Elevated serum concentrations of CA-125 in patients with advanced endometriosis

CA-125 is a high-molecular-weight glycoprotein that is expressed on the cell surface of some derivatives of embryonic coelomic epithelium. Based on results of an immunoradiometric assay developed to detect CA-125 in peripheral blood, 82% of patients with ovarian cancer and35U/ml. Immunocytochemical...

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Veröffentlicht in:Fertility and sterility 1986-05, Vol.45 (5), p.630-634
Hauptverfasser: Barbieri, Robert L., Niloff, Jonathan M., Bast, Robert C., Schaetzl, Elena, Kistner, Robert W., Knapp, Robert C.
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container_end_page 634
container_issue 5
container_start_page 630
container_title Fertility and sterility
container_volume 45
creator Barbieri, Robert L.
Niloff, Jonathan M.
Bast, Robert C.
Schaetzl, Elena
Kistner, Robert W.
Knapp, Robert C.
description CA-125 is a high-molecular-weight glycoprotein that is expressed on the cell surface of some derivatives of embryonic coelomic epithelium. Based on results of an immunoradiometric assay developed to detect CA-125 in peripheral blood, 82% of patients with ovarian cancer and35U/ml. Immunocytochemical techniques demonstrated the presence of CA-125 on the cell surface of endometriotic lesions.
doi_str_mv 10.1016/S0015-0282(16)49333-7
format Article
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Based on results of an immunoradiometric assay developed to detect CA-125 in peripheral blood, 82% of patients with ovarian cancer and&lt;1% of apparently healthy controls have elevated peripheral blood levels of CA-125. Because endometriotic lesions are likely to be derivatives of embryonic coelomic epithelium, the authors investigated serum CA-125 levels in patients with endometriosis. Preoperative serum CA-125 concentrations were measured in 147 patients undergoing diagnostic laparoscopy or laparotomy. Serum CA-125 concentrations were elevated in patients with stage III or IV endometriosis, compared with controls with negative diagnostic laparoscopies (66.5±14.5 verses 8.20±0.59 U/ml, mean±standard error of the mean; P&lt;0.001). Fifty-four percent of patients with stage III or IV endometriosis and 0% of the controls had CA-125 levels&gt;35 U/ml. Occasional patients with stage II endometriosis (13%), leiomyomata uteri (14%), and chornic pelvic inflammatory disease (5%) also had serum CA-125 concentrations&gt;35U/ml. Immunocytochemical techniques demonstrated the presence of CA-125 on the cell surface of endometriotic lesions.</description><identifier>ISSN: 0015-0282</identifier><identifier>EISSN: 1556-5653</identifier><identifier>DOI: 10.1016/S0015-0282(16)49333-7</identifier><identifier>PMID: 3457709</identifier><identifier>CODEN: FESTAS</identifier><language>eng</language><publisher>New York, NY: Elsevier Inc</publisher><subject>Adolescent ; Adult ; Antigens, Neoplasm - analysis ; Antigens, Tumor-Associated, Carbohydrate ; Applied sciences ; Biological and medical sciences ; Chronic Disease ; Endometriosis - immunology ; Endometriosis - pathology ; Exact sciences and technology ; Female ; Female genital diseases ; Gynecology. Andrology. 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Based on results of an immunoradiometric assay developed to detect CA-125 in peripheral blood, 82% of patients with ovarian cancer and&lt;1% of apparently healthy controls have elevated peripheral blood levels of CA-125. Because endometriotic lesions are likely to be derivatives of embryonic coelomic epithelium, the authors investigated serum CA-125 levels in patients with endometriosis. Preoperative serum CA-125 concentrations were measured in 147 patients undergoing diagnostic laparoscopy or laparotomy. Serum CA-125 concentrations were elevated in patients with stage III or IV endometriosis, compared with controls with negative diagnostic laparoscopies (66.5±14.5 verses 8.20±0.59 U/ml, mean±standard error of the mean; P&lt;0.001). Fifty-four percent of patients with stage III or IV endometriosis and 0% of the controls had CA-125 levels&gt;35 U/ml. Occasional patients with stage II endometriosis (13%), leiomyomata uteri (14%), and chornic pelvic inflammatory disease (5%) also had serum CA-125 concentrations&gt;35U/ml. Immunocytochemical techniques demonstrated the presence of CA-125 on the cell surface of endometriotic lesions.</description><subject>Adolescent</subject><subject>Adult</subject><subject>Antigens, Neoplasm - analysis</subject><subject>Antigens, Tumor-Associated, Carbohydrate</subject><subject>Applied sciences</subject><subject>Biological and medical sciences</subject><subject>Chronic Disease</subject><subject>Endometriosis - immunology</subject><subject>Endometriosis - pathology</subject><subject>Exact sciences and technology</subject><subject>Female</subject><subject>Female genital diseases</subject><subject>Gynecology. Andrology. 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source MEDLINE; Access via ScienceDirect (Elsevier); EZB-FREE-00999 freely available EZB journals; Alma/SFX Local Collection
subjects Adolescent
Adult
Antigens, Neoplasm - analysis
Antigens, Tumor-Associated, Carbohydrate
Applied sciences
Biological and medical sciences
Chronic Disease
Endometriosis - immunology
Endometriosis - pathology
Exact sciences and technology
Female
Female genital diseases
Gynecology. Andrology. Obstetrics
Histocytochemistry
Humans
Immunoassay - methods
Leiomyoma - immunology
Medical sciences
Middle Aged
Neoplasm Staging
Non tumoral diseases
Other techniques and industries
Pelvic Inflammatory Disease - immunology
Uterine Neoplasms - immunology
Uterine Neoplasms - pathology
title Elevated serum concentrations of CA-125 in patients with advanced endometriosis
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