Cancer of the uterine cervix: sensitivity and specificity of serum Cyfra 21.1 determinations.

Abstract:

PURPOSE:The purpose was to evaluate the usefulness of serum Cyfra 21.1 assay for the monitoring of patients with uterine cervix cancer. METHODS:Pre-treatment sera and complete follow-up of the patients were available for SCC and Cyfra 21.1 for 79 patients Another group of 50 patients was studied to evaluate the specificity, sensitivity, negative or positive predictive values of the markers. The cut-off value for Cyfra 21.1 (1.1 ng/ml) was established by ROC curve analysis. RESULTS:A positive or negative concordance between SCC and Cyfra 21.1 was observed in 65.8% of the cases. Positive SCC and negative Cyfra 21.1 were found in 22.8% of the sera, while the inverse was observed in 11.4% of the cases. The mean concentrations of SCC and Cyfra 21.1 were correlated to FIGO stages, with Cyfra 21.1 being elevated in 100% of stages III and IV. Cyfra 21.1 was also correlated with the extension of the cancer, and to the presence of metastases. The mean concentrations of both markers were significantly higher in the sera of patients with constant progression (P < or = 0.0019). Analysis of 186 results from 91 patients followed-up with a median of 3.29 years showed a sensitivity of 89.5% for Cyfra 21.1, 75.0% for SCC, and a specificity of 86.4% and 99.1%, respectively. The positive predictive values were 91.9% for Cyfra 21.1 and 98.3% for SCC, and the negative predictive values 92.7% and 85.2%, respectively. Median lead times, calculated from the records of 18 selected patients with complete resection of the tumour, were found to be 60 days for Cyfra 21.1 and 50 days for SCC (P > 0.05). CONCLUSION:In cervical cancer Cyfra 21.1 is very well-correlated to the tumour burden and the extent of the disease. In the case of recurrence, this marker rises more often than SCC. We therefore propose the use of Cyfra 21.1 for the monitoring of cervical cancer.

journal_name

Eur J Gynaecol Oncol

authors

Callet N,Cohen-Solal Le Nir CC,Berthelot E,Pichon MF

subject

Has Abstract

pub_date

1998-01-01 00:00:00

pages

50-6

issue

1

eissn

0392-2936

issn

2709-0086

journal_volume

19

pub_type

杂志文章
  • Minimal deviation adenocarcinoma of the cervix in a patient with a high-grade cervical squamous intraepithelial lesion: case report and review of the literature.

    abstract::Minimal deviation cervical adenocarcinoma, otherwise known as adenoma malignum, is a rare and particularly well differentiated type of cervical adenocarcinoma, and is often misdiagnosed because of its benign-looking histological features. Adenoma malignum represents only 1-3% of all cervical adenocarcinomas. The Papan...

    journal_title:European journal of gynaecological oncology

    pub_type: 杂志文章

    doi:

    authors: Papastefanou I,Panagopoulos P,Samolis S,Karadaglis S,Katsoulis M

    更新日期:2010-01-01 00:00:00

  • Pregnancy associated breast cancer: a case report.

    abstract::Despite its infrequency, pregnancy associated breast cancer implies multiple therapeutic dilemmas. Our patient, a 32-year-old Caucasian, gravida 2, para 2, was diagnosed with cancer of the left breast in the 19th week of gestation. Shortly after she underwent quadrantectomy plus axillary lymph node dissection. Chemoth...

    journal_title:European journal of gynaecological oncology

    pub_type: 杂志文章

    doi:

    authors: Ginopoulos PV,Michail GD,Kourounis GS

    更新日期:2004-01-01 00:00:00

  • Detection of high-risk HPV (16, 18, 33) in situ cancer of the cervix by PCR technique.

    abstract:OBJECTIVE:The purpose of this study was to collect data about the incidence of high-risk HPV (16, 18, 33) types in in situ cervical cancers, and to evaluate the reliability of the morphological signs of HPV infection by comparing the presence of these signs to the PCR-proven HPV virus infection. METHODS:Fifty patients...

    journal_title:European journal of gynaecological oncology

    pub_type: 杂志文章

    doi:

    authors: Pete I,Szirmai K,Csapó Z,Szánthó A,Füle T,Gallai M,Kovalszky I

    更新日期:2002-01-01 00:00:00

  • An up-dating on oncologic colpocytology.

