2003
DOI: 10.1016/s0009-8981(02)00371-6
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Clinical significance of serum total sialic acid in cholangiocarcinoma

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Cited by 23 publications
(16 citation statements)
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“…Based on the ROC curve analysis, a cut-off point of 1.75 mmol/L provided a satisfactorily high sensitivity, specificity and accuracy of above 80 % for the differential diagnosis of CCA from HCC. The data of the present study are in agreement with those previously reported which described an increase in serum TSA in patients with CCA [10,15] . Thus, serum TSA would be a useful marker, particularly in conjunction with radiological studies such as ultrasonography or CT scan, for the detection of CCA in patients presenting with clinical features of liver mass and jaundice.…”
Section: Discussionsupporting
confidence: 94%
“…Based on the ROC curve analysis, a cut-off point of 1.75 mmol/L provided a satisfactorily high sensitivity, specificity and accuracy of above 80 % for the differential diagnosis of CCA from HCC. The data of the present study are in agreement with those previously reported which described an increase in serum TSA in patients with CCA [10,15] . Thus, serum TSA would be a useful marker, particularly in conjunction with radiological studies such as ultrasonography or CT scan, for the detection of CCA in patients presenting with clinical features of liver mass and jaundice.…”
Section: Discussionsupporting
confidence: 94%
“…A decrease in serum sialoglycoconjugate degradation and/or an altered clearing of these glycoconjugates by the liver could also account for the elevation of serum sialic acids [ 63 ]. The increased serum sialic acid concentration was directly correlated to an increase in the concentration and the degree of sialylation of tumor secreted products such as alkaline phosphatase, MUC5AC mucin and CA19–9 which are sialoglycoconjugates, as reported by Wongkham et al [ 197 ]. It is speculated that serum MU5AC mucin and antigen CA19–9 are related to the increased amount of white blood cells as well as secretion of cytokines and glycoproteins from immune cells in serum of cancer patients; one possible explanation for the elevation of serum TSA [ 197 ].…”
Section: Putative Mechanisms For the Serum/plasma Sialylation Changesmentioning
confidence: 57%
“…In certain cancers, increased activity of sialyltransferase and the high turnover of tumor cells might lead to spontaneous shedding of aberrant sialic acid-containing cell surface glycoconjugates into the circulation and cause the high sialic acid concentration in the serum [ 196 ]. In one study, tumor tissue TSA/TP was found to be significantly higher than serum TSA /TP supporting the hypothesis of an enhancement in tumor sialoglycoconjugate biosynthesis and shedding being the cause of an increase in serum sialic acid content [ 197 ]. A decrease in serum sialoglycoconjugate degradation and/or an altered clearing of these glycoconjugates by the liver could also account for the elevation of serum sialic acids [ 63 ].…”
Section: Putative Mechanisms For the Serum/plasma Sialylation Changesmentioning
confidence: 93%
“…It has been established that the SA concentrations are elevated in patients suffering from various diseases and pathological conditions [8][9][10][11][12]. Still, the serum SA in lambs with WMD has not yet been reported.…”
Section: Introductionmentioning
confidence: 99%