Is CA72-4 a Useful Biomarker in Differential Diagnosis between Ovarian Endometrioma and Epithelial Ovarian Cancer?

Emanuela Anastasi, Lucia Manganaro, Teresa Granato, Pierluigi Benedetti Panici, Luigi Frati, Maria Grazia Porpora
Disease markers · 2013 · vol. 35(5) , pp. 331–335 · doi:10.1155/2013/984641 · PMID:24191126 · PMC3793285 · W2163848888
article OA: gold CC0 ⤵ 8 in-corpus citations
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Serum CA72-4 levels were significantly higher in epithelial ovarian cancer patients (71.0%) compared to ovarian endometrioma patients (13.8%), suggesting its utility in differentiating these conditions.

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Abstract

BACKGROUND: Surgical excision of ovarian endometriomas in patients desiring pregnancy has recently been criticized because of the risk of damage to healthy ovarian tissue and consequent reduction of ovarian reserve. A correct diagnosis in cases not scheduled for surgery is therefore mandatory in order to avoid unexpected ovarian cancer misdiagnosis. Endometriosis is often associated with high levels of CA125. This marker is therefore not useful for discriminating ovarian endometrioma from ovarian malignancy. The aim of this study was to establish if the serum marker CA72-4 could be helpful in the differential diagnosis between ovarian endometriosis and epithelial ovarian cancer. METHODS: Serums CA125 and CA72-4 were measured in 72 patients with ovarian endometriomas and 55 patients with ovarian cancer. RESULTS: High CA125 concentrations were observed in patients with ovarian endometriosis and in those with ovarian cancer. A marked difference in CA72-4 values was observed between women with ovarian cancer (71.0%) and patients with endometriosis (13.8%) (P < 0.0001). CONCLUSIONS: This study suggests that CA72-4 determination can be useful to confirm the benign nature of ovarian endometriomas in women with high CA125 levels.

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Condition tags

endometriosisendometrioma

MeSH descriptors

Antigens, Tumor-Associated, Carbohydrate Carcinoma Endometriosis Ovarian Neoplasms Adult Aged Antigens, Tumor-Associated, Carbohydrate CA-125 Antigen CA-125 Antigen Carcinoma Carcinoma Diagnosis, Differential Endometriosis Endometriosis Female Humans Membrane Proteins Membrane Proteins Middle Aged Ovarian Neoplasms

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References (26)

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