Value of serum muscular creatinine phosphokinase levels in patients with adenomyosis as a non‐invasive diagnostic marker

Objective In the present study, we aimed to compare serum CK‐MM levels in patients with and without adenomyosis and to investigate whether CK‐MM level can be a non‐invasive marker for myometrial damage due to adenomyosis. Materials and Methods Our study was a prospective case‐control study in a tert...

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Veröffentlicht in:International journal of gynecology and obstetrics 2024-07, Vol.168 (1), p.314-319
Hauptverfasser: Bulut Aydemir, Hilal Mürüvvet, Kahyaoğlu, Serkan, Halilzade, İnci, Moraloğlu‐Tekin, Özlem
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container_issue 1
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container_title International journal of gynecology and obstetrics
container_volume 168
creator Bulut Aydemir, Hilal Mürüvvet
Kahyaoğlu, Serkan
Halilzade, İnci
Moraloğlu‐Tekin, Özlem
description Objective In the present study, we aimed to compare serum CK‐MM levels in patients with and without adenomyosis and to investigate whether CK‐MM level can be a non‐invasive marker for myometrial damage due to adenomyosis. Materials and Methods Our study was a prospective case‐control study in a tertiary center and consisted of 40 patients with a clinical/ultrasonographic diagnosis of adenomyosis and 40 patients without a clinical/ultrasonographic diagnosis of adenomyosis as the control group based on recently published morphological uterus sonographic assessment (MUSA) criteria. Individuals of similar age who signed a voluntary consent form were included in our study. Demographic, clinical, and laboratory findings of the patients in both groups were recorded. Blood serum samples were used for the determination of serum CK‐MM levels of the participants in our study. The samples were analyzed by using the human CK‐MM enzyme‐linked immunosorbent assay (ELISA) kit. Results In our study, the mean serum CK‐MM level was 16.2 ± 21.7 (ng/dL) in patients with adenomyosis and 2.6 ± 2.2 (ng/dL) in patients without adenomyosis. Serum CK‐MM level was statistically significantly higher in the patient group with adenomyosis than in the control group (p 
doi_str_mv 10.1002/ijgo.15824
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Materials and Methods Our study was a prospective case‐control study in a tertiary center and consisted of 40 patients with a clinical/ultrasonographic diagnosis of adenomyosis and 40 patients without a clinical/ultrasonographic diagnosis of adenomyosis as the control group based on recently published morphological uterus sonographic assessment (MUSA) criteria. Individuals of similar age who signed a voluntary consent form were included in our study. Demographic, clinical, and laboratory findings of the patients in both groups were recorded. Blood serum samples were used for the determination of serum CK‐MM levels of the participants in our study. The samples were analyzed by using the human CK‐MM enzyme‐linked immunosorbent assay (ELISA) kit. Results In our study, the mean serum CK‐MM level was 16.2 ± 21.7 (ng/dL) in patients with adenomyosis and 2.6 ± 2.2 (ng/dL) in patients without adenomyosis. Serum CK‐MM level was statistically significantly higher in the patient group with adenomyosis than in the control group (p &lt; 0.001). The CK‐MM threshold value of 3.43 ng/mL, with a sensitivity of 82.5% and specificity of 85%, has been found to be a valuable distinguishing level in patients with and without adenomyosis. Conclusion In this study, we demonstrated that serum CK‐MM can be used as a non‐invasive diagnostic method in patients with adenomyosis. As the number of studies around this subject in the literature is insufficient, larger studies are needed to use CK‐MM as a diagnostic marker in adenomyosis. Synopsis CK‐MM could be a predictive marker in the non‐invasive diagnosis of adenomyosis in the future.</description><identifier>ISSN: 0020-7292</identifier><identifier>ISSN: 1879-3479</identifier><identifier>EISSN: 1879-3479</identifier><identifier>DOI: 10.1002/ijgo.15824</identifier><identifier>PMID: 39081170</identifier><language>eng</language><publisher>United States</publisher><subject>abnormal uterine bleeding ; adenomyosis ; Adenomyosis - blood ; Adenomyosis - diagnosis ; Adult ; Biomarkers - blood ; Case-Control Studies ; CK‐MM ; creatinine phosphokinase ; Enzyme-Linked Immunosorbent Assay ; Female ; Humans ; marker ; Middle Aged ; Myometrium - diagnostic imaging ; Myometrium - pathology ; non‐invasive ; Prospective Studies ; ROC Curve ; Sensitivity and Specificity ; Ultrasonography</subject><ispartof>International journal of gynecology and obstetrics, 2024-07, Vol.168 (1), p.314-319</ispartof><rights>2024 International Federation of Gynecology and Obstetrics.