Serial Patterns of Ovarian Cancer Biomarkers in a Prediagnosis Longitudinal Dataset.

Early detection of ovarian cancer through screening may have impact on mortality from the disease. Approaches based on CA125 cut-off have not been effective. Longitudinal algorithms such as the Risk of Ovarian Cancer Algorithm (ROCA) to interpret CA125 have been shown to have higher sensitivity and...

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Publicado en:BioMed Research International Vol. 2015; pp. 1 - 7
Autores principales: Blyuss, Oleg, Gentry-Maharaj, Alex, Fourkala, Evangelia-Orania, Ryan, Andy, Zaikin, Alexey, Menon, Usha, Jacobs, Ian, Timms, John F.
Formato: research tables/charts Journal Article
Publicado: Wiley-Blackwell 12/24/2015
Acceso en línea:Ver este registro en EBSCOhost
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      dt: 12/24/2015
      vid: 2015
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      pub: Wiley-Blackwell
      place: Malden, Massachusetts
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        10.1155/2015/681416
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        atl: Serial Patterns of Ovarian Cancer Biomarkers in a Prediagnosis Longitudinal Dataset.
      aug:
        au:
          Blyuss, Oleg
          Gentry-Maharaj, Alex
          Fourkala, Evangelia-Orania
          Ryan, Andy
          Zaikin, Alexey
          Menon, Usha
          Jacobs, Ian
          Timms, John F.
        affil: Women’s Cancer, Institute for Women’s Health, University College London, Gower Street, London WC1E 6BT, UK
      sug:
        subj:
          Ovarian Neoplasms Diagnosis
          Early Detection of Cancer
          Tumor Markers, Biological Analysis
          Antigens, Tumor Blood
          Human
          Female
          Matched Case Control
          ROC Curve
          Sensitivity and Specificity
          Immunoassay
          Cancer Screening Methods
          Female
      ab: Early detection of ovarian cancer through screening may have impact on mortality from the disease. Approaches based on CA125 cut-off have not been effective. Longitudinal algorithms such as the Risk of Ovarian Cancer Algorithm (ROCA) to interpret CA125 have been shown to have higher sensitivity and specificity than a single cut-off. The aim of this study was to investigate whether other ovarian cancer-related biomarkers, Human Epididymis 4 (HE4), glycodelin, mesothelin, matrix metalloproteinase 7 (MMP7), and cytokeratin 19 fragment (CYFRA 21-1), could improve the performance of CA125 in detecting ovarian cancer earlier. Serum samples (single and serial) predating diagnosis from 47 women taking part in the UK Collaborative Trial of Ovarian Cancer Screening (UKCTOCS) who went on to develop primary invasive ovarian, fallopian tube, or peritoneal cancer (index cancer) (170 samples) and 179 matched controls (893 samples) were included in the study. A multiplex immunobased assay platform (Becton Dickinson) allowing simultaneous measurement of the six serum markers was used. The area under the ROC curve for the panel of three biomarkers (CA125, HE4, and glycodelin) was higher than for CA125 alone for all analysed time groups, indicating that these markers can improve on sensitivity of CA125 alone for ovarian cancer detection.
      pubtype: Academic Journal
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        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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