Skip to main content

Advertisement

Log in

Optimisation of Cytoreductive Surgery in Relation to Ca 125 in Epithelial Ovarian Cancer

  • Original Article
  • Published:
Indian Journal of Gynecologic Oncology Aims and scope Submit manuscript

Abstract

Background

The ovarian cancer patients have good survival benefit with optimal primary cytoreduction. Preoperative evaluation with imaging and tumour markers for the possibility of optimisation has been routinely practiced. Imaging though provides good insight about operability; the mesenteric, bowel and peritoneal surface diseases are not detected by imaging. The present study evaluates the role of Ca 125 in detecting optimisation in primary cytoreduction.

Materials and Methods

Prospective observational study of 194 patients of stage III epithelial ovarian cancer, with nonmucinous histology, was analyzed for the Ca 125 level in relation to optimisation.

Results

The statistical analysis of study results showed the p value of correlation between Ca 125 values, and residual disease was 0.7 which was statistically not significant.

Conclusion

The results of the present study conclude that the serum Ca 125 levels do not correlate with the optimisation in cytoreduction.

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.

Fig. 1
Fig. 2

Similar content being viewed by others

References

  1. Meyer T, Rustin GJ. Role of tumour markers in monitoring epithelial ovarian cancer. Br J Cancer. 2000;82:1535–8.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  2. Hogdall E. Cancer antigen 125 and prognosis. Curr Opin Obstet Gynecol. 2008;20:4–8.

    Article  PubMed  Google Scholar 

  3. Bast RC Jr, Feeney M, Lazarus H, Nadler LM, Colvin RB, Knapp RC. Reactivity of a monoclonal antibody with human ovarian carcinoma. J Clin Invest. 1981;68:1331–7.

    Article  PubMed  PubMed Central  Google Scholar 

  4. Riedinger JM, Eche N, Basuyau JP, Dalifard I, Hacene K, Pichon MF. Prognostic value of serum CA 125 bi-exponential decrease during first line paclitaxel/platinum chemotherapy: a French multicentric study. Gynecol Oncol. 2008;109:194–8.

    Article  CAS  PubMed  Google Scholar 

  5. Gard GB, Houghton CR. An assessment of the value of serum CA 125 measurements in the management of epithelial ovarian carcinoma. Gynecol Oncol. 1994;53:283–9.

    Article  CAS  PubMed  Google Scholar 

  6. Frasci G, Conforti S, Zullo F, Mastrantonio P, Comella G, Comella P, Persico G, Iaffaioli RV. A risk model for ovarian carcinoma patients using CA 125: time to normalization renders second-look laparotomy redundant. Cancer. 1996;77:1122–30.

    Article  CAS  PubMed  Google Scholar 

  7. Riedinger JM, Wafflart J, Ricolleau G, Eche N, Larbre H, Basuyau JP, Dalifard I, Hacene K, Pichon MF. CA 125 half-life and CA 125nadir during induction chemotherapy are independent predictors of epithelial ovarian cancer outcome: results of a French multicentric study. Ann Oncol. 2006;17:1234–8.

    Article  CAS  PubMed  Google Scholar 

  8. Eisenkop SM, Spirtos NM, Friedman RL, Lin WC, Pisani AL, Perticucci S. Relative influences of tumor volume before surgery and the cytoreductive outcome on survival for patients with advanced ovarian cancer: a prospective study. Gynecol Oncol. 2003;90:390–6.

    Article  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Natarajan Jayashree.

Ethics declarations

Conflict of interest

The authors declare that they have no conflicts of interest.

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Shobha, K., Jayashree, N. & Bafna, U.D. Optimisation of Cytoreductive Surgery in Relation to Ca 125 in Epithelial Ovarian Cancer. Indian J Gynecol Oncolog 16, 13 (2018). https://doi.org/10.1007/s40944-018-0181-1

Download citation

  • Received:

  • Accepted:

  • Published:

  • DOI: https://doi.org/10.1007/s40944-018-0181-1

Keywords

Navigation