Skip to main content
Log in

Diagnostic value of tumor markers for differentiating malignant and benign pleural effusions of Iranian patients

  • Article
  • Published:
Pathology & Oncology Research

Abstract

In order to evaluate the diagnostic yield of tumor markers in differentiating malignant and benign pleural effusions, we carried out a prospective study in a group of Iranian people. Pleural and serum levels of carcinoembryonic antigen (CEA), carbohydrate antigen 15-3 (CA15-3), neuron-specific enolase (NSE) and cancer antigen 125 (CA 125) were assayed prospectively in patients with pleural effusion (40 malignant and 37 benign). The highest sensitivity was obtained with a combination of CA 15-3 in serum, and CA 15-3 and CEA in pleural fluid (80%), also with combination of CA 15-3 in serum, and CA 15-3, NSE and CEA in pleural fluid (80%). The highest specificity was obtained with combination of CA 15-3 in serum, and CA 15-3 and NSE in pleural fluid (100%), and also with combination of CA 15-3 in serum, and CA 15-3, NSE and CEA in pleural fluid (100%).

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

References

  1. Chernow B, Sahn SA: Carcinomatous involvement of the pleura: an analysis of 96 patients. Am J Med 63: 695–702, 1977

    Article  PubMed  CAS  Google Scholar 

  2. Marel M, Stastny B, Melinova L, et al: Diagnosis of pleural effusions. Experience with clinical studies, 1986 to 1990. Chest 107: 1598–1603, 1995

    Article  PubMed  CAS  Google Scholar 

  3. Maskell NA, Butland RJ: Pleural Diseases Group, Standards of Care Committee, British Thoracic Society. BTS guidelines for the investigation of a unilateral pleural effusion in adults. Thorax 58 (Suppl 2): 8–17, 2003

    Article  Google Scholar 

  4. Loddenkemper R: Medical thoracoscopy. In: Textbook of Pleural Diseases. (Eds: Light RW, Gray Lee, YC), 2003, pp 498–512

  5. Prakash UB, Reiman HM: Comparison of needle biopsy with cytologic analysis for the evaluation of pleural effusion: analysis of 414 cases. Mayo Clin Proc 60:158–164, 1985

    PubMed  CAS  Google Scholar 

  6. Johanston WW: Cancer, 1985; Light RW, Approach to the patient. In: Pleural Diseases. (Ed: Light RW), 3rd ed, William & Wilkins, Baltimore, 1995, pp 75–82

    Google Scholar 

  7. Porcel JM, Vives M, Esquerda A, et al: Use of a panel of tumor markers (carcinoembryonic antigen, cancer antigen 125, carbohydrate antigen 15-3, and cytokeratin 19 fragments) in pleural fluid for the differential diagnosis of benign and malignant effusions. Chest 126: 1757–1763, 2004

    Article  PubMed  Google Scholar 

  8. Richard WL: Tumor markers in undiagnosed pleural effusions. Chest 126: 1721–1722, 2004

    Article  Google Scholar 

  9. Ferrer J, Villarino MA, Encabo G, et al: Diagnostic utility of CYFRA 21-1, carcinoembryonic antigen, CA 125, neuron specific enolase, and squamous cell antigen level determinations in the serum and pleural fluid of patients with pleural effusions. Cancer 86: 1488–1495, 1999

    Article  PubMed  CAS  Google Scholar 

  10. Garcia-Pachon E, Padilla-Navas I, Dosda MD, et al: Elevated level of carcinoembryonic antigen in nonmalignant pleural effusions. Chest 111: 643–647, 1997

    Article  PubMed  CAS  Google Scholar 

  11. Alatas F, Alatas O, Metintas M, et al: Diagnostic value of CEA, CA 15-3, CA 19-9, CYFRA 21-1, NSE and TSA assay in pleural effusions. Lung Cancer 31: 9–16, 2001

    Article  PubMed  CAS  Google Scholar 

  12. Ryu JS, Lee HJ, Cho JH, et al: The implication of elevated carcinoembryonic antigen level in pleural fluid of patients with non-malignant pleural effusion. Respirology 8: 487–491, 2003

