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Carcinoembryonic antigen related cell adhesion molecule 1 (CEACAM1) is a trans-membrane multifunctional cell adhesion molecule associated with tumor cell proliferation, apoptosis, angiogenesis, invasion, and migration during tumor development. In the present study, we evaluated serum CEACAM1 level in osteosarcoma patients to explore its diagnostic and prognostic value for this particular malignancy. Sera from 113 patients with primary osteosarcoma, 98 patients with benign bone tumors and 126 healthy controls were obtained. Serum CEACAM1 level was measured with ELISA and correlation with clinicopathological characteristics was further analyzed. Receiver operating curves (ROC), Kaplan-Meier curves, and log-rank analyses as well as Cox proportional hazard models were used to evaluate diagnostic and prognostic significance. The results revealed that serum CEACAM1 level was significantly higher in osteosarcoma patients compared to benign bone tumors and healthy controls (455.2 ± 179.9 vs 287.4 ± 103.2, 260.8 ± 109.7 pg/ml, respectively). Osteosarcoma patients with larger tumors, later-tumor stages, low tumor grades, and distant metastases had much higher CEACAM1 compared to those with smaller tumors, earlier tumor stages, high tumor grades and non-distant metastases (P < 0.05 for all). Multivariate logistic regression analysis confirmed that high serum CEACAM1 level was an independent risk factor for distant metastases (OR = 3.02, 95%CI 1.65–4.17). To distinguish osteosarcoma patients from those with benign bone tumor and healthy controls, ROC/AUC analysis indicated an AUC of 0.81 (sensitivity 0.61; specificity 0.89) and an AUC of 0.77 (sensitivity 0.57; specificity 0.92), respectively. Osteosarcoma patients with higher CEACAM1 had relatively lower survival compared to those with low CEACAM1 (P < 0.01), and multivariate analyses for overall survival revealed that high serum CEACAM1 level was an independent prognostic factor for osteosarcoma (HR = 1.56, 95%CI 1.23–3.28). The present study suggested that elevated serum CEACAM1 level might be a novel diagnostic and prognostic biomarker for osteosarcoma patients. [ABSTRACT FROM AUTHOR]

Thyroid cancer (TC) incidence in China has increased rapidly in recent years. Hangzhou is one of the areas with the highest TC incidence in China. However, the composite space-time variation and risk factors of TC are rarely investigated. We acquired 7147 TC cases from 2008 to 2012 in Hangzhou. Descriptive statistics were employed to compare the incidence disparities in different sub-populations. Geographical information systems were used to create spatial distribution maps. Hotspot analysis was applied to detect high/low incidence clusters, and the GeogDetector model was implemented to investigate the relationship between TC incidence and environmental factors. TC incidence in Hangzhou increased dramatically from 2008 to 2012: a noticeable 244.9 % increase, from 10.04 to 34.63 per 100,000 individuals, with a female to male ratio of 3.0, an urban to rural ratio of 3.2 and iodine sufficient to iodine deficient ratio of 3.5. Significantly high TC cluster was detected in the northeast area of Hangzhou. Elevation was found to be the most powerful determinant of TC distribution, followed by soil parent materials and slope. TC incidence decreased as elevation and slope increased. Concerning soil parent materials, deposited materials were generally linked to higher TC incidence than were eluvium ones. The spatial/temporal pattern of TC incidence is affected by geomorphology and soil property variations. Excessive iodine exposure may be a TC risk factor. Health research and management should pay sufficient attention to the improved understanding and prediction of the composite space-time distribution of the quickly increasing TC incidence described in this study. [ABSTRACT FROM AUTHOR]

Background: Breast cancer (BC) is the most common female malignant tumor. Previous studies have suggested a big incidence disparity among different cities in China. The present work selected a typical city, Hangzhou, to study BC incidence disparity within the city. Methods: Totally, 8784 female breast cancer cases were obtained from the Hangzhou Center for Disease Control and Prevention during the period 2008–2012. Analysis of Variance and Poisson Regression were the statistical tools implemented to compare incidence disparity in the space-time domain (reference group: township residents during 2008, area: subdistrict, town, and township, time frame: 2008–2012), space-time scan statistics was employed to detect significant spatiotemporal clusters of BC compared to the null hypothesis that the probability of cases diagnosed at a particular location was equal to the probability of cases diagnosed in the whole study area. Geographical Information System (GIS) was used to generate BC spatial distribution and cluster maps at the township level. Results: The subdistrict populations were found to have the highest and most stable BC incidence. Although town and township populations had a relatively low incidence, it displayed a significant increasing trend from 2008 to 2012. The BC incidence distribution was spatially heterogeneous and clustered with a trend-surface from the southwest low area to the northeast high area. High clusters were located in the northeastern Hangzhou area, whereas low clusters were observed in the southwestern area during the time considered. Conclusions: Better healthcare service and lifestyle changes may be responsible for the increasing BC incidence observed in towns and townships. One high incidence cluster (Linping subdistrict) and two low incidence clusters (middle Hangzhou) were detected. The low clusters may be attributable mainly to developmental level disparity, whereas the high cluster could be associated with other risk factors, such as environmental pollution. [ABSTRACT FROM AUTHOR]