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Disease Markers
Volume 2018 (2018), Article ID 5604702, 5 pages
https://doi.org/10.1155/2018/5604702
Research Article

The Role of Serum CK18, TIMP1, and MMP-9 Levels in Predicting R0 Resection in Patients with Gastric Cancer

1Department of General Surgery, Haseki Training and Research Hospital, Istanbul, Turkey
2Department of General Surgery, Istanbul Training and Research Hospital, Istanbul, Turkey
3Department of General Surgery, Kemerburgaz University School of Medicine, Istanbul, Turkey

Correspondence should be addressed to Cihad Tatar

Received 12 September 2017; Revised 9 November 2017; Accepted 4 December 2017; Published 5 February 2018

Academic Editor: Paola Gazzaniga

Copyright © 2018 Sevki Peduk et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Gastric cancer is the third most common cause of death in men and the fifth common cause of death in women worldwide. Currently, available advanced imaging modalities can predict R0 resection in most patients in the perioperative period. The aim of this study is to determine the role of serum CK18, MMP-9, and TIMP1 levels in predicting R0 resection in patients with gastric cancer. Fifty consecutive patients scheduled for curative surgery with gastric adenocancer diagnosis between 2013 and 2015 were included in the study. One milliliter of blood was taken from the patients included in the study to examine CK18, MMP-9, and TIMP1. CK18, MMP-9, and TIMP1 levels were positively correlated with pathological N and the stage (). The CK18, MMP-9, and TIMP1 averages of those with positive clinical lymph nodes and those in clinical stage 3 were found to be higher than the averages of those with negative clinical lymph nodes and those in clinical stage 2 (). Although serum CK18, MMP-9, and TIMP1 preop measurements in patients scheduled for curative surgery due to gastric adenocarcinoma did not help to gain any idea of tumor resectability, we concluded that our study had valuable results in significantly predicting N3 stage.