Diagnostic Accuracy of Tumor Markers CYFRA21-1 and CA125 in the Differential Diagnosis of Ascites

Copyright© 2015 International Institute of Anticancer Research (Dr. John G. Delinassios), All rights reserved..

BACKGROUND: The usefulness of tumor markers in the differential diagnosis of cancer in patients with ascites remains a matter of controversy. Few studies have reported the measurement of cancer antigen 125 (CA125) and cytokeratin 19 soluble fragments (CYFRA21-1) in ascitic fluid. The aim of the present study was to evaluate the diagnostic accuracy of these tumor markers in the detection of malignant ascites.

MATERIALS AND METHODS: We analyzed CA125 and CYFRA21-1 from 143 consecutive undiagnosed patients with ascitis.

RESULTS: Use of CA125 gave a sensitivity of 39.7% and a specificity of 98.8%, and CYFRA21-1 a sensitivity of 50.0% and a specificity of 97.6% in differential diagnosis of malignant ascites. For combined use of CA125 plus CYFRA21-1, sensitivity was 65.5% and specificity 96.5%. In patients with negative cytology, these two tumor markers had a sensitivity of 50% and a specificity of 96.5%.

CONCLUSION: The determination of tumor markers in ascitic fluid could be useful for the diagnostic assessment of patients with ascites.

Medienart:

E-Artikel

Erscheinungsjahr:

2015

Erschienen:

2015

Enthalten in:

Zur Gesamtaufnahme - volume:35

Enthalten in:

Anticancer research - 35(2015), 10 vom: 01. Okt., Seite 5655-60

Sprache:

Englisch

Beteiligte Personen:

Trapé, Jaume [VerfasserIn]
Gurt, Gabriel [VerfasserIn]
Franquesa, Josefina [VerfasserIn]
Montesinos, Jesús [VerfasserIn]
Arnau, Anna [VerfasserIn]
Sala, Maria [VerfasserIn]
Sant, Francesc [VerfasserIn]
Casado, Esther [VerfasserIn]
Ordeig, Josep Maria [VerfasserIn]
Bergos, Carmen [VerfasserIn]
Vida, Francesc [VerfasserIn]
Sort, Pau [VerfasserIn]
Isava, Álvaro [VerfasserIn]
González, Montserrat [VerfasserIn]
Molina, Rafael [VerfasserIn]

Themen:

Antigen CYFRA21.1
Antigens, Neoplasm
Ascitic fluid
Biomarkers, Tumor
CA-125 Antigen
CA125
CYFRA 21-1
Carcinoembryonic Antigen
Differential diagnosis
Journal Article
Keratin-19
Malignant effusion

Anmerkungen:

Date Completed 05.01.2016

Date Revised 11.03.2022

published: Print

Citation Status MEDLINE

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM253121639