The clinical correlates of serum CA125 in 169 patients with epithelial ovarian carcinoma
1989

CA125 Levels in Ovarian Cancer Patients

Sample size: 169 publication Evidence: high

Author Information

Author(s): R.E. Hawkins, K. Roberts, E. Wiltshaw, J. Mundy, V.R. McCready

Primary Institution: Royal Marsden Hospital

Hypothesis

How effective is CA125 in predicting treatment responses and relapses in ovarian cancer patients?

Conclusion

CA125 is a sensitive and specific marker for monitoring treatment responses in ovarian cancer patients.

Supporting Evidence

  • CA125 levels were shown to correlate with clinical status in ovarian cancer patients.
  • The sensitivity and specificity for predicting response in patients with macroscopic disease were 95% and 86%, respectively.
  • CA125 was useful in detecting relapse in patients with no known disease, with sensitivity and specificity of 86% and 91%, respectively.
  • Residual disease was identified as the most important correlate of CA125 levels.

Takeaway

Doctors can use a blood test called CA125 to see how well treatment is working for women with ovarian cancer.

Methodology

CA125 levels were measured in patients with ovarian cancer during routine outpatient visits, and correlations with clinical status were analyzed.

Limitations

The study did not assess CA125 levels in real-time for treatment decisions, and some patients had low CA125 levels that complicated assessments.

Participant Demographics

Patients with epithelial ovarian carcinoma, including various histological types and stages.

Statistical Information

P-Value

<0.001

Statistical Significance

p<0.001

Want to read the original?

Access the complete publication on the publisher's website

View Original Publication