Skip to main content
Have a personal or library account? Click to login
Preoperative serum CA-125 level as a predictor for the extent of cytoreduction in patients with advanced stage epithelial ovarian cancer Cover

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

Open Access
|Aug 2021

Figures & Tables

Table 1

Clinical characteristics (N = 253)

CharacteristicPDS (N = 38)NACT (N = 215)P value
Age-years
Median53.762.2< 0.001
Range29–8439–85
BMI-kg/m2
Median24.523.80.210
Range17.4–45.218.2–32.1
Parity-number
Median220.080
Range0–50–4
Menopause-years
Median5051.50.340
Range37–6045–58
ASA score
17 (18.4)23 (10.7)0.780
222 (57.9)141 (65.6)
39 (23.7)49 (22.8)
40 (0)2 (0.9)
WHO performance status
026 (68.4)96 (44.7)0.130
18 (21.0)85 (40.0)
24 (10.6)26 (12.1)
30 (0)5 (2.3)
40 (0)3 (1.4)
FIGO stage
IIIC34 (89.5)143 (66.6)0.010
IV4 (10.5)72 (33.4)
Histologic type
Serous32 (84.2)202 (94.0)0.100
Endometrioid6 (15.8)8 (3.7)
Mucinous0 (0)3 (1.4)
Clear-cell0 (0)2 (0.9)
Preoperative CA-125– IU/ml
Median4999720.058
Range59–573910–31481
Surgical outcome
Complete gross resection9 (23.7)124 (57.6)0.002
Optimal visible residual (≤1 cm)7 (18.4)30 (14.0)
Suboptimal (>1 cm)22 (57.9)61 (28.4)
Hospitalisation time-days
Median1090.555
Range7–285–59

[i] ASA = American Society of Anesthesiologist; BMI = body mass index; FIGO = International Federation of Gynecology and Obstetrics; NACT = neoadjuvant chemotherapy; PDS = primary debulking surgery; WHO = World Health Organization

Table 2

Median and range CA-125 levels in different surgical outcomes in primary debulking surgery (PDS) and = neoadjuvant chemotherapy (NACT) group

Surgical outcomesPDS (N = 38)NACT (N = 215)P value
CA-125 at diagnosis IU/ml
Complete gross resection359
59–5739
943
10–12803
0.006
Optimal resection512
85–1117
1006
48–24824
Suboptimal resection1522
200–3569
1063
28–31481
CA-125 post NACT IU/ml
Complete gross resection25
5–2074
0.020
Optimal resection36
15–2180
Suboptimal resection68
9–2657

[i] CA-125 = cancer antigen 125

Table 3

Statistical cut off values of serum CA-125 level and probability to obtain complete gross or optimal cytoreduction

CA-125 level (IU/ml)Sensitivity (%)Number and percentage of patients
5096.593.5 %
10086.53313.0 %
25074.06626.1 %
50058.09838.7 %
75050.012850.6 %
100042.015059.3 %

[i] CA-125 = cancer antigen 125

DOI: https://doi.org/10.2478/raon-2021-0013 | Journal eISSN: 1581-3207 | Journal ISSN: 1318-2099
Language: English
Page range: 341 - 346
Submitted on: Nov 25, 2020
Accepted on: Feb 9, 2021
Published on: Aug 10, 2021
Published by: Association of Radiology and Oncology
In partnership with: Paradigm Publishing Services
Publication frequency: 4 issues per year

© 2021 Sebastjan Merlo, Nikola Besic, Eva Drmota, Nina Kovacevic, published by Association of Radiology and Oncology
This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 License.