Cancer‐associated serum antigen level: a novel prognostic indicator for survival in patients with recurrent ovarian carcinoma

.  Gronlund B, Dehn H, Høgdall CK, Engelholm SA, Jørgensen M, Nørgaard‐Pedersen B, Høgdall EVS. Cancer‐associated serum antigen level: a novel prognostic indicator for survival in patients with recurrent ovarian carcinoma. Int J Gynecol Cancer 2005;15:836–843. The aim was to examine the value of the...

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Veröffentlicht in:International journal of gynecological cancer 2005-09, Vol.15 (5), p.836-843
Hauptverfasser: GRONLUND, B., DEHN, H., HØGdall, C.K., ENGELHOLM, S.A., JØRGENSEN, M., NØRGAARD‐PEDERSEN, B., HØGDALL, E.V.S.
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container_end_page 843
container_issue 5
container_start_page 836
container_title International journal of gynecological cancer
container_volume 15
creator GRONLUND, B.
DEHN, H.
HØGdall, C.K.
ENGELHOLM, S.A.
JØRGENSEN, M.
NØRGAARD‐PEDERSEN, B.
HØGDALL, E.V.S.
description .  Gronlund B, Dehn H, Høgdall CK, Engelholm SA, Jørgensen M, Nørgaard‐Pedersen B, Høgdall EVS. Cancer‐associated serum antigen level: a novel prognostic indicator for survival in patients with recurrent ovarian carcinoma. Int J Gynecol Cancer 2005;15:836–843. The aim was to examine the value of the pretherapeutic serum cancer‐associated serum antigen (CASA) level as a prognostic factor for survival in patients with recurrent epithelial ovarian carcinoma. Serum levels of CASA and cancer antigen (CA)125 were prospectively determined in 70 consecutive patients with recurrent ovarian cancer before the start of second‐line chemotherapy. Univariate and multivariate analyses of survival were performed. The median level of serum CASA was 6.5 U/mL (range: 0.2–1437 U/mL). Univariate analysis showed that patients with a CASA level >10.0 U/mL had significantly shorter survival than patients with CASA level ≤10.0 U/mL (P= 0.002). Using different CASA cutoff levels (6.0, 6.5, and 10.0 U/mL), multivariate Cox analyses identified CASA as an independent prognostic factor for survival at every cutoff level. The strongest prognostic function for CASA was found at a cutoff level of 10.0 U/mL (>10 vs ≤10 U/mL; hazard ratio, 2.7; 95% confidence interval, 1.6–4.7; P < 0.001). The pretreatment CA125 level was not found to be significantly associated with survival by any of the cutoffs (35, 65, 132, and 339 U/mL). A pretreatment elevated level of the tumor marker CASA is an adverse prognostic factor for survival in patients with ovarian cancer relapse.
doi_str_mv 10.1111/j.1525-1438.2005.00145.x
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Cancer‐associated serum antigen level: a novel prognostic indicator for survival in patients with recurrent ovarian carcinoma. Int J Gynecol Cancer 2005;15:836–843. The aim was to examine the value of the pretherapeutic serum cancer‐associated serum antigen (CASA) level as a prognostic factor for survival in patients with recurrent epithelial ovarian carcinoma. Serum levels of CASA and cancer antigen (CA)125 were prospectively determined in 70 consecutive patients with recurrent ovarian cancer before the start of second‐line chemotherapy. Univariate and multivariate analyses of survival were performed. The median level of serum CASA was 6.5 U/mL (range: 0.2–1437 U/mL). Univariate analysis showed that patients with a CASA level &gt;10.0 U/mL had significantly shorter survival than patients with CASA level ≤10.0 U/mL (P= 0.002). Using different CASA cutoff levels (6.0, 6.5, and 10.0 U/mL), multivariate Cox analyses identified CASA as an independent prognostic factor for survival at every cutoff level. The strongest prognostic function for CASA was found at a cutoff level of 10.0 U/mL (&gt;10 vs ≤10 U/mL; hazard ratio, 2.7; 95% confidence interval, 1.6–4.7; P &lt; 0.001). The pretreatment CA125 level was not found to be significantly associated with survival by any of the cutoffs (35, 65, 132, and 339 U/mL). 