    abstract::The mortality rate from cervical cancer has notably decreased above all in those places where aggressive Papanicolaou smear screening programmes have taken place. In other countries, where an organized screening programme has not taken place, there has been an increase in mortality from cervical carcinoma. Beyond the ...

    journal_title:European journal of gynaecological oncology

    pub_type: 杂志文章

    doi:

    authors: Gentile G

    更新日期:1988-01-01 00:00:00

  • Results of the combination of cisplatin, adriamycin and cyclophosphamide in the treatment of ovarian carcinoma.

    abstract::Forty-seven women affected by Stage Ic-IV epithelial carcinoma of the ovary were treated with the combination of cisplatin, adriamycin (40-50 mg/m2 day 1), and cyclophosphamide (800 mg/m2 day 1) (CAP). Two different schedules of cisplatin were used: 20 mg/m2 day 1-->5 (CAP 5), or 80 mg/m2 on day 1 (CAP 1). In the grou...

    journal_title:European journal of gynaecological oncology

    pub_type: 杂志文章

    doi:

    authors: Russo A,Gebbia V,Palmeri S,Geraci P,Maneschi F,Guarnieri G,Carollo F,Leonardi V,Meli M,Gebbia N

    更新日期:1993-01-01 00:00:00

  • Value of the new "Endopap" device for the cytological detection of endometrial precancerous lesions.

    abstract::The efficacy of a new device, "the Endopap" endometrial cell sampler in obtaining specimens for cytological examination to detect precursors of malignancy of the endometrium was assessed in 140 asymptomatic and sympomatic women. The cytological results as compared with hystological diagnosis on curettage specimens by ...

    journal_title:European journal of gynaecological oncology

    pub_type: 杂志文章

    doi:

    authors: Cardillo MR

    更新日期:1986-01-01 00:00:00

  • Of false negative results in the ultrasound of female breast cancer.

    abstract::The preoperative results of sonography of 108 malignant breast tumors were analysed for reasons of false negative results by correlation of sonographic features with the corresponding clinical, histological and cytological findings. Previously we found no typical sonographic criteria of malignancy. Here we show, that ...

    journal_title:European journal of gynaecological oncology

    pub_type: 杂志文章

    doi:

    authors: Stosiek U,Zedelius M

    更新日期:1987-01-01 00:00:00

  • Secretory (juvenile) carcinoma of the breast in an adult woman.

    abstract::A case of secretory (juvenile) carcinoma of the breast is reported in a 31-year-old woman. Secretory carcinoma in adults is rare, only twenty-seven cases previously reported. It is known to have a more favourable prognosis than the conventional ductal carcinoma. The most adequate treatment appears to be a simple maste...

    journal_title:European journal of gynaecological oncology

    pub_type: 杂志文章

    doi:

    authors: Betta PG,Cosimi MF,Spinoglio G,Bottero G

    更新日期:1988-01-01 00:00:00

  • Management of ovarian cysts in pregnancy: a case report.

    abstract::According to recent epidemiological studies on ovarian cysts during pregnancy one out of 600 are, in most cases, benign neoformations. The most frequent histological type reported is mature cystic teratoma (50% of the cases), followed by functional cysts (13%), benign cystadenomas (20%) and ovarian cancer (0.6%). Most...

    journal_title:European journal of gynaecological oncology

    pub_type: 杂志文章,评审

    doi:

    authors: Patacchiola F,Collevecchio N,Di Ferdinando A,Palermo P,Di Stefano L,Mascaretti G

    更新日期:2005-01-01 00:00:00

  • Neoadjuvant chemotherapy in gynecological cancers.

    abstract::Neoadjuvant chemotherapy in gynecological cancers is an approach that is shown to have positive effects on survival. It increases the rate of resectability in ovarian and cervical cancers and thus contributes to survival. However, there are studies reporting that despite increasing operability, the approach does not m...

    journal_title:European journal of gynaecological oncology

    pub_type: 杂志文章,评审

    doi:

    authors: Ayhan A,Celik H,Dursun P,Salman MC,Yuce K

    更新日期:2006-01-01 00:00:00

  • CA 125 in monitoring chemotherapy of the patients with ovarian cancer.

