Endometriosis-Search for Biomarkers
This review examines current research on endometriosis biomarkers, concluding that despite extensive efforts, no specific, noninvasive marker has yet enabled timely diagnosis.
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This 2016 review by Kralíčková and Větvická surveys prior research on noninvasive diagnostic biomarkers for endometriosis, focusing on tumor markers such as CA125/CA19-9 and related markers (including HE4 and CA72-4), as well as microRNAs, mRNA-related findings, genetic alterations, and immunological markers. Across the discussed studies, CA125 and CA19-9 (sometimes combined with markers like IL-6 or hsCRP and potentially alongside HE4) show diagnostic associations, while microRNA expression patterns in plasma have been reported as potentially specific biomarkers; however, the authors emphasize that sensitivity and specificity remain insufficiently low and that no clinically applicable test is available. A major limitation highlighted throughout is the lack of consistent specificity across markers and the continuing uncertainty about biological significance and diagnostic performance. This paper is centrally about endometriosis — it reviews the current search for noninvasive diagnostic biomarkers (e.g., CA125 and microRNAs) and concludes that a validated clinical test is still missing.
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