigen
url https://journals.viamedica.pl/medical_research_journal/article/view/103650
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