Switch to
Predicate | Object |
---|---|
rdf:type | |
lifeskim:mentions | |
pubmed:issue |
2
|
pubmed:dateCreated |
1988-3-16
|
pubmed:abstractText |
D-dimer (DD)--an end product of fibrinolysis--was measured in serum by enzyme immunoassay using a monoclonal antibody to the gamma gamma crosslink in patients with ovarian cancer, before primary surgery and during chemotherapy for 12 months or more. Serial DD levels were found to have a high sensitivity for the detection of tumor in patients with subclinical disease (91%) as well as for predicting progression of disease (100%). As determined by a careful second-look laparotomy in patients with complete clinical remission the DD marker was highly predictive of tumors less than 1 cm. The negative predictive value (82%) was higher than the positive predictive value (69%). However, there were 31% of the patients who showed a false-positive result; a close examination of the clinical data of these 9 patients failed to reveal an explanation for the positive DD levels. Despite the lack of specificity (50% in the present series), the findings support the use of DD in the assessment of patients with ovarian cancer, especially those with subclinical disease.
|
pubmed:language |
eng
|
pubmed:journal | |
pubmed:citationSubset |
IM
|
pubmed:chemical | |
pubmed:status |
MEDLINE
|
pubmed:month |
Feb
|
pubmed:issn |
0090-8258
|
pubmed:author | |
pubmed:issnType |
Print
|
pubmed:volume |
29
|
pubmed:owner |
NLM
|
pubmed:authorsComplete |
Y
|
pubmed:pagination |
188-98
|
pubmed:dateRevised |
2006-11-15
|
pubmed:meshHeading |
pubmed-meshheading:3338671-Antibodies, Monoclonal,
pubmed-meshheading:3338671-Antineoplastic Combined Chemotherapy Protocols,
pubmed-meshheading:3338671-False Negative Reactions,
pubmed-meshheading:3338671-False Positive Reactions,
pubmed-meshheading:3338671-Female,
pubmed-meshheading:3338671-Fibrin Fibrinogen Degradation Products,
pubmed-meshheading:3338671-Humans,
pubmed-meshheading:3338671-Laparotomy,
pubmed-meshheading:3338671-Ovarian Neoplasms,
pubmed-meshheading:3338671-Predictive Value of Tests,
pubmed-meshheading:3338671-Prognosis,
pubmed-meshheading:3338671-Radioimmunoassay
|
pubmed:year |
1988
|
pubmed:articleTitle |
Serial D-dimer levels in the assessment of tumor mass and clinical outcome in ovarian cancer.
|
pubmed:affiliation |
University of Queensland Department of Obstetrics and Gynaecology, Royal Brisbane Hospital, Queensland Radium Institute, Australia.
|
pubmed:publicationType |
Journal Article,
Research Support, Non-U.S. Gov't
|