Statements in which the resource exists as a subject.
PredicateObject
rdf:type
lifeskim:mentions
pubmed:issue
3C
pubmed:dateCreated
1997-8-4
pubmed:abstractText
Cyfra 21-1, measuring serum fragments of cytokeratin 19, has been found to be related to tumor stage and tumour size in patients with cervical cancer and suggested to be a promising marker in squamous lung cancer. We compared the value of this new marker with tissue polypeptide antigen (TPA) and squamous cell carcinoma antigen (SCC-Ag) in monitoring 30 patients with squamous cell cervical cancer. Serum levels of each marker were studied in relation to tumour stage and clinical status of patient. The clinical performance of the various assays to separate those patients with complete remission from those patients with the presence of tumour (i.e., partial remission, stable disease, or progressive disease) was assessed by their receiver operating characteristic (ROC) curves. We found that tumour stage was a prognostic factor for survival (p = 0.02). Pretreatment serum Cyfra 21-1, TPA, and SCC-Ag levels were not related to stage of disease and were not found to be predictive of survival. In contrast, an elevated post-treatment serum SCC-Ag level was associated with a poor survival rate (p = 0.03). Such a relation was not found for Cyfra 21-1 or TPA. The clinical performance of post-treatment serum SCC-Ag levels in predicting the presence of tumour was better than the Cyfra 21-1 or TPA assays. This is shown by the left uppermost position of the ROC curve for SCC-Ag. We concluded that SCC-Ag appeared to be a better parameter than Cyfra 21-1 and TPA in predicting the presence of tumour during follow-up and survival of patients with cervical cancer.
pubmed:language
eng
pubmed:journal
pubmed:citationSubset
IM
pubmed:chemical
pubmed:status
MEDLINE
pubmed:issn
0250-7005
pubmed:author
pubmed:issnType
Print
pubmed:volume
17
pubmed:owner
NLM
pubmed:authorsComplete
Y
pubmed:pagination
2329-34
pubmed:dateRevised
2009-11-19
pubmed:meshHeading
pubmed-meshheading:9245246-Analysis of Variance, pubmed-meshheading:9245246-Antigens, Neoplasm, pubmed-meshheading:9245246-Carcinoma, Squamous Cell, pubmed-meshheading:9245246-Chi-Square Distribution, pubmed-meshheading:9245246-False Positive Reactions, pubmed-meshheading:9245246-Female, pubmed-meshheading:9245246-Follow-Up Studies, pubmed-meshheading:9245246-Humans, pubmed-meshheading:9245246-Keratin-19, pubmed-meshheading:9245246-Keratins, pubmed-meshheading:9245246-Monitoring, Physiologic, pubmed-meshheading:9245246-Neoplasm Staging, pubmed-meshheading:9245246-Predictive Value of Tests, pubmed-meshheading:9245246-Prognosis, pubmed-meshheading:9245246-Regression Analysis, pubmed-meshheading:9245246-Sensitivity and Specificity, pubmed-meshheading:9245246-Serpins, pubmed-meshheading:9245246-Survival Analysis, pubmed-meshheading:9245246-Tissue Polypeptide Antigen, pubmed-meshheading:9245246-Tumor Markers, Biological, pubmed-meshheading:9245246-Uterine Cervical Neoplasms
pubmed:articleTitle
Cyfra 21-1 in monitoring cervical cancer: a comparison with tissue polypeptide antigen and squamous cell carcinoma antigen.
pubmed:affiliation
Department of Clinical Chemistry, The Netherlands Cancer Institute, Amsterdam, The Netherlands.
pubmed:publicationType
Journal Article, Comparative Study