Preoperative serum CA-125 level as a predictor for the extent of cytoreduction in patients with advanced stage epithelial ovarian cancer

Ovarian cancer is the seventh most common cancer in women worldwide and the eighth most common cause of cancer death. Due to the lack of effective early detection strategies and the unspecific onset of symptoms, it is diagnosed at an advanced stage in 75% of cases. The cancer antigen (CA) 125 is use...

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Main Authors: Merlo Sebastjan, Besic Nikola, Drmota Eva, Kovacevic Nina
Format: Article
Language:English
Published: Sciendo 2021-08-01
Series:Radiology and Oncology
Subjects:
Online Access:https://doi.org/10.2478/raon-2021-0013
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author Merlo Sebastjan
Besic Nikola
Drmota Eva
Kovacevic Nina
author_facet Merlo Sebastjan
Besic Nikola
Drmota Eva
Kovacevic Nina
author_sort Merlo Sebastjan
collection DOAJ
description Ovarian cancer is the seventh most common cancer in women worldwide and the eighth most common cause of cancer death. Due to the lack of effective early detection strategies and the unspecific onset of symptoms, it is diagnosed at an advanced stage in 75% of cases. The cancer antigen (CA) 125 is used as a prognostic marker and its level is elevated in more than 85% of women with advanced stages of epithelial ovarian cancer (EOC). The standard treatment is primary debulking surgery (PDS) followed by adjuvant chemotherapy (ACT), but the later approach is neoadjuvant chemotherapy (NACT) followed by interval debulking surgery (IDS). Several studies have been conducted to find out whether preoperative CA-125 serum levels influence treatment choice, surgical resection and survival outcome. The aim of our study was to analyse experience of single institution as Cancer comprehensive center with preoperative usefulness of CA-125.
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spelling doaj.art-34178df50b164b7eace657ea8d075c6f2023-04-11T17:19:27ZengSciendoRadiology and Oncology1581-32072021-08-0155334134610.2478/raon-2021-0013Preoperative serum CA-125 level as a predictor for the extent of cytoreduction in patients with advanced stage epithelial ovarian cancerMerlo Sebastjan0Besic Nikola1Drmota Eva2Kovacevic Nina3Department of Gynaecological Oncology, Institute of Oncology Ljubljana, Ljubljana, SloveniaFaculty of Medicine, University of Ljubljana, Ljubljana, SloveniaFaculty of Medicine, University of Ljubljana, Ljubljana, SloveniaDepartment of Gynaecological Oncology, Institute of Oncology Ljubljana, Ljubljana, SloveniaOvarian cancer is the seventh most common cancer in women worldwide and the eighth most common cause of cancer death. Due to the lack of effective early detection strategies and the unspecific onset of symptoms, it is diagnosed at an advanced stage in 75% of cases. The cancer antigen (CA) 125 is used as a prognostic marker and its level is elevated in more than 85% of women with advanced stages of epithelial ovarian cancer (EOC). The standard treatment is primary debulking surgery (PDS) followed by adjuvant chemotherapy (ACT), but the later approach is neoadjuvant chemotherapy (NACT) followed by interval debulking surgery (IDS). Several studies have been conducted to find out whether preoperative CA-125 serum levels influence treatment choice, surgical resection and survival outcome. The aim of our study was to analyse experience of single institution as Cancer comprehensive center with preoperative usefulness of CA-125.https://doi.org/10.2478/raon-2021-0013ovarian cancertumour markerca-125primary debulking surgeryneoadjuvant chemotherapy
spellingShingle Merlo Sebastjan
Besic Nikola
Drmota Eva
Kovacevic Nina
Preoperative serum CA-125 level as a predictor for the extent of cytoreduction in patients with advanced stage epithelial ovarian cancer
Radiology and Oncology
ovarian cancer
tumour marker
ca-125
primary debulking surgery
neoadjuvant chemotherapy
title Preoperative serum CA-125 level as a predictor for the extent of cytoreduction in patients with advanced stage epithelial ovarian cancer
title_full Preoperative serum CA-125 level as a predictor for the extent of cytoreduction in patients with advanced stage epithelial ovarian cancer
title_fullStr Preoperative serum CA-125 level as a predictor for the extent of cytoreduction in patients with advanced stage epithelial ovarian cancer
title_full_unstemmed Preoperative serum CA-125 level as a predictor for the extent of cytoreduction in patients with advanced stage epithelial ovarian cancer
title_short Preoperative serum CA-125 level as a predictor for the extent of cytoreduction in patients with advanced stage epithelial ovarian cancer
title_sort preoperative serum ca 125 level as a predictor for the extent of cytoreduction in patients with advanced stage epithelial ovarian cancer
topic ovarian cancer
tumour marker
ca-125
primary debulking surgery
neoadjuvant chemotherapy
url https://doi.org/10.2478/raon-2021-0013
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