The diagnostic role of cervico-vaginal fluid interleukins-1α in endometriosis: A case-control study.
This case-control study found significantly higher cervico-vaginal fluid IL-1α levels in women with endometriosis compared to controls, suggesting its diagnostic potential.
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This case-control study compared cervico-vaginal fluid interleukin-1α (IL-1α) levels between 25 women with surgically and histopathologically confirmed endometriosis and 25 controls without evidence of endometriosis or other genital disease. Cervico-vaginal fluid was collected during the follicular phase and prior to surgery, and IL-1α was quantified using a commercially available ELISA kit, with receiver-operating curve analysis to evaluate diagnostic discrimination. Women with endometriosis had higher IL-1α levels (210.44 ± 40.11 pg/mL) than controls (54.28 ± 25.73 pg/mL; P < 0.0001), and the authors reported an IL-1α cut-off of 105 pg/mL with 100% sensitivity and 100% specificity. The study’s main limitation is its small sample size (n=50). This paper is centrally about endometriosis — it assesses cervico-vaginal fluid IL-1α as a diagnostic marker.
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