Journal of International Obstetrics and Gynecology ›› 2012, Vol. 39 ›› Issue (2): 194-195.

• 论著 • Previous Articles     Next Articles

The Clinlical Value of CA19-9 Verses CA125 in Diagnosis of Endometriosis

ZHANG Qing,LUO Ruo-yu,XU Yi,LI Hua,HUANG Li   

  1. Department of Gynecology,Renmin Hospital of Wuhan University,Wuhan 430060,China
  • Received:1900-01-01 Revised:1900-01-01 Published:2012-04-15 Online:2012-04-15
  • Contact: LUO Ruo-yu

Abstract: Objective:To investigate the diagnostic values of CA19-9 and CA125 in the serum for endometriosis. Methods:CA19-9 and CA125 serum levels were determined with RIA in 55 patients with endometriosis and 25 control healthy women. Results:the mean serum levels and positive rate of CA19-9 and CA125 for endometriosis and controls are 27.81 U/mL、43.6%,11.78 U/mL,0 and 24.2 U/mL、36.3%, 9.02 U/mL,4.0%,respectively. There is significant difference between the measure result and positive rate of CA19-9 and CA125 for endometriosis group and control(P<0.05). The mean serum levels of CA19-9 and CA125 in patients at stages Ⅲ~Ⅳ and Ⅰ~Ⅱ,according to the Revised American Fertility Society(R-AFS) classification,are 42.38 U/mL、57.9%,17.36 U/mL、11.8% and 34.75 U/mL、50.0%,15.3 U/mL、5.9%. The difference of the mean serum levels and positive rate between the groups is significant(P<0.05). The sensitivity,specificity and accuracy of CA19-9 and CA125 serum levels in diagnosis of endometriosis are 43.6%,100% and 61.25%;36.3%,96.0% and 55.0%,respectively. Conclusions:Measure the levels of CA19-9 and CA125 in serum can raise the sensitivity of diagnosis for endometriosis. The predictive values of CA19-9 and CA125 seem high only to predict severe(stages Ⅲ and Ⅳ) disease.

Key words: Endometriosis, CA19-9 antigen, CA125 antigen, Diagnosis