Serum levels of tumour associated glycoprotein (TAG 72) in patients with gynaecological malignancies.

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This study evaluated serum TAG 72 levels in gynecological conditions, finding it correlated with ovarian cancer progression but failing to enhance the sensitivity of CA 125 or SCC markers for malignancy detection.

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This study evaluated the clinical utility of serum tumour-associated glycoprotein TAG 72 by measuring levels in 726 samples from patients with various benign and malignant gynaecological conditions. The results indicated that 66% of ovarian cancer patients exhibited abnormal TAG 72 concentrations, which correlated well with disease progression during chemotherapy, whereas only minor elevations were observed in cervical cancer, endometrial cancer, and select benign cases like uterine fibromyomatosis. Despite these findings, the researchers noted that adding TAG 72 measurements did not enhance the diagnostic sensitivity of established markers such as CA 125 for ovarian cancer or SCC antigen for cervical cancer. Relevance to endometriosis: listed as one indication for GnRH antagonists, though the paper's main focus is uterine fibroids.

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Abstract

Serum levels of TAG 72 were measured in 726 serum samples from patients with benign and malignant gynaecological conditions in order to evaluate the clinical usefulness of TAG 72 alone or in combination with other tumour markers. Sixty-six per cent of patients with ovarian cancer showed abnormal concentrations of TAG 72 antigen. A good correlation was also found between serial TAG 72 values and the clinical course of disease during chemotherapy and follow-up. In cervical and endometrial cancer abnormal TAG 72 values occurred in 23% and 14% of cases, while none of the patients with breast cancer had abnormal TAG 72 levels. Among patients with benign disease only one out of 12 patients (8%) with benign ovarian tumours and one of 15 patients with uterine fibromyomatosis (7%) showed high TAG 72 serum levels. However, the determination of TAG 72 did not increase the sensitivity of CA 125 and squamous cell carcinoma antigen (SCC), in ovarian and cervical cancer, respectively. The systemic administration of recombinant interferon alpha-2b to 15 patients with ovarian cancer and different basal levels of TAG 72 did not increase serum levels of the antigen.
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Abstract Serum levels of TAG 72 were measured in 726 serum samples from patients with benign and malignant gynaecological conditions in order to evaluate the clinical usefulness of TAG 72 alone or in combination with other tumour markers. Sixty-six per cent of patients with ovarian cancer showed abnormal concentrations of TAG 72 antigen. A good correlation was also found between serial TAG 72 values and the clinical course of disease during chemotherapy and follow-up. In cervical and endometrial cancer abnormal TAG 72 values occurred in 23% and 14% of cases, while none of the patients with breast cancer had abnormal TAG 72 levels. Among patients with benign disease only one out of 12 patients (8%) with benign ovarian tumours and one of 15 patients with uterine fibromyomatosis (7%) showed high TAG 72 serum levels. However, the determination of TAG 72 did not increase the sensitivity of CA 125 and squamous cell carcinoma antigen (SCC), in ovarian and cervical cancer, respectively. 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