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Clinical Usefulness of Serum Sialyl SSEA-1 Antigen Levels in Patients with Epithelial Ovarian Cancer

Clinical Usefulness of Serum Sialyl SSEA-1 Antigen Levels in Patients with Epithelial Ovarian Cancer The serum levels of sialyl SSEA-1 antigen, a type 2 chain carbohydrate antigen detected using the monoclonal antibody FH-6, were elevated in 47.2% of patients with epithelial ovarian cancer, with the percent positivity increasing with the clinical stage. Of the histological type, it is interesting to note the relatively high sensitivity in patients with mucinous adenocarcinoma and clear cell carcinoma in contrast with the CA 125 antigen levels. Although the percentage of patients with ovarian cancer who had elevated sialyl SSEA-1 antigen levels is lower than that observed with elevated CA 125 antigen levels, the false-positive rate is significantly low in the sialyl SSEA-1 test. Serial sialyl SSEA-1 antigen levels obtained during follow-up were strong predictors of clinical outcome. The combined determination possible with sialyl SSEA-1 and CA 125 did not markedly increase the detection rate because of the overlap in the positivity. However, increased levels of both serum sialyl SSEA-1 antigen and CA 125 antigen indicated the presence of malignancies in pregnant women associated with ovarian tumors. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Gynecologic and Obstetric Investigation Karger

Clinical Usefulness of Serum Sialyl SSEA-1 Antigen Levels in Patients with Epithelial Ovarian Cancer

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Publisher
Karger
Copyright
© 1990 S. Karger AG, Basel
ISSN
0378-7346
eISSN
1423-002X
DOI
10.1159/000293214
Publisher site
See Article on Publisher Site

Abstract

The serum levels of sialyl SSEA-1 antigen, a type 2 chain carbohydrate antigen detected using the monoclonal antibody FH-6, were elevated in 47.2% of patients with epithelial ovarian cancer, with the percent positivity increasing with the clinical stage. Of the histological type, it is interesting to note the relatively high sensitivity in patients with mucinous adenocarcinoma and clear cell carcinoma in contrast with the CA 125 antigen levels. Although the percentage of patients with ovarian cancer who had elevated sialyl SSEA-1 antigen levels is lower than that observed with elevated CA 125 antigen levels, the false-positive rate is significantly low in the sialyl SSEA-1 test. Serial sialyl SSEA-1 antigen levels obtained during follow-up were strong predictors of clinical outcome. The combined determination possible with sialyl SSEA-1 and CA 125 did not markedly increase the detection rate because of the overlap in the positivity. However, increased levels of both serum sialyl SSEA-1 antigen and CA 125 antigen indicated the presence of malignancies in pregnant women associated with ovarian tumors.

Journal

Gynecologic and Obstetric InvestigationKarger

Published: Jan 1, 2010

Keywords: Sialyl SSEA-1; CA 125; Ovarian cancer; Endometriosis

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