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Cancer‐associated serum antigen level: a novel prognostic indicator for survival in patients with recurrent ovarian carcinoma. Int J Gynecol Cancer 2005;15:836–843. The aim was to examine the value of the pretherapeutic serum cancer‐associated serum antigen (CASA) level as a prognostic factor for survival in patients with recurrent epithelial ovarian carcinoma. Serum levels of CASA and cancer antigen (CA)125 were prospectively determined in 70 consecutive patients with recurrent ovarian cancer before the start of second‐line chemotherapy. Univariate and multivariate analyses of survival were performed. The median level of serum CASA was 6.5 U/mL (range: 0.2–1437 U/mL). Univariate analysis showed that patients with a CASA level &gt;10.0 U/mL had significantly shorter survival than patients with CASA level ≤10.0 U/mL (P= 0.002). Using different CASA cutoff levels (6.0, 6.5, and 10.0 U/mL), multivariate Cox analyses identified CASA as an independent prognostic factor for survival at every cutoff level. The strongest prognostic function for CASA was found at a cutoff level of 10.0 U/mL (&gt;10 vs ≤10 U/mL; hazard ratio, 2.7; 95% confidence interval, 1.6–4.7; P &lt; 0.001). The pretreatment CA125 level was not found to be significantly associated with survival by any of the cutoffs (35, 65, 132, and 339 U/mL). A pretreatment elevated level of the tumor marker CASA is an adverse prognostic factor for survival in patients with ovarian cancer relapse.</description><subject>Adult</subject><subject>Aged</subject><subject>Antigens, Neoplasm - blood</subject><subject>CA-125 Antigen - blood</subject><subject>CA125</subject><subject>CASA</subject><subject>epithelial ovarian cancer</subject><subject>Female</subject><subject>Humans</subject><subject>Middle Aged</subject><subject>Multivariate Analysis</subject><subject>Neoplasm Recurrence, Local - blood</subject><subject>Neoplasm Recurrence, Local - diagnosis</subject><subject>Neoplasm Recurrence, Local - pathology</subject><subject>Ovarian Neoplasms - blood</subject><subject>Ovarian Neoplasms - diagnosis</subject><subject>Ovarian Neoplasms - pathology</subject><subject>Prognosis</subject><subject>prognostic factors</subject><subject>relapse</subject><subject>Survival Rate</subject><issn>1048-891X</issn><issn>1525-1438</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2005</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqNkcFu1DAQhiMEoqXwCsgnbgljx0kcxAWtSimqxKUHbtbEmXS9eJ3FTnbbEzwCz8iT4LArOIKlkWfs_x-P_GUZ41DwtF5vCl6JKueyVIUAqAoALqvi_lF2_uficcpBqly1_PNZ9izGDQC0Atqn2RmveSNFWZ5n31boDYWf339gjKOxOFHPIoV5y9BP9o48c7Qn94Yh82NK2C6Md36MkzXM-t4anMbAhhRxDnu7R5eO2Q4nS36K7GCnNQtk5hBSzcY9BoueGQzG-nGLz7MnA7pIL077RXb7_vJ29SG_-XR1vXp3kxspBeQ4iFJhJ8qB-qbpOxygBjO0Zd1XSpEqa5B9B6anquZd3YpOIahuUDjIpqvLi-zVsW2a_utMcdJbGw05h57GOepa1VDz9CP_EgoQsiq5SkJ1FJowxhho0LtgtxgeNAe9QNIbvbDQCwu9QNK_Ien7ZH15emPuttT_NZ6oJIE8Cg6jmyjEL24-UNBrQjetU5vEsWqafGkKbaryFAKS7e3JZh09_Pc8-vrjVUrKXxvqs-o</recordid><startdate>200509</startdate><enddate>200509</enddate><creator>GRONLUND, B.</creator><creator>DEHN, H.</creator><creator>HØGdall, C.K.</creator><creator>ENGELHOLM, S.A.</creator><creator>JØRGENSEN, M.</creator><creator>NØRGAARD‐PEDERSEN, B.</creator><creator>HØGDALL, E.V.S.</creator><general>Blackwell Science Inc</general><general>Copyright Blackwell Publishing Ltd</general><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>7QO</scope><scope>8FD</scope><scope>FR3</scope><scope>P64</scope><scope>7X8</scope></search><sort><creationdate>200509</creationdate><title>Cancer‐associated serum antigen level: a novel prognostic indicator for survival in patients with recurrent ovarian carcinoma</title><author>GRONLUND, B. ; DEHN, H. ; HØGdall, C.K. ; ENGELHOLM, S.A. ; JØRGENSEN, M. ; NØRGAARD‐PEDERSEN, B. ; HØGDALL, E.V.S.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4420-af238ab23fed77dbaf060cf936d588e83604db0cde561b692b8a08bf8af47b63</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2005</creationdate><topic>Adult</topic><topic>Aged</topic><topic>Antigens, Neoplasm - blood</topic><topic>CA-125 Antigen - blood</topic><topic>CA125</topic><topic>CASA</topic><topic>epithelial ovarian cancer</topic><topic>Female</topic><topic>Humans</topic><topic>Middle Aged</topic><topic>Multivariate Analysis</topic><topic>Neoplasm Recurrence, Local - blood</topic><topic>Neoplasm Recurrence, Local - diagnosis</topic><topic>Neoplasm Recurrence, Local - pathology</topic><topic>Ovarian Neoplasms - blood</topic><topic>Ovarian Neoplasms - diagnosis</topic><topic>Ovarian Neoplasms - pathology</topic><topic>Prognosis</topic><topic>prognostic factors</topic><topic>relapse</topic><topic>Survival Rate</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>GRONLUND, B.