Abstract
Colorectal cancer patients with elevated preoperative serum CEA levels tend to have a poor prognosis. We report a case of advanced cecal cancer with a markedly elevated preoperative CEA level. A 73-year-old female with abdominal pain and an abdominal mass was admitted, and she was found to have type 2 colon cancer in the cecum. Her preoperative serum CEA level was 4500.0 ng/ml ; there were no distant metastases or other cancer lesions. The patient had a laparoscopic-assisted ileocecal resection (with D3 dissection). Her serum CEA level returned to normal four months postoperatively. She has had over 5 years disease-free survival after the curative resection. In many cases of colorectal cancer, an elevated preoperative CEA level is a poor prognostic factor. However, in this case there has been no recurrence and a long disease-free survival.
