Comparison of three tumor markers—CA-125, lipid-associated sialic acid (LSA), and —In monitoring ovarian cancer

Autor: E. Petru, Susan G. Hilsenbeck, James P. Perras, Ossi R. Koechli, Hervy E. Averette, B.U. Sevin
Rok vydání: 1990
Předmět:
Zdroj: Gynecologic Oncology. 38:181-186
ISSN: 0090-8258
Popis: The monitoring value of three tumor markers—CA-125, lipid-associated sialic acid (LSA), and NB70K—alone and in combination has been studied in 152 patients with invasive, epithelial ovarian cancer. The sensitivity and specificity of CA-125 (90 and 92%, respectively) were superior to those of LSA (79 and 63%, respectively) and NB70K (76 and 74%, respectively). CA-125 by itself showed equal or higher sensitivity as well as higher specificity than in combinations with either LSA or NB70K. CA-125 predicted cancer at second-look in 87% of cases as did LSA and NB70K in 70 and 57%, respectively. In patients with negative second-look, CA-125 predicted the disease status in 93% as did LSA and NB70K in 54 and 63%, respectively. On the basis of these data, the value of simultaneous determination of LSA and NB70K, in addition to the clinically established CA-125, seems to be limited. This is due mainly to the lack of specificity of LSA and NB70K. However, the sensitivity and specificity of CA-125 in this study were in the upper reported range.
Databáze: OpenAIRE