An initial analysis of preoperative serum CA 125 levels in patients with early stage ovarian carcinoma

Vincent R. Zurawski, Robert C. Knapp, Nina Einhorn, Peter Kenemans, Rodrigue Mortel, Kazuo Ohmi, Robert C. Bast, Roy E. Ritts, George Malkasian

Research output: Contribution to journalArticlepeer-review

120 Scopus citations

Abstract

Preoperative serum CA 125 levels were determined for 36 patients with Stage I and II ovarian carcinoma. Levels ranged from 9 to 1962 U/ml with a mean of 216 U/ml. In Stage I patients, CA 125 levels averaged 133 U/ml and in Stage II patients 382 U/ml. Nine of 24 Stage I (38%) and 9 of 12 Stage II patients (75%) had CA 125 levels in excess of 65 U/ml in a population somewhat overrepresented in mucinous tumors. Patients with non-mucinous neoplasms had CA 125 elevations more often-in 75% of the cases-than those with mucinous tumors. A larger study will be required to more precisely estimate the fraction of early stage patients with elevated preoperative serum CA 125 levels; however, this investigation demonstrates an assay sensitivity minimally adequate to initiate a pilot evaluation of serum CA 125 levels in a population at risk for ovarian carcinoma.

Original languageEnglish (US)
Pages (from-to)7-14
Number of pages8
JournalGynecologic oncology
Volume30
Issue number1
DOIs
StatePublished - May 1988
Externally publishedYes

ASJC Scopus subject areas

  • Oncology
  • Obstetrics and Gynecology

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