</creatorcontrib><creatorcontrib>DEHN, H.</creatorcontrib><creatorcontrib>HØGdall, C.K.</creatorcontrib><creatorcontrib>ENGELHOLM, S.A.</creatorcontrib><creatorcontrib>JØRGENSEN, M.</creatorcontrib><creatorcontrib>NØRGAARD‐PEDERSEN, B.</creatorcontrib><creatorcontrib>HØGDALL, E.V.S.</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Biotechnology Research Abstracts</collection><collection>Technology Research Database</collection><collection>Engineering Research Database</collection><collection>Biotechnology and BioEngineering Abstracts</collection><collection>MEDLINE - Academic</collection><jtitle>International journal of gynecological cancer</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>GRONLUND, B.</au><au>DEHN, H.</au><au>HØGdall, C.K.</au><au>ENGELHOLM, S.A.</au><au>JØRGENSEN, M.</au><au>NØRGAARD‐PEDERSEN, B.</au><au>HØGDALL, E.V.S.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Cancer‐associated serum antigen level: a novel prognostic indicator for survival in patients with recurrent ovarian carcinoma</atitle><jtitle>International journal of gynecological cancer</jtitle><addtitle>Int J Gynecol Cancer</addtitle><date>2005-09</date><risdate>2005</risdate><volume>15</volume><issue>5</issue><spage>836</spage><epage>843</epage><pages>836-843</pages><issn>1048-891X</issn><eissn>1525-1438</eissn><abstract>.  Gronlund B, Dehn H, Høgdall CK, Engelholm SA, Jørgensen M, Nørgaard‐Pedersen B, Høgdall EVS. Cancer‐associated serum antigen level: a novel prognostic indicator for survival in patients with recurrent ovarian carcinoma. Int J Gynecol Cancer 2005;15:836–843. The aim was to examine the value of the pretherapeutic serum cancer‐associated serum antigen (CASA) level as a prognostic factor for survival in patients with recurrent epithelial ovarian carcinoma. Serum levels of CASA and cancer antigen (CA)125 were prospectively determined in 70 consecutive patients with recurrent ovarian cancer before the start of second‐line chemotherapy. Univariate and multivariate analyses of survival were performed. The median level of serum CASA was 6.5 U/mL (range: 0.2–1437 U/mL). Univariate analysis showed that patients with a CASA level &gt;10.0 U/mL had significantly shorter survival than patients with CASA level ≤10.0 U/mL (P= 0.002). Using different CASA cutoff levels (6.0, 6.5, and 10.0 U/mL), multivariate Cox analyses identified CASA as an independent prognostic factor for survival at every cutoff level. The strongest prognostic function for CASA was found at a cutoff level of 10.0 U/mL (&gt;10 vs ≤10 U/mL; hazard ratio, 2.7; 95% confidence interval, 1.6–4.7; P &lt; 0.001). The pretreatment CA125 level was not found to be significantly associated with survival by any of the cutoffs (35, 65, 132, and 339 U/mL). A pretreatment elevated level of the tumor marker CASA is an adverse prognostic factor for survival in patients with ovarian cancer relapse.</abstract><cop>Oxford, UK; Malden, USA</cop><pub>Blackwell Science Inc</pub><pmid>16174233</pmid><doi>10.1111/j.1525-1438.2005.00145.x</doi><tpages>8</tpages></addata></record>
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source MEDLINE; Wiley Online Library Journals Frontfile Complete
subjects Adult
Aged
Antigens, Neoplasm - blood
CA-125 Antigen - blood
CA125
CASA
epithelial ovarian cancer
Female
Humans
Middle Aged
Multivariate Analysis
Neoplasm Recurrence, Local - blood
Neoplasm Recurrence, Local - diagnosis
Neoplasm Recurrence, Local - pathology
Ovarian Neoplasms - blood
Ovarian Neoplasms - diagnosis
Ovarian Neoplasms - pathology
Prognosis
prognostic factors
relapse
Survival Rate
title Cancer‐associated serum antigen level: a novel prognostic indicator for survival in patients with recurrent ovarian carcinoma
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