DOES INTRAPERITONEAL CA-125 REFLECT DISEASE STATUS

被引:14
作者
BULLER, RE [1 ]
MANETTA, A [1 ]
BLOSS, JD [1 ]
DISAIA, PJ [1 ]
BERMAN, ML [1 ]
机构
[1] UNIV CALIF IRVINE,IRVINE MED CTR,DEPT OBSTET & GYNECOL,DIV GYNECOL ONCOL,ORANGE,CA 92668
关键词
D O I
10.1016/0090-8258(91)90087-L
中图分类号
R73 [肿瘤学];
学科分类号
100214 ;
摘要
The relationship of serum CA-125 to intraperitoneal (IP) CA-125 was studied in 45 patients with a variety of gynecologic diseases including ovarian carcinoma. In 43 of 45 patients the IP level exceeded the serum level of CA-125. Paracentesis may dramatically alter both levels, thus mimicking surgical debulking. All IP levels of CA-125 measured at second-look coeliotomy for the ovarian cancer patients were within the normal range of IP CA-125 measured at surgery for benign disease. Therefore, intraperitoneal CA-125 is less sensitive than serum CA-125 in predicting intraperitoneal disease status. Likewise it cannot be used to predict the subgroup of ovarian cancer patients with negative second-look coeliotomy who are destined to develop a recurrence of disease. © 1991.
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页码:66 / 69
页数:4
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