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c2544-cd692972bfd2274c77355359af4c94265fffa8b9d7d9eb48bc113cf3f5a123603</cites><orcidid>0000-0001-8964-3552 ; 0000-0002-3078-8420 ; 0000-0003-0645-4786 ; 0000-0001-8167-3837</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1002%2Fijgo.15824$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1002%2Fijgo.15824$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,780,784,1417,27924,27925,45574,45575</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/39081170$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Bulut Aydemir, Hilal Mürüvvet</creatorcontrib><creatorcontrib>Kahyaoğlu, Serkan</creatorcontrib><creatorcontrib>Halilzade, İnci</creatorcontrib><creatorcontrib>Moraloğlu‐Tekin, Özlem</creatorcontrib><title>Value of serum muscular creatinine phosphokinase levels in patients with adenomyosis as a non‐invasive diagnostic marker</title><title>International journal of gynecology and obstetrics</title><addtitle>Int J Gynaecol Obstet</addtitle><description>Objective In the present study, we aimed to compare serum CK‐MM levels in patients with and without adenomyosis and to investigate whether CK‐MM level can be a non‐invasive marker for myometrial damage due to adenomyosis. Materials and Methods Our study was a prospective case‐control study in a tertiary center and consisted of 40 patients with a clinical/ultrasonographic diagnosis of adenomyosis and 40 patients without a clinical/ultrasonographic diagnosis of adenomyosis as the control group based on recently published morphological uterus sonographic assessment (MUSA) criteria. Individuals of similar age who signed a voluntary consent form were included in our study. Demographic, clinical, and laboratory findings of the patients in both groups were recorded. Blood serum samples were used for the determination of serum CK‐MM levels of the participants in our study. The samples were analyzed by using the human CK‐MM enzyme‐linked immunosorbent assay (ELISA) kit. Results In our study, the mean serum CK‐MM level was 16.2 ± 21.7 (ng/dL) in patients with adenomyosis and 2.6 ± 2.2 (ng/dL) in patients without adenomyosis. Serum CK‐MM level was statistically significantly higher in the patient group with adenomyosis than in the control group (p &lt; 0.001). The CK‐MM threshold value of 3.43 ng/mL, with a sensitivity of 82.5% and specificity of 85%, has been found to be a valuable distinguishing level in patients with and without adenomyosis. Conclusion In this study, we demonstrated that serum CK‐MM can be used as a non‐invasive diagnostic method in patients with adenomyosis. As the number of studies around this subject in the literature is insufficient, larger studies are needed to use CK‐MM as a diagnostic marker in adenomyosis. Synopsis CK‐MM could be a predictive marker in the non‐invasive diagnosis of adenomyosis in the future.</description><subject>abnormal uterine bleeding</subject><subject>adenomyosis</subject><subject>Adenomyosis - blood</subject><subject>Adenomyosis - diagnosis</subject><subject>Adult</subject><subject>Biomarkers - blood</subject><subject>Case-Control Studies</subject><subject>CK‐MM</subject><subject>creatinine phosphokinase</subject><subject>Enzyme-Linked Immunosorbent Assay</subject><subject>Female</subject><subject>Humans</subject><subject>marker</subject><subject>Middle Aged</subject><subject>Myometrium - diagnostic imaging</subject><subject>Myometrium - pathology</subject><subject>non‐invasive</subject><subject>Prospective Studies</subject><subject>ROC Curve</subject><subject>Sensitivity and Specificity</subject><subject>Ultrasonography</subject><issn>0020-7292</issn><issn>1879-3479</issn><issn>1879-3479</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2024</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kM1O3DAQgK2qFWyBSx-g8hEhhfov6_iIUEupkLgA18hxxmBI7K0nWbSc-gh9xj5JTRc4VvLIh_n0afQR8omzY86Y-BLub9Mxrxuh3pEFb7SppNLmPVmUJau0MGKXfES8Z4xxzfkO2ZWGNZxrtiBPN3aYgSZPEfI80nFGNw82U5fBTiGGCHR1l7DMQ4gWgQ6whgFpiHRVAIgT0scw3VHbQ0zjJmFAasujMcU_v36HuLYY1kD7YG9jwik4Otr8AHmffPB2QDh4-ffI9bevV6ffq4vLs_PTk4vKiVqpyvVLI4wWne-F0MppLeta1sZ65YwSy9p7b5vO9Lo30Kmmc5xL56WvLRdyyeQeOdx6Vzn9nAGndgzoYBhshDRjK1mzlCVerQp6tEVdTogZfLvKoVy7aTlrn1u3z63bf60L_PnFO3cj9G_oa9wC8C3wGAbY_EfVnv84u9xK_wKNcY08</recordid><startdate>20240731</startdate><enddate>20240731</enddate><creator>Bulut Aydemir, Hilal Mürüvvet</creator><creator>Kahyaoğlu, Serkan</creator><creator>Halilzade, İnci</creator><creator>Moraloğlu‐Tekin, Özlem</creator><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0001-8964-3552</orcidid><orcidid>https://orcid.org/0000-0002-3078-8420</orcidid><orcidid>https://orcid.org/0000-0003-0645-4786</orcidid><orcidid>https://orcid.org/0000-0001-8167-3837</orcidid></search><sort><creationdate>20240731</creationdate><title>Value of serum muscular creatinine phosphokinase levels in patients with adenomyosis as a non‐invasive diagnostic marker</title><author>Bulut Aydemir, Hilal Mürüvvet ; Kahyaoğlu, Serkan ; Halilzade, İnci ; Moraloğlu‐Tekin, Özlem</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c2544-cd692972bfd2274c77355359af4c94265fffa8b9d7d9eb48bc113cf3f5a123603</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2024</creationdate><topic>abnormal uterine bleeding</topic><topic>adenomyosis</topic><topic>Adenomyosis - blood</topic><topic>Adenomyosis - diagnosis</topic><topic>Adult</topic><topic>Biomarkers - blood</topic><topic>Case-Control Studies</topic><topic>CK‐MM</topic><topic>creatinine phosphokinase</topic><topic>Enzyme-Linked Immunosorbent Assay</topic><topic>Female</topic><topic>Humans</topic><topic>marker</topic><topic>Middle Aged</topic><topic>Myometrium - diagnostic imaging</topic><topic>Myometrium - pathology</topic><topic>non‐invasive</topic><topic>Prospective Studies</topic><topic>ROC Curve</topic><topic>Sensitivity and Specificity</topic><topic>Ultrasonography</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Bulut Aydemir, Hilal Mürüvvet</creatorcontrib><creatorcontrib>Kahyaoğlu, Serkan</creatorcontrib><creatorcontrib>Halilzade, İnci</creatorcontrib><creatorcontrib>Moraloğlu‐Tekin, Özlem</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>International journal of gynecology and obstetrics</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Bulut Aydemir, Hilal Mürüvvet</au><au>Kahyaoğlu, Serkan</au><au>Halilzade, İnci</au><au>Moraloğlu‐Tekin, Özlem</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Value of serum muscular creatinine phosphokinase levels in patients with adenomyosis as a non‐invasive diagnostic marker</atitle><jtitle>International journal of gynecology and obstetrics</jtitle><addtitle>Int J Gynaecol Obstet</addtitle><date>2024-07-31</date><risdate>2024</risdate><volume>168</volume><issue>1</issue><spage>314</spage><epage>319</epage><pages>314-319</pages><issn>0020-7292</issn><issn>1879-3479</issn><eissn>1879-3479</eissn><abstract>Objective In the present study, we aimed to compare serum CK‐MM levels in patients with and without adenomyosis and to investigate whether CK‐MM level can be a non‐invasive marker for myometrial damage due to adenomyosis. Materials and Methods Our study was a prospective case‐control study in a tertiary center and consisted of 40 patients with a clinical/ultrasonographic diagnosis of adenomyosis and 40 patients without a clinical/ultrasonographic diagnosis of adenomyosis as the control group based on recently published morphological uterus sonographic assessment (MUSA) criteria. Individuals of similar age who signed a voluntary consent form were included in our study. Demographic, clinical, and laboratory findings of the patients in both groups were recorded. Blood serum samples were used for the determination of serum CK‐MM levels of the participants in our study. The samples were analyzed by using the human CK‐MM enzyme‐linked immunosorbent assay (ELISA) kit. Results In our study, the mean serum CK‐MM level was 16.2 ± 21.7 (ng/dL) in patients with adenomyosis and 2.6 ± 2.2 (ng/dL) in patients without adenomyosis. Serum CK‐MM level was statistically significantly higher in the patient group with adenomyosis than in the control group (p &lt; 0.001). The CK‐MM threshold value of 3.43 ng/mL, with a sensitivity of 82.5% and specificity of 85%, has been found to be a valuable distinguishing level in patients with and without adenomyosis. Conclusion In this study, we demonstrated that serum CK‐MM can be used as a non‐invasive diagnostic method in patients with adenomyosis. As the number of studies around this subject in the literature is insufficient, larger studies are needed to use CK‐MM as a diagnostic marker in adenomyosis. Synopsis CK‐MM could be a predictive marker in the non‐invasive diagnosis of adenomyosis in the future.</abstract><cop>United States</cop><pmid>39081170</pmid><doi>10.1002/ijgo.15824</doi><tpages>6</tpages><orcidid>https://orcid.org/0000-0001-8964-3552</orcidid><orcidid>https://orcid.org/0000-0002-3078-8420</orcidid><orcidid>https://orcid.org/0000-0003-0645-4786</orcidid><orcidid>https://orcid.org/0000-0001-8167-3837</orcidid><oa>free_for_read</oa></addata></record>
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identifier ISSN: 0020-7292
ispartof International journal of gynecology and obstetrics, 2024-07, Vol.168 (1), p.314-319
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source MEDLINE; Access via Wiley Online Library
subjects abnormal uterine bleeding
adenomyosis
Adenomyosis - blood
Adenomyosis - diagnosis
Adult
Biomarkers - blood
Case-Control Studies
CK‐MM
creatinine phosphokinase
Enzyme-Linked Immunosorbent Assay
Female
Humans
marker
Middle Aged
Myometrium - diagnostic imaging
Myometrium - pathology
non‐invasive
Prospective Studies
ROC Curve
Sensitivity and Specificity
Ultrasonography
title Value of serum muscular creatinine phosphokinase levels in patients with adenomyosis as a non‐invasive diagnostic marker
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