Observational Study
Copyright ©The Author(s) 2022. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Gastrointest Surg. Nov 27, 2022; 14(11): 1272-1284
Published online Nov 27, 2022. doi: 10.4240/wjgs.v14.i11.1272
Assessment of tumor markers CA 19-9, CEA, CA 125, and CA 242 for the early diagnosis and prognosis prediction of gallbladder cancer
Seema Rani Sinha, Prem Prakash, Rakesh Kumar Singh, Dinesh Kumar Sinha
Seema Rani Sinha, Biochemistry, Indira Gandhi Institute of Medical Sciences, Patna 800014, India
Prem Prakash, General Surgery, Indira Gandhi Institute of Medical Sciences, Patna 800014, India
Rakesh Kumar Singh, Surgical Gastroenterology, Indira Gandhi Institute of Medical Sciences, Patna 800014, India
Dinesh Kumar Sinha, Radiation Oncology, State Cancer Institute, Indira Gandhi Institute of Medical Sciences, Patna 800014, Bihar, India
Author contributions: Sinha DK was the guarantor and designed the study; Sinha SR, Prakash P, and Singh RK participated in the acquisition, analysis, and interpretation of the data, and drafted the initial manuscript; Sinha SR, Prakash P, Singh RK, and Sinha DK revised the article critically for important intellectual content.
Institutional review board statement: The study was reviewed and approved by Institutional Ethics Committee vide letter (Approval No. 479/IEC/2018/IGIMS).
Informed consent statement: All study participants provided informed written consent prior to study enrollment.
Conflict-of-interest statement: The authors have no conflicts of interest to declare.
Data sharing statement: No additional data are available.
STROBE statement: The authors have read the STROBE Statement—checklist of items, and the manuscript was prepared and revised according to the STROBE Statement—checklist of items.
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Dinesh Kumar Sinha, MD, Additional Professor, Radiation Oncology, State Cancer Institute, Indira Gandhi Institute of Medical Sciences, Sheikhpura, IGIMS, Patna 800014, Bihar, India. drdineshkumarsinha@gmail.com
Received: July 13, 2022
Peer-review started: July 13, 2022
First decision: July 31, 2022
Revised: August 20, 2022
Accepted: October 12, 2022
Article in press: October 12, 2022
Published online: November 27, 2022
Core Tip

Core Tip: Gallbladder cancer (GBC) is one of the leading and aggressive cancers, which is often diagnosed in the advanced and metastatic stage as it lacks typical early signs and symptoms. This study assessed the different tumor markers separately and in combination, to determine the diagnostic accuracy of these markers and prognostic significance in GBC. The level of tumor markers was significantly elevated in GBC. There was no association between the presence of elevated levels of any marker and survival; however, it showed response to treatment with a significant reduction in tumor markers at 3 mo and 6 mo.