Tumor downstaging

was 48.5% with normal CEA arm and 28.7% with elevated CEA arm (p = 0.004). In multivariate analysis, normal CEA level (p = 0.004) and tumor size under 4 cm (p = 0.029) were OSI-906 purchase significantly associated with good regression. Table 1 Patient and Tumor Characteristics (n = 202) Characteristic Normal CEA Arm (n = 101) Elevated CEA Arm (n = 101) p-Value Age, mean (year) 63.2 62.8 0.811 Pre-CRT CEA, mean (ng/mL) 2.6 14.2 <0.001 Gender – no. (%)     0.662 Male 62 (48.8) 65 (51.2)   Female 39 (52.0) 36 (48.0)   Clinical T stage – no. (%)     0.602 cT3 94 (50.5) 92 (49.5)   cT4 7 (43.8) 9 (56.2)   Clinical N stage – no. (%)     0.545 cN0 30 (46.9) 34 (53.1)   cN1-2 71 (51.4) 67 (48.6)   Histological click here grade* – no. (%)     1.000 Low 93 (50.0) 93 (50.0)

  High 8 (50.0) 8 (50.0)   Distance of tumor from anal verge (cm) – no. (%)     0.393 <6 61 (52.6) 55 (47.4)   ≥6 40 (46.5) 46 (53.5) Table 2 Tumor Response according to the CEA Group   Normal CEA Arm (n = 101) Elevated CEA Arm (n = 101) p-Value Downstaging (ypT0-2N0)     0.004 Yes 49 29   No 52 72   Downstaging rate (%) 48.5 28.7 Table 3 Multivariate Analysis of Factors associated with Tumor Response after Chemoradiotherapy Factor Adjusted Odds Ratio and 95% Confidence Interval p-Value Age, year   0.195 <60 1.00 (referent)   ≥60 1.55 (0.80–3.00)   Gender   0.673 Male 1.00 (referent)   Female 1.15 (0.59–2.21)   CEA, ng/mL   0.004 <5 1.00 (referent)   ≥5 0.38 selleck kinase inhibitor (0.20–0.73)   Clinical T stage   0.315 T3 1.00 (referent)   T4 1.12 (0.08–2.19)   Clinical N stage   0.733 N0 1.00 (referent)   N+ 1.63 (0.57–2.22)   Histological grade   0.310 Low 1.00 (referent)   High

1.12 (0.73–3.04)   Distance of tumor from anal verge, cm   0.074 <6 1.00 (referent)   ≥6 1.89 (0.87–3.66)   Tumor size   0.029 <4 1.00 (referent)   ≥4 0.48 (0.25–0.92)   Interval between radiation and operation   0.301 <8 1.00 (referent)   ≥8 1.43 (0.72–2.86) Conclusion: Normal CEA level at the time of diagnosis, smaller tumor size were independent clinical predictors for tumor response. We recommended prospective analysis for more meticulous risk factor of tumor regression. Key Word(s): 1. serum carcinoembryonic antigen; 2. preoperative chemoradiation; 3.