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[糖类抗原CA125与癌胚抗原在卵巢癌诊断意义中的比较评估]

[Comparative evaluation of diagnostic significance of carbohydrate antigen CA125 and cancer-embryonal antigen in ovarian cancer].

作者信息

Lapchenkov V I, Dudarev A L, Vinokurov V L, Iurkova L E

出版信息

Vestn Rentgenol Radiol. 1993 Sep-Oct(5):30-1.

PMID:7801580
Abstract

Blood CA125 carbohydrate antigen levels were measured in 131 patients with malignant, benign, and borderline ovarian diseases. Parallel measurements of carcinoembryonic antigen (CEA) were carried out in 101 of them. The diagnosis with CA125 measurements was found highly sensitive (96%), specific (77%), and accurate (73%). For CEA these values were, respectively, 60, 64, and 24%. Since CEA levels in the blood of ovarian cancer patients are not high even in stages III-IV condition, correlation between CEA and CA125 levels avsent, and the method of CEA measurements inaccurate, we think it unadvisable using CEA as a separate marker in diagnostic investigations, more so in monitoring the efficacy of treatment of patients with ovarian cancer.

摘要

对131例患有恶性、良性和交界性卵巢疾病的患者进行了血液CA125糖类抗原水平检测。其中101例患者同时进行了癌胚抗原(CEA)检测。结果发现,CA125检测诊断的敏感性很高(96%)、特异性为(77%)、准确性为(73%)。CEA的这些值分别为60%、64%和24%。由于即使在III-IV期,卵巢癌患者血液中的CEA水平也不高,CEA与CA125水平之间不存在相关性,且CEA检测方法不准确,因此我们认为在诊断研究中单独使用CEA作为标志物不可取,在监测卵巢癌患者的治疗效果时更是如此。

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