ISSN 1004-4140
CN 11-3017/P
WANG D S, KAN F G, MA Z P. Diagnostic research of CT combined with serum CA125 and HE4 in ovarian epithelial malignant tumor[J]. CT Theory and Applications, 2022, 31(5): 655-661. DOI: 10.15953/j.1004-4140.2022.31.05.13. (in Chinese).
Citation: WANG D S, KAN F G, MA Z P. Diagnostic research of CT combined with serum CA125 and HE4 in ovarian epithelial malignant tumor[J]. CT Theory and Applications, 2022, 31(5): 655-661. DOI: 10.15953/j.1004-4140.2022.31.05.13. (in Chinese).

Diagnostic Research of CT Combined with Serum CA125 and HE4 in Ovarian Epithelial Malignant Tumor

More Information
  • Received Date: August 08, 2021
  • Available Online: March 23, 2022
  • Published Date: September 30, 2022
  • Objective: To explore the diagnostic value of CT combined with serum CA125 and HE4 in ovarian epithelial malignant tumor. Methods: 156 cases of epithelial ovarian tumors (benign 72 cases, malignant 84 cases) were studied. Detections of CT and serum tumor markers CA125 and HE4 were carried out before operation, the diagnostic results were compared with pathology, for the evaluation of the diagnostic value of CT, CA125, HE4 and combined diagnosis in epithelial ovarian tumors. Results: The positive rates of serum CA125 and HE4 of malignant tumor group were higher than those of benign tumor group; The diagnostic sensitivity of CA125 for malignant tumor was higher than HE4, and the specificity was lower than HE4; the diagnostic accuracy of CA125 combined with HE4 for malignant tumor was higher than CT; the sensitivity, specificity and accuracy of CT combined with serum CA125 and HE4 for malignant tumor was 95.2%, 88.9% and 92.3% respectively, and were higher than CT or tumor markers alone. Conclusion: CT combined with serum CA125 and HE4 shows important value in the diagnosis of ovarian epithelial malignant tumor, which is conducive to early diagnosis and precise staging, and is worthy of promoting in application.
  • [1]
    GUPTA N, YADAV M, GUPTA V, et al. Distribution of various histopathological types of ovarian tumors: A study of 212 cases from a tertiary care center of Eastern Uttar Pradesh[J]. Journal of Laboratory Physicians, 2019, 11(1): 75−81. doi: 10.4103/JLP.JLP_117_18
    [2]
    HATANO Y, HATANO K, TAMADA K, et al. A comprehensive review of ovarian serous carcinoma[J]. Advances in Anatomic Pathology, 2019, 26(5): 329−339. doi: 10.1097/PAP.0000000000000243
    [3]
    程亮亮, 刘哲, 于显凤. MSCT联合CEA、Ki-67及CA125检测对卵巢癌的诊断价值[J]. 中国CT和MRI杂志, 2021,19(3): 104−106. doi: 10.3969/j.issn.1672-5131.2021.03.035

    CHENG L L, LIU Z, YU X F. Diagnostic value of multi-slice spiral CT combined with CEA, Ki-67 and CA125 detection for ovarian cancer[J]. Chinese Journal of CT and MRI, 2021, 19(3): 104−106. (in Chinese). doi: 10.3969/j.issn.1672-5131.2021.03.035
    [4]
    周康荣, 严福华, 曾蒙苏. 腹部CT诊断学[M]. 上海: 复旦大学出版社, 2010: 889-896.
    [5]
    RODRIGUEZ G M, GALPIN K J C, MCCLOSKEY C W, et al. The tumor microenvironment of epithelial ovarian cancer and its influence on response to immunotherapy[J]. Cancers (basel), 2018, 10(8): 242. doi: 10.3390/cancers10080242
    [6]
    TESTA U, PETRUCCI E, PASQUINI L, et al. Ovarian cancers: Genetic abnormalities, tumor heterogeneity and progression, clonal evolution and cancer stem cells[J]. Medicines (basel), 2018, 5(1): 16.
    [7]
    邓蕊, 刘晓峰. 卵巢癌术前新辅助化疗疗效及对肿瘤标志物的影响[J]. 中国现代医生, 2021,59(6): 13−16.

