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Table 3 Multivariate analysis of PALN recurrence using CEA levels integrated into SCC-Ag level < 10 ng/mL

From: Pretreatment carcinoembryonic antigen level is a risk factor for para-aortic lymph node recurrence in addition to squamous cell carcinoma antigen following definitive concurrent chemoradiotherapy for squamous cell carcinoma of the uterine cervix

Parameters

Number

Hazard ratio (95% CI)

p value

Age

 

--

0.323

   < 50

58

reference

 

   50-60

59

--

0.155

   > 60

71

--

0.233

Stage

 

--

0.609

   I

22

reference

 

   II

145

--

0.629

   III-IVA

41

--

0.372

Parametrial score

 

--

0.121

   0

36

reference

 

   1-3

103

--

0.111

   4-6

49

--

0.040

Tumor size

  

0.651

   ≤ 5.0

48

reference

 

   > 5.0

53

--

0.517

   unknown

87

--

0.864

Positive pelvic node

 

--

0.075

Hemoglobin < 12 g/dL

 

--

0.303

Smoking

 

--

0.528

Field size (< 18 cm)

 

--

0.874

Pretreatment tumor marker (ng/mL)

  

< 0.001

   SCC-Ag < 10 and CEA < 10

113

reference

 

   SCC-Ag < 10 and CEA ≥ 10

15

8.838 (3.199-24.419)

< 0.001

   SCC-Ag 10-40

42

4.246 (1.706-10.569)

0.002

   SCC-Ag ≥ 40

18

12.551 (4.811-32.747)

< 0.001

  1. Abbreviations: CI = confidence interval; SCC-Ag = squamous cell carcinoma antigen; CEA = Carcinoembryonic antigen