    abstract::Changes in CA 125 antigen concentration and serum half-life were determined in 63 women with ovarian carcinoma during chemotherapy following various types of surgery. Concentration of CA 125 in serum correlated with the degree of clinical advancement of the tumor, 20.00 and 688.84 U per ml at stages I, II, and IV, res...

    journal_title:European journal of gynaecological oncology

    pub_type: 杂志文章

    doi:

    authors: Markowska J,Kojczynski Z,Szewierski Z,Manys G

    更新日期:1990-01-01 00:00:00

  • The value of mesothelin in the diagnosis and follow-up of surgically treated ovarian cancer.

    abstract:OBJECTIVE:To assess the value of serum mesothelin concentration for diagnosis of ovarian cancer and for monitoring the therapeutic effect of surgical treatment. MATERIALS AND METHODS:The study consisted of 42 patients with ovarian cancer undergoing surgery, 48 with benign ovarian tumors, and 49 healthy controls. Blood...

    journal_title:European journal of gynaecological oncology

    pub_type: 杂志文章

    doi:

    authors: Qiao N,Li H

    更新日期:2013-01-01 00:00:00

  • Endometrial malignancies arising on endometrial polyps and precursor lesions.

    abstract:INTRODUCTION:Polyps are covered with endometrial epithelium and composed of varying proportions of gland, stroma, and blood vessels. Traditionally, endometrial polyps are accepted as a precursor of cancer. The aim of this study was to evaluate the relationship between malignancies arising on endometrial polyps and prec...

    journal_title:European journal of gynaecological oncology

    pub_type: 杂志文章

    doi:

    authors: Eken MK,Kaygusuz EI,IIhan G,Devranoglu B,Cogendez E,Keyif B,Karateke A

    更新日期:2016-01-01 00:00:00

  • Squamous intraepithelial lesion-microinvasive carcinoma of the cervix during pregnancy.

    abstract:OBJECTIVE:The objective of this work was to assess proper management of squamous intraepithelial lesion (SIL) and microinvasive carcinoma during and after pregnancy, to assess risks of punch biopsy and conization in pregnancy and to assess regression, persistence and risk of progression with low-grade (L) and high-grad...

    journal_title:European journal of gynaecological oncology

    pub_type: 杂志文章

    doi:

    authors: Robova H,Rob L,Pluta M,Kacirek J,Halaska M Jr,Strnad P,Schlegerova D

    更新日期:2005-01-01 00:00:00

  • Ovarian pure leiomyosarcoma: case report.

    abstract::We report a case of a pure ovarian leiomyosarcoma, a rare tumor that comprises less than 0.1% out of all the ovarian malignant tumors. ...

    journal_title:European journal of gynaecological oncology

    pub_type: 杂志文章

    doi:

    authors: Cortés J,Cuartero ML,Rosselló JJ,Torrecabota J,Yarnoz MC,Llompart M

    更新日期:1987-01-01 00:00:00

  • Possible ways of helping terminal patients.

    abstract::By interview with several women a dramatic problem for the doctors: how to give doomed patients something more than mere medical help. ...

    journal_title:European journal of gynaecological oncology

    pub_type: 杂志文章

    doi:

    authors: Maggioni C,Benzi G,Belloni C,Mangili G,Candiani GB

    更新日期:1984-01-01 00:00:00

  • Radical vaginal hysterectomy with extraperitoneal pelvic lymphadenectomy in cervical cancer.

    abstract:OBJECTIVE:The aim of this work was to examine three types of radical vaginal hysterectomy with different degrees of radicality, performed in order to reduce surgical complications and sequelae in different indications, and to test the feasibility of a new simple and quick technique for extraperitoneal pelvic lymphadene...

    journal_title:European journal of gynaecological oncology

    pub_type: 杂志文章

    doi:

    authors: Savino L,Borruto F,Comparetto C,Massi GB

    更新日期:2001-01-01 00:00:00

  • Granulocytic sarcoma involving the uterus and right fallopian tube with negative endometrial biopsy.

