[Clinical value of a new serum tumor marker CA602 in ovarian cancers].

Nihon Gan Chiryo Gakkai shi Pub Date : 1990-07-20
M Suzuki, I Sekiguchi, M Ohwada, I Aida, T Tamada
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Abstract

We investigated the usefulness of CA602, a newly developed serum tumor marker, for ovarian cancer. When the cut-off value was set at 60 U/ml, the overall positive rate of this marker in ovarian cancer was 92%, a slightly high rate relative to CA125 measured at the same time (88%). Considering tumor histology, CA602 revealed a high positive rate of 100% in serous adenocarcinoma, whereas the positive rate was 67% in mucinous adenocarcinoma. However, the positive rate was relatively high in benign diseases such as endometrial cysts (64%) and benign ovarian tumors (29%). It is concluded that CA602 is a tumor marker with low specificity and high sensitivity in general. The definite correlation between CA602 and CA125 in ovarian tumors (R = 0.96) suggests that these markers have certain similarities. Thus, CA602 may be a useful serum tumor marker for ovarian cancer as a substitute for CA125.

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[新型血清肿瘤标志物CA602在卵巢癌中的临床价值]。
我们研究了新开发的血清肿瘤标志物CA602在卵巢癌诊断中的作用。当临界值设为60 U/ml时,该标志物在卵巢癌中的总阳性率为92%,相对于同期检测的CA125(88%)略高。结合肿瘤组织学,CA602在浆液性腺癌中阳性率为100%,而在粘液性腺癌中阳性率为67%。而良性疾病如子宫内膜囊肿(64%)和良性卵巢肿瘤(29%)的阳性率相对较高。综上所述,CA602总体上是一种特异性较低、敏感性较高的肿瘤标志物。CA602与CA125在卵巢肿瘤中的明确相关性(R = 0.96)表明这两种标志物具有一定的相似性。因此,CA602可能作为CA125的替代品,成为卵巢癌有用的血清肿瘤标志物。
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