    Article  PubMed  Google Scholar 

  13. Villena V, Lopez-Encuentra A, Echave-Sustaeta, et al: Diagnostic value of CA 72-4, carcinoembryonic antigen, CA 15-3, and CA 19-9 assay in pleural fluid. A study of 207 patients. Cancer 78: 736–740, 1996

    Article  PubMed  CAS  Google Scholar 

  14. Shimokata K, Totani Y, Nakanishi K, et al: Diagnostic value of cancer antigen 15-3 (CA15-3) detected by monoclonal antibodies (115D8 and DF3) in exudative pleural effusions. Eur Respir J 4: 341–344, 1988

    Google Scholar 

  15. Romero S, Fernandez C, Arriero JM, et al: CEA, CA 15-3 and CYFRA 21-1 in serum and pleural fluid of patients with pleural effusions. Eur Respir J 9: 17–23, 1996

    Article  PubMed  CAS  Google Scholar 

  16. Hernandez L, Espasa A, Fernandez C, et al: CEA and CA 549 in serum and pleurai fluid of patients with pleural effusion. Lung Cancer 36: 83–89, 2002

    Article  PubMed  Google Scholar 

  17. Pinto MM, Bernstein LH, Rudolph RA, et al: Diagnostic efficiency of carcinoembryonic antigen and CA125 in the cytological evaluation of effusions. Arch Pathol Lab Med 116: 626–631, 1992

    PubMed  CAS  Google Scholar 

  18. McKenna JM, Chandrasekhar AJ, Henkln RE: Diagnostic value of carcinoembryonic antigen in exudative pleural effusions. Chest 78: 587–590, 1980

    Article  PubMed  CAS  Google Scholar 

  19. Romero Candeira S, Hernandez Blasco L, Senent Espanol C, et al: Clinical usefulness of tumor markers in the diagnosis of pleural effusions. Carcinoembryonic antigen, alpha-fetoprotein and orosomucoid. Med Clin 86: 439–443, 1986

    CAS  Google Scholar 

  20. Garcia-Pachon E, Padilla Navas I, Querol M, Custardoy J. The behavior of carcinoembryonic antigen in pleural empyema. Med Clin 101: 237–238, 1993

    CAS  Google Scholar 

  21. Whiteside TL, Dekker A: Diagnostic significance of carcinoembryonic antigen levels in serous effusions. Correlation with cytology. Acta Cytol 23: 443–448, 1979

    PubMed  CAS  Google Scholar 

  22. Niwa Y, Kishimoto H, Shimokata K: Carcinomatous and tuberculous pleural effusions. Comparison of tumor markers. Chest 87: 351–355, 1985

    Article  PubMed  CAS  Google Scholar 

  23. Faravelli B, Nosenzo M, Razzetti A, et al: The role of concurrent determinations of pleural fluid and tissue carcinoembryonic antigen in the distinction of malignant mesothelioma from metastatic pleural malignancies. Eur J Cancer Clin Oncol 21: 1083–1087, 1985

    Article  PubMed  CAS  Google Scholar 

  24. Mezger J, Calavrezos A, Brings P, et al: Value of serum and effusion fluid CEA levels for distinguishing between diffuse malignant mesothelioma and carcinomatous pleural metastases. Lung 172: 183–184, 1994

    Article  PubMed  CAS  Google Scholar 

  25. Kuralay F, Tokgoz Z, Comlekci A: Diagnostic usefulness of tumor marker levels in pleural effusions of malignant and benign origin. Clin Chim Acta 300: 43–55, 2000

    Article  PubMed  CAS  Google Scholar 

  26. Fenton KN, Richardson JD: Diagnosis and management of malignant pleural effusions. Am J Surg 170: 69–74, 1995

    Article  PubMed  CAS  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Sied Mohammad Ali Ghayumi.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Ghayumi, S.M.A., Mehrabi, S., Doroudchi, M. et al. Diagnostic value of tumor markers for differentiating malignant and benign pleural effusions of Iranian patients. Pathol. Oncol. Res. 11, 236–241 (2005). https://doi.org/10.1007/BF02893857

Download citation

  • Received:

  • Accepted:

  • Issue Date:

  • DOI: https://doi.org/10.1007/BF02893857

Key words

Navigation