    abstract::Granulocytic sarcoma is an extramedullary tumor associated with acute myelogenous leukemia (AML) and it is rarely seen in the female genital tract. We report an unusual case of granulocytic sarcoma of the uterus and fallopian tube in an AML patient who presented with vaginal bleeding and persistent abdominal pain. She...

    journal_title:European journal of gynaecological oncology

    pub_type: 杂志文章

    doi:

    authors: Kilic G,Boruban MC,Bueco-Ramos C,Konoplev SN

    更新日期:2007-01-01 00:00:00

  • A case of melanocytic cervical adenosquamous carcinoma complicated with Cushing's syndrome.

    abstract:BACKGROUND:To date, cervical carcinoma complicated with Cushing's syndrome were all diagnosed as small cell carcinoma histo- logically, but not adenosquamous carcinoma. Here the authors present the diagnosis, management, and prognosis of a case of melanocytic cervical adenosquamous carcinoma complicated with Cushing's ...

    journal_title:European journal of gynaecological oncology

    pub_type: 杂志文章

    doi:

    authors: Chen Y,Zhang Y,Wang L,Yang X

    更新日期:2017-01-01 00:00:00

  • Paclitaxel/carboplatin versus cyclophosphamide/carboplatin in peritoneal carcinomatosis of the ovary.

    abstract::The preceding platinum-based combination chemotherapy could possibly reduce tumor masses, allowing for adequate surgical debulking in advanced ovarian cancer. In this study, a total of 18 patients with peritoneal carcinomatosis of the ovary were evaluated between 1996 and 2003. All patients underwent open biopsy for t...

    journal_title:European journal of gynaecological oncology

    pub_type: 临床试验,杂志文章

    doi:

    authors: Balat O

    更新日期:2004-01-01 00:00:00

  • C-kit overexpression in neuroendocrine small cell carcinoma of the uterine cervix.

    abstract:PURPOSE OF INVESTIGATION:Neuroendocrine small cell carcinoma of the uterine cervix (NESCC) grows aggressively, and is resistant to anticancer agents and radiation, having an extremely poor prognosis. The incidence of c-kit proto-oncogene overexpression is high in gastrointestinal stromal tumors (GISTs) and small cell l...

    journal_title:European journal of gynaecological oncology

    pub_type: 杂志文章

    doi:

    authors: Ohwada M,Wada T,Saga Y,Tsunoda S,Jobo T,Kuramoto H,Konno R,Suzuki M

    更新日期:2006-01-01 00:00:00

  • Placental site trophoblastic tumour: the value of transvaginal colour and pulsed Doppler sonography (TV-CDS) in its diagnosis: case report.

    abstract::The clinical, transvaginal sonography and colour flow mapping of one patient with placental site trophoblastic tumour is presented. Colour Doppler documented a marked increase in uterine vascularity, characterised by low diastolic flow suggestive of low resistance blood flow, without regression after completion of app...

    journal_title:European journal of gynaecological oncology

    pub_type: 杂志文章

    doi:

    authors: Bettencourt E,Pinto E,Abraúl E,Dinis M,De Oliveira CF

    更新日期:1997-01-01 00:00:00

  • Study of clinical diagnosis of cervical glandular intraepithelial neoplasia.

    abstract:OBJECTIVE:To preliminarily evaluate the clinical significance of different methods in diagnosis of cervical glandular intraepithelial neo- plasia (CGIN). MATERIALS AND METHODS:Clinical manifestations, ThinPrep cytologic test (TCT), cervical biopsy, and pathological features of 106 patients with CGIN admitted to Beijin...

    journal_title:European journal of gynaecological oncology

    pub_type: 杂志文章

    doi:

    authors: Yang S,Duan W,Kong W,Zhu L,Wu Y

    更新日期:2016-08-01 00:00:00

  • Laparoscopic radical trachelectomy (LRT) with round ligament and ascending branches of uterine artery preservation: case report.

    abstract::Fertility sparing surgery might be a benefit for young patients with early-stage cervical cancer. The authors herein describe a case of adenocarcinoma of cervix Stage IA2 treated with laparoscopic radical trachelectomy (LRT) with round ligament and uterine artery preservation. ...

