The prognostic significance of CA 125 half-life in patients with ovarian cancer who have received primary chemotherapy after surgical cytoreduction

Am J Obstet Gynecol. 1990 Oct;163(4 Pt 1):1164-7. doi: 10.1016/0002-9378(90)90680-6.

Abstract

Fifty-four patients with advanced epithelial ovarian cancer were monitored with serial serum CA 125 levels after surgical cytoreduction and during multi-agent chemotherapy with cisplatin-containing regimens. CA 125 half-life of less than 20 days was associated with prolonged overall survival (p less than 0.015). In those patients who eventually were found to be disease-free at surgical surveillance procedures, normalization of serum CA 125 levels to less than 35 U/ml within 65 days of primary operation also suggested an improved survival (p less than 0.059).

Publication types

  • Comparative Study
  • Research Support, U.S. Gov't, P.H.S.

MeSH terms

  • Adenocarcinoma, Mucinous / diagnosis
  • Adenocarcinoma, Mucinous / drug therapy
  • Adenocarcinoma, Mucinous / surgery
  • Adult
  • Aged
  • Aged, 80 and over
  • Antigens, Tumor-Associated, Carbohydrate / analysis
  • Antigens, Tumor-Associated, Carbohydrate / metabolism*
  • Antineoplastic Combined Chemotherapy Protocols / therapeutic use*
  • Carcinoma / diagnosis*
  • Carcinoma / drug therapy
  • Carcinoma / surgery
  • Cisplatin / administration & dosage
  • Cyclophosphamide / administration & dosage
  • Female
  • Follow-Up Studies
  • Half-Life
  • Humans
  • Middle Aged
  • Ovarian Neoplasms / diagnosis*
  • Ovarian Neoplasms / drug therapy
  • Ovarian Neoplasms / surgery
  • Prognosis
  • Time Factors

Substances

  • Antigens, Tumor-Associated, Carbohydrate
  • Cyclophosphamide
  • Cisplatin