Diagnostic Value of Tumor Markers Compared to Ultrasound in the Diagnosis of Ovarian Tumors.

Aims Ovarian cancer has the worst prognosis among female genital tract malignancies, but if detected in the early stages, it is one of the most treatable malignancies. This study aimed to investigate the diagnostic value of tumor markers compared to ultrasound in the diagnosis of ovarian tumors. Ins...

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Publicado en:Journal of Clinical Care & Skills Vol. 4; no. 3; pp. 167 - 174
Autores principales: P., Ghafari, F., Mahmoodi, H., Sasani
Formato: research tables/charts Journal Article
Publicado: Afarand Scholarly Publishing Institute Summer2023
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Summer2023
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      pub: Afarand Scholarly Publishing Institute
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        10.58209/jccs.4.3.167
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        atl: Diagnostic Value of Tumor Markers Compared to Ultrasound in the Diagnosis of Ovarian Tumors.
      aug:
        au:
          P., Ghafari
          F., Mahmoodi
          H., Sasani
        affil: Department of Obstetrics and Gynecology, Faculty of Medicine, Yasouj University of Medical Sciences, Yasouj, Iran
      sug:
        subj:
          Tumor Markers, Biological
          Comparative Studies
          Ultrasonography Methods
          Ovarian Neoplasms Diagnosis
          Predictive Value of Tests
          Human
          Early Detection of Cancer
          Female
          Cross Sectional Studies
          Iran
          Interviews
          Data Analysis Software
          Sensitivity and Specificity
          Health Screening
          Adolescence
          Young Adult
          Adult
          Middle Age
          Aged
          Descriptive Statistics
          Funding Source
          Adolescent: 13-18 years
          Adult: 19-44 years
          Middle Aged: 45-64 years
          Aged: 65+ years
          Female
      ab: Aims Ovarian cancer has the worst prognosis among female genital tract malignancies, but if detected in the early stages, it is one of the most treatable malignancies. This study aimed to investigate the diagnostic value of tumor markers compared to ultrasound in the diagnosis of ovarian tumors. Instruments & Methods This cross-sectional-analytical study was conducted on 210 women referred to women's specialized clinic in Yasuj City, Iran, from 2017 to 2021 who were candidates for ovarian surgery. The method of data collection was patients interviewing and using the information available in the file. The data was analyzed using SPSS 22 software. Findings The most common histological pattern was ovarian epithelial masses (64.28%), of which 72.18% were larger than 10cm in ultrasound. There was a significant correlaion between the serum level of two tumor markers CA125 and HE4 in ovarian cancer (p=0.0001), but no correlaion was observed between the surgical stage and differentiation grade of ovarian cancer. The sensitivity of ultrasound was 78.9% and the sensitivity and specificity of HE4 tumor marker were 85.4% and 81.7%, respectively. The lowest specificity was related to the tumor marker CA125 (59.3%). Conclusion Ultrasound has relatively high sensitivity for detecting ovarian tumors, but CA125, with relatively high sensitivity and moderate specificity and HE4, with high specificity and high sensitivity, as two tumor markers, are not suitable for screening these tumors alone and should be performed together with ultrasound.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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