Preoperative serum levels of cancer antigen 125 and carcinoembryonic antigen ratio can improve differentiation between mucinous ovarian carcinoma and other epithelial ovarian carcinomas

Obstetrics & Gynecology Science
Ji Hui ChoiJae-Hoon Kim

Abstract

The main aim of this study was to evaluate cancer antigen 125 (CA125)/carcinoembryonic antigen (CEA) ratio (CCR), as a reliable marker to differentiate ovarian mucinous carcinoma from other epithelial ovarian carcinomas (EOCs), namely serous, clear cell, and endometrioid carcinomas. Female patients suffering from different kinds of EOCs whom were subjected to elective surgery at the Gangnam Severance Hospital between January 2008 and December 2016, were included in this study. The serum levels of CA125 and CEA were assayed using commercially available kits per the manufacturer's instructions. The CCR in mucinous carcinoma (mean 32.1) was significantly lower than that of clear cell (mean 235.0) and endometrioid carcinoma (mean 427.0) in stage I (all P<0.05). In stage II-IV, CCR in mucinous carcinoma (mean 37.6) was significantly lower than that of serous carcinoma (mean 148.0) (P<0.01). The sensitivity and specificity of CCR in detecting mucinous carcinoma from other types of EOC was 75.0% and 77.5%, respectively in stage I and 100.0% and 84.4%, respectively in stage II-IV (both cut-off value <90.7). The present results suggest that pretreatment CCR might provide higher specificity and clinically relevant information as a criter...Continue Reading

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Citations

Mar 22, 2019·Medicine·Renata RaśKrzysztof Gutkowski
Aug 25, 2020·The Journal of Obstetrics and Gynaecology Research·Arb-Aroon LertkhachonsukChuenkamon Charakorn
Aug 28, 2021·Diagnostics·Charles J DuntonFrederick R Ueland
Oct 2, 2021·Radiographics : a Review Publication of the Radiological Society of North America, Inc·Sanjay RaoSree Harsha Tirumani

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