    DENG R, LIU X F. Efficacy of preoperative neoadjuvant chemotherapy for ovarian cancer and its influence on tumor markers[J]. China Modern Doctor, 2021, 59(6): 13−16. (in Chinese).
    [8]
    CHARKHCHI P, CYBULSKI C, GRONWALD J, et al. CA125 and ovarian cancer: A comprehensive review[J]. Cancers (Basel), 2020, 12(12): 3730. doi: 10.3390/cancers12123730
    [9]
    ZHAO T T, HU W P. CA125 and HE4: Measurement tools for ovarian cancer[J]. Gynecol Obstet Invest, 2016, 81(5): 430−435. doi: 10.1159/000442288
    [10]
    GUO N, PENG Z L. Does serum CA125 have clinical value for follow-up monitoring of postoperative patients with epithelial ovarian cancer? Results of a 12-year study[J]. Journal of Ovarian Research, 2017, 10: 14. doi: 10.1186/s13048-017-0310-y
    [11]
    GU Z W, HE Y F, ZHANG Y, et al. Postprandial increase in serum CA125 as a surrogate biomarker for early diagnosis of ovarian cancer[J]. Journal of Translational Medicine, 2018, 16: 114. doi: 10.1186/s12967-018-1489-4
    [12]
    YANG W L, LU Z, GUO J, et al. HE4 antigen-autoantibody complexes complement CA125 for detecting early stage ovarian cancer[J]. Cancer, 2020, 126(4): 725−736. doi: 10.1002/cncr.32582
    [13]
    RONG Y, LI L. Early clearance of serum HE4 and CA125 in predicting platinum sensitivity and prognosis in epithelial ovarian cancer[J]. Journal of Ovarian Research, 2021, 14(1): 2. doi: 10.1186/s13048-020-00759-9
    [14]
    李玮珊, 王丹波. 肿瘤标志物HE4在卵巢癌中的应用研究进展[J]. 现代肿瘤医学, 2019,27(6): 1095−1098. doi: 10.3969/j.issn.1672-4992.2019.06.047

    LI W S, WANG D B. Application of tumor marker HE4 in ovarian cancer[J]. Modernon Vcology, 2019, 27(6): 1095−1098. (in Chinese). doi: 10.3969/j.issn.1672-4992.2019.06.047
    [15]
    冯莉, 陈伟彬, 李盖, 等. 多层螺旋CT对结肠癌淋巴结转移的诊断价值[J]. CT理论与应用研究, 2021,30(1): 124−130. DOI: 10.15953/j.1004-4140.2021.30.01.13.

    FENG L, CHEN W B, LI G, et al. The diagnostic value of multislice spiral CT in lymph node metastasis of colon cancer[J]. CT Theory and Applications, 2021, 30(1): 124−130. DOI: 10.15953/j.1004-4140.2021.30.01.13. (in Chinese).
    [16]
    孙凤涛, 张厚宁, 禹璐, 等. MSCT评价小肠粪便征在小肠梗阻中出现的意义[J]. CT理论与应用研究, 2020,29(2): 249−256. DOI: 10.15953/j.1004-4140.2020.29.02.16.

    SUN F T, ZHANG H N, YU L, et al. Multi-slice CT evaluation of significance of small bowel feces sign in small-bowel obstruction[J]. CT Theory and Applications, 2020, 29(2): 249−256. DOI: 10.15953/j.1004-4140.2020.29.02.16. (in Chinese).
    [17]
    MARKO J, MARKO K I, SUVIDYA L. Pachigolla, mucinous neoplasms of the Ovary: Radiologic-pathologic correlation[J]. Radiographics, 2019, 39(4): 982−997. doi: 10.1148/rg.2019180221
    [18]
    欧阳璟雯, 唐荣, 郑佳. 卵巢癌CT及超声影像特征与术后病理检查结果的比较分析[J]. 中国CT和MRI杂志, 2019,17(7): 110−112. doi: 10.3969/j.issn.1672-5131.2019.07.033

    OUYANG J W, TANG R, ZHENG J. CT and ultrasonic imaging features of ovarian cancer and comparison with postoperative pathological examination results[J]. Chinese Journal of CT and MRI, 2019, 17(7): 110−112. (in Chinese). doi: 10.3969/j.issn.1672-5131.2019.07.033

Catalog

    Article views (260) PDF downloads (24) Cited by()
    Related

    /

    DownLoad:  Full-Size Img  PowerPoint
    Return
    Return