    journal_title:European journal of gynaecological oncology

    pub_type: 杂志文章

    doi:

    authors: Inthasorn P,Sirimai K,Sutchritpongsa P,Warnnissorn M,Tanmahasamut P,Therasakvichya S,Leelaphatanadit C

    更新日期:2014-01-01 00:00:00

  • Expression of p53 protein in the endometrial polyp in postmenopausal women.

    abstract:OBJECTIVE:To evaluate p53 protein expression in the endometrial polyp and compare with adenocarcinoma and atrophic endometrium of postmenopausal women. MATERIALS AND METHODS:Ninety-eight postmenopausal women were included in this study and divided into three groups related to histopathologic diagnosis: Group A--endome...

    journal_title:European journal of gynaecological oncology

    pub_type: 杂志文章

    doi:

    authors: Neto LC,Soares JM Jr,Giusa-Chiferi MG,Gonçalves WJ,Baracat EC

    更新日期:2013-01-01 00:00:00

  • Frequency of recurrence after surgical treatment of cervical intraepithelial neoplasia grade 1-3.

    abstract:PURPOSE OF INVESTIGATION:The objective was to demonstrate the frequency of invasive cervical cancer or recurrent CIN in patients treated by a previous diagnosis of CIN 1-3. METHODS:We analyzed 1,397 records colpocytologic and medical records. Recurrence of CIN or invasive neoplasia of the cervix after treatment of CIN...

    journal_title:European journal of gynaecological oncology

    pub_type: 杂志文章

    doi:

    authors: Nomelini RS,Kamikabeya TS,Adad SJ,Murta EF

    更新日期:2012-01-01 00:00:00

  • Expression of the epidermal growth factor system in endometrial cancer.

    abstract::The aim of our study was to describe the expression of c-erbB-1, c-erbB-2, c-erbB-3 and c-erbB-4 in endometrial cancer tissue and its correlation with clinicopathologic features and prognosis of the patients. One hundred and six cases of endometrial cancer were identified from the archives of the Department of Obstetr...

    journal_title:European journal of gynaecological oncology

    pub_type: 杂志文章

    doi:

    authors: Adonakis G,Androutsopoulos G,Koumoundourou D,Liava A,Ravazoula P,Kourounis G

    更新日期:2008-01-01 00:00:00

  • A huge retroperitoneal liposarcoma: case report.

    abstract:BACKGROUND:Soft tissue sarcomas are rare and account for less than 1% of all newly diagnosed malignancies. One-third of malignant tumors arising in the retroperitoneum are sarcomas. Liposarcoma is the most common soft tissue sarcoma and retroperitoneal sarcoma. Liposarcoma accounts for at least 20% of all sarcomas in a...

    journal_title:European journal of gynaecological oncology

    pub_type: 杂志文章,评审

    doi:

    authors: Ki EY,Park ST,Park JS,Hur SY

    更新日期:2012-01-01 00:00:00

  • Short duration neoadjuvant chemotherapy followed by radiotherapy for advanced carcinoma of the cervix: results and prognostic variables.

    abstract:PURPOSE:The value of neoadjuvant chemotherapy in squamous cell carcinomas of the cervix has not been proven. It has been suggested that the potential benefit of this therapy on local and occult metastatic disease could be offset by delaying effective radiation therapy and selection of more aggressive tumor clones. This...

    journal_title:European journal of gynaecological oncology

    pub_type: 杂志文章

    doi:

    authors: Seoud M,Geara FB,Shamseddine A,Salem Z,Khalil A

    更新日期:2003-01-01 00:00:00

  • Invasive squamous carcinoma of the vulva in women aged less than 40 years: report of two cases and a third case diagnosed during pregnancy.

    abstract:PURPOSE OF INVESTIGATION:Invasive squamous cell cancer of the vulva (ISCC) is a rare disease in young patients and in pregnant women. The purpose of this paper was to investigate this type of cancer in women less than 40 years old and to present three cases, one which was diagnosed in the third trimester of pregnancy. ...

    journal_title:European journal of gynaecological oncology

    pub_type: 杂志文章

    doi:

    authors: Keskin N,Iyibozkurt AC,Topuz S,Salihoğlu Y,Bengisu E,Berkman S

    更新日期:2008-01-01 00:00:00