Comparison of total plasma lysophosphatidic acid and serum CA-125 as a tumor marker in the diagnosis and follow-up of patients with epithelial ovarian cancer.
10.3802/jgo.2010.21.4.248
- Author:
Tugan BESE
1
;
Merve BARBAROS
;
Elif BAYKARA
;
Onur GURALP
;
Salih CENGIZ
;
Fuat DEMIRKIRAN
;
Cevdet SANIOGLU
;
Macit ARVAS
Author Information
1. Division of Gynecologic Oncology, Department of Obstetrics and Gynecology, Istanbul, Turkey. bese@ttmail.com
- Publication Type:Original Article
- Keywords:
Lysophosphatidic acid;
CA-125;
Epithelial ovarian cancer;
Follow-up;
Chemotherapy;
Tumor marker
- MeSH:
Female;
Follow-Up Studies;
Humans;
Lysophospholipids;
Neoplasms, Glandular and Epithelial;
Ovarian Neoplasms;
Plasma;
Sensitivity and Specificity
- From:Journal of Gynecologic Oncology
2010;21(4):248-254
- CountryRepublic of Korea
- Language:English
-
Abstract:
OBJECTIVE: To evaluate the role of lysophosphatidic acid (LPA) as a tumor marker in diagnosis and follow-up of patients with epithelial ovarian cancer. METHODS: Eighty-seven epithelial ovarian cancer patients, 74 benign ovarian tumor patients, and 50 healthy women were enrolled in the study. Twenty-nine of 87 epithelial ovarian cancer patients were followed up for 6 cycles of paclitaxel-carboplatin chemotherapy. CA-125 and total plasma LPA levels were measured preoperatively and before each chemotherapy cycle. RESULTS: Preoperative total plasma LPA and serum CA-125 levels were significantly higher in patients with epithelial ovarian cancer compared to patients with benign ovarian tumors and healthy women. Cut-off value for LPA was determined as 1.3 micromol/L and sensitivity, specificity, positive predictive value and negative predictive value were 95%, 92%, 95% and 92%, respectively. Mean total plasma LPA level of 29 patients who received chemotherapy was 7.21+/-6.63 micromol/L preoperatively and 6.84+/-6.34 micromol/L, 6.34+/-5.92 micromol/L, 6.14+/-5.79 micromol/L, 5.86+/-5.68 micromol/L, 5.23+/-5.11 micromol/L and 5.21+/-5.32 micromol/L in measurements held just before the 1st, 2nd, 3rd, 4th, 5th and 6th chemotherapy cycles, respectively (ANOVA, p=0.832). Total plasma LPA levels decreased slightly with chemotherapy administration and there was a weak negative correlation (Spearman, rs=-0.151, p=0.034), compared to a significant negative correlation in CA-125 (Spearman, rs=-0.596, p<0.001). CONCLUSION: LPA is a better biomarker for diagnosis of epithelial ovarian cancer compared to CA-125. However, measurement of total plasma LPA levels during chemotherapy administration have no superiority to the serum CA-125 levels.
