Expression of COX-2, cPLA2, COX-1, mPGES, PGE2, and PGI2 before and after treatment in serum of lung cancer patients with or without distant metastasis. The data are presented by mean ±SD (standard deviation). * Indicates a statistically significant difference was found between the before and after treatment comparison (p<0.05). # Indicates a significant different compared to the lung cancer patient group with distant metastasis (p<0.05).