Abstract:
OBJECTIVE:The purpose of this study was to investigate whether amniotic fluid (AF) CA-125 in patients with preterm labor or preterm premature rupture of membranes can help predict intra-amniotic inflammation (IAI), microbial invasion of the amniotic cavity (MIAC) and imminent delivery. METHODS:We recruited 36 women who admitted with impending preterm delivery and suspicious AF infection. AF matrix metalloproteinase-8 (MMP-8), white blood cell (WBC) count, glucose levels, and CA-125 levels were measured, and the MMP-8 bedside rapid test was also performed. AF culture and PCR were subsequently performed to confirm MIAC. We compared AF CA-125 levels according to the presence of IAI or MIAC and assessed its predictive value for delivery within 7 days of admission. RESULTS:AF CA-125 levels were significantly higher in the IAI group than in the non-IAI group (mean ± standard deviation: 5608 ± 864 vs 904 ± 84 IU/ml; p = 0.001). AF CA-125 levels showed a negative correlation with gestational age and a positive correlation with AF WBC counts and MMP-8 levels. AF CA-125 levels were higher in the MIAC group, though this difference was not statistically significant (p = 0.064). Delivery within 7 days of admission was significantly more common in patients with higher AF CA-125 levels (cut-off: 1650 IU/ml, sensitivity: 71.4 %, specificity: 86.4 %, p = 0.005). CONCLUSION:AF CA-125 levels are increased in patients with AF inflammation and can be a predictor of imminent preterm delivery.
journal_name
Arch Gynecol Obstetjournal_title
Archives of gynecology and obstetricsauthors
Seong WJdoi
10.1007/s00404-015-3775-1subject
Has Abstractpub_date
2016-01-01 00:00:00pages
55-59issue
1eissn
0932-0067issn
1432-0711pii
10.1007/s00404-015-3775-1journal_volume
293pub_type
杂志文章abstract:OBJECTIVE:The aim of this study is to estimate the percentage of patients with metastatic ovarian, fallopian tube, and primary peritoneal cancer requiring ultra-radical surgery to achieve cytoreduction to less than 1 cm (optimal) or no macroscopic residual disease (complete). METHODS:Perioperative data were collected ...
journal_title:Archives of gynecology and obstetrics
pub_type: 杂志文章
doi:10.1007/s00404-016-4265-9
更新日期:2017-03-01 00:00:00
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journal_title:Archives of gynecology and obstetrics
pub_type: 杂志文章
doi:10.1007/s00404-010-1779-4
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journal_title:Archives of gynecology and obstetrics
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journal_title:Archives of gynecology and obstetrics
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doi:10.1007/s00404-014-3321-6
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abstract:BACKGROUND:The Cancer Genome Atlas (TCGA) identified four prognostic subgroups of endometrial carcinoma: copy-number-low/p53-wild-type (p53wt), POLE-mutated/ultramutated (POLEmt), microsatellite-instability/hypermutated (MSI), and copy-number-high/p53-mutated (p53mt). However, it is still unclear if they may be integra...
journal_title:Archives of gynecology and obstetrics
pub_type: 杂志文章,meta分析
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更新日期:2020-06-01 00:00:00
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journal_title:Archives of gynecology and obstetrics
pub_type: 杂志文章
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更新日期:2009-02-01 00:00:00
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journal_title:Archives of gynecology and obstetrics
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journal_title:Archives of gynecology and obstetrics
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journal_title:Archives of gynecology and obstetrics
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更新日期:2011-02-01 00:00:00
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journal_title:Archives of gynecology and obstetrics
pub_type: 杂志文章
doi:10.1007/s004040050113
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更新日期:2005-12-01 00:00:00
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更新日期:2019-05-01 00:00:00
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journal_title:Archives of gynecology and obstetrics
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journal_title:Archives of gynecology and obstetrics
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更新日期:2013-04-01 00:00:00
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更新日期:2019-12-01 00:00:00
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journal_title:Archives of gynecology and obstetrics
pub_type: 杂志文章
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更新日期:2020-01-01 00:00:00
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journal_title:Archives of gynecology and obstetrics
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更新日期:2011-11-01 00:00:00
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journal_title:Archives of gynecology and obstetrics
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更新日期:2018-04-01 00:00:00
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journal_title:Archives of gynecology and obstetrics
pub_type: 杂志文章
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更新日期:2015-02-01 00:00:00
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journal_title:Archives of gynecology and obstetrics
pub_type: 杂志文章
doi:10.1007/s00404-011-2092-6
更新日期:2012-03-01 00:00:00
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journal_title:Archives of gynecology and obstetrics
pub_type: 杂志文章
doi:10.1007/s00404-013-2963-0
更新日期:2014-01-01 00:00:00
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journal_title:Archives of gynecology and obstetrics
pub_type: 杂志文章
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更新日期:2017-10-01 00:00:00