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血清CA125监测卵巢上皮性癌术后复发界值探讨

郭娜 彭芝兰 楼江燕 刘辉 王平 张家文 尹如铁 王丹青

中国实用妇科与产科杂志2011,Vol.27Issue(10):757-760,4.
中国实用妇科与产科杂志2011,Vol.27Issue(10):757-760,4.

血清CA125监测卵巢上皮性癌术后复发界值探讨

Cut-off value of serum CA125 for monitoring the recurrence of epithelial ovarian carcinoma

郭娜 1彭芝兰 1楼江燕 1刘辉 1王平 1张家文 1尹如铁 1王丹青1

作者信息

  • 1. 四川大学华西第二医院妇产科,四川成都,610041
  • 折叠

摘要

Abstract

Objective To explore the relationship between the cut-off value of CA 125and the recurrence of epithelial o-varian carcinoma. Methods Analyze 170 postoperative patients of epithelial ovarian carcinoma retrospectively, consisting of 135 non-recurrent and 35 recurrent cases, while 105 cases of menopausal women and 65 cases of postoperative patients of gynecological malignancies except ovarian carcinoma served as control group. Cut-off values of 5, 10, 15, 20, 25, 30, and 35 kU/L were used to compare sensitivity, and specificity. Results The median value of CA125 for nonrecurrent patients was 7. 5 kU/L; 8.4 kU/L for menopausal women; 6. 9 kU/L for postoperative patients of other gynecological malignancies, whereas the* ±s was (8. 3 ±3. 6)kU/L,(9. 1 ±4. 2)kU/L, and (7. 3 ±2. 6)kU/L, respectively. . The cut-off value of 15 kU/L produced the following results; .74.3% sensitivity, 97.0% specificity. Conclusions When 15 kU/L was used as the cut-off value combined with image examination, the sensitivity increased. This result may improve the prognosis for recurrent patients because of the early detection of recurrent lesions and early retreatment.

关键词

界值/CA125抗原/卵巢上皮性癌/复发/绝经期

Key words

cut-off level/ CA125 antigen/ epithelial ovarian carcinoma/ recurrence/ menopause

分类

医药卫生

引用本文复制引用

郭娜,彭芝兰,楼江燕,刘辉,王平,张家文,尹如铁,王丹青..血清CA125监测卵巢上皮性癌术后复发界值探讨[J].中国实用妇科与产科杂志,2011,27(10):757-760,4.

中国实用妇科与产科杂志

OA北大核心CSCDCSTPCD

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