Mesothelin is more useful in pleural effusion than in serum in the diagnosis of pleural mesothelioma.

Abstract:

BACKGROUND/AIM:Soluble mesothelin-related peptide (SMRP) is regarded as a biomarker of malignant pleural mesothelioma (MPM). Herein, we compared the diagnostic performances of SMRP in matched pleural effusion (PE-SMRP) and serum (S-SMRP). MATERIALS AND METHODS:Diagnosis on pleural biopsies was performed for all patients including 43 with MPM, 23 with non-MPM pleural metastases (MTS) and 36 with benign (BNG) pleural diseases. SMRP was measured by a MesoMark ELISA (Cis-Bio International Gif/Yvette; France). RESULTS:Using the receiver operating characteristic (ROC) analysis, 12.70 and 1.08 nM were detected as cut-off values to optimal discrimination for PE-SMRP and S-SMRP, respectively. PE-SMRP showed a better diagnostic accuracy than S-SMRP in MPM vs. MTS+BNG (area under the ROC curve=81.6 vs. 70.5; sensitivity=69.8% vs. 46.5%; specificity=88.1% vs. 84.7%; diagnostic odds ratio (DOR)=17.1 vs. 4.8). In S-SMRP-negative patients, PE-SMRP maintained an acceptable performance (Sensitivity=47.8%; DOR=8.3; p=0.001), whereas in PE-SMRP-negative patients, S-SMRP performed very poorly (Sensitivity=15.4%; DOR=1.2; p=0.858). CONCLUSION:PE-SMRP detection has a superior diagnostic accuracy than S-SMRP detection in the diagnosis of MPM.

journal_name

Anticancer Res

journal_title

Anticancer research

authors

Ferro P,Canessa PA,Battolla E,Dessanti P,Franceschini MC,Chiaffi L,Morabito A,Fontana V,Pezzi R,Fedeli F,Pistillo MP,Roncella S

subject

Has Abstract

pub_date

2013-06-01 00:00:00

pages

2707-13

issue

6

eissn

0250-7005

issn

1791-7530

pii

33/6/2707

journal_volume

33

pub_type

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