Suzuki M, Sekiguchi I, Ohwada M, Aida I, Tamada T
Department of Obstetrics and Gynecology, Jichi Medical School.
Nihon Gan Chiryo Gakkai Shi. 1990 Jul 20;25(7):1454-60.
We investigated the usefulness of CA602, a newly developed serum tumor marker, for ovarian cancer. When the cut-off value was set at 60 U/ml, the overall positive rate of this marker in ovarian cancer was 92%, a slightly high rate relative to CA125 measured at the same time (88%). Considering tumor histology, CA602 revealed a high positive rate of 100% in serous adenocarcinoma, whereas the positive rate was 67% in mucinous adenocarcinoma. However, the positive rate was relatively high in benign diseases such as endometrial cysts (64%) and benign ovarian tumors (29%). It is concluded that CA602 is a tumor marker with low specificity and high sensitivity in general. The definite correlation between CA602 and CA125 in ovarian tumors (R = 0.96) suggests that these markers have certain similarities. Thus, CA602 may be a useful serum tumor marker for ovarian cancer as a substitute for CA125.
我们研究了新开发的血清肿瘤标志物CA602对卵巢癌的诊断价值。当临界值设定为60 U/ml时,该标志物在卵巢癌中的总体阳性率为92%,相对于同时检测的CA125(88%)略高。考虑肿瘤组织学,CA602在浆液性腺癌中的阳性率高达100%,而在黏液性腺癌中的阳性率为67%。然而,在子宫内膜囊肿(64%)和卵巢良性肿瘤(29%)等良性疾病中,CA602的阳性率相对较高。结论是,CA602总体上是一种特异性低、敏感性高的肿瘤标志物。卵巢肿瘤中CA602与CA125之间明确的相关性(R = 0.96)表明这些标志物有一定相似性。因此,CA602作为CA125的替代物,可能是一种对卵巢癌有用的血清肿瘤标志物。