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Predicate | Object |
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
11
|
pubmed:dateCreated |
1989-12-7
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pubmed:abstractText |
The prognostic value of serum CA-125 measurements was assessed in 54 patients with advanced ovarian adenocarcinoma. All patients received a minimum of two courses of carboplatin as part of the North Thames Cooperative Group trial. With a minimum follow-up of 6 months, 37 patients (69%) have clinical evidence of progressive disease and 28 have died. The absolute prechemotherapy level of CA-125 was of no value in predicting which patients would develop progressive disease. However, the change in CA-125 levels from before chemotherapy to 1 month later, after one course of carboplatin, could be used to divide patients into different prognostic groups. The best discrimination was found by dividing the patients into those who showed a greater than sevenfold decrease in CA-125 levels and those who showed a smaller change. Eight of 14 (58%) patients with a greater than sevenfold decrease in CA-125 levels remain disease-free compared with three of 36 (9%) patients with a lesser fall (P = .0005). The change in CA-125 levels during the first month of chemotherapy may indicate which patients should be offered alternative or symptomatic therapy and which should continue with the currently available toxic chemotherapy.
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pubmed:language |
eng
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pubmed:journal | |
pubmed:citationSubset |
IM
|
pubmed:chemical | |
pubmed:status |
MEDLINE
|
pubmed:month |
Nov
|
pubmed:issn |
0732-183X
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pubmed:author | |
pubmed:issnType |
Print
|
pubmed:volume |
7
|
pubmed:owner |
NLM
|
pubmed:authorsComplete |
Y
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pubmed:pagination |
1667-71
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pubmed:dateRevised |
2007-11-15
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pubmed:meshHeading |
pubmed-meshheading:2681555-Antibodies, Monoclonal,
pubmed-meshheading:2681555-Antibodies, Neoplasm,
pubmed-meshheading:2681555-Antigens, Neoplasm,
pubmed-meshheading:2681555-Antigens, Tumor-Associated, Carbohydrate,
pubmed-meshheading:2681555-Carcinoma,
pubmed-meshheading:2681555-Female,
pubmed-meshheading:2681555-Humans,
pubmed-meshheading:2681555-Multicenter Studies as Topic,
pubmed-meshheading:2681555-Ovarian Neoplasms,
pubmed-meshheading:2681555-Prognosis,
pubmed-meshheading:2681555-Survival Rate
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pubmed:year |
1989
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pubmed:articleTitle |
Use of CA-125 to predict survival of patients with ovarian carcinoma. North Thames Cooperative Group.
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pubmed:affiliation |
Department of Medical Oncology, Charing Cross Hospital, United Kingdom.
|
pubmed:publicationType |
Journal Article,
Clinical Trial,
Research Support, Non-U.S. Gov't,
Multicenter Study
|