Objectives: To evaluate the usefulness of CA125 levels in the differential diagnosis of adenomyosis and myoma. This has been addressed by few, if any, previous studies. Study design: Preoperative serum CA125 levels were measured in 2149 women who were diagnosed at total hysterectomy as having adenomyosis, myoma, endometriosis, and/or normal pelvis. Their medical records were retrieved and reviewed. Results: The mean serum CA125 level in the adenomyosis patients was significantly greater than that in the patients diagnosed with myoma (65.21 +/- 96.60 U/mL vs.12.86 +/- 14.23 U/mL, respectively; P < 0.001). In the differential diagnosis of adenomyosis and myoma, the cut-off serum CA125 level with the highest accuracy (78.8%) and highest diagnostic value (61.2%) was 19 U/mL. Using this cut-off value, the negative predictive value was 69.5%, and the positive predictive value was 76.5%. These results are clearly superior to those of the empirical single cut-off value of 35 U/mL. Receiver operating characteristic curve analysis revealed the area under the curve for differentiating adenomyosis from myoma was 0.776, indicating good diagnostic performance. Conclusion: In the differential diagnosis of adenomyosis and myoma, cut-off values for CA125, particularly the cut-off value of 19 U/mL, provide improved diagnostic performance. Serum CA125 testing can be performed during the initial screening of women with possible adenomyosis to differentiate this condition from myoma, although the diagnostic accuracy of using CA125 testing alone is limited. (C) 2014 Elsevier Ireland Ltd. All rights reserved.
机构:
Univ Buenos Aires, Chair Gynecol 1, Gynecol Oncol Unit, RA-1183 Buenos Aires, DF, ArgentinaUniv Buenos Aires, Chair Gynecol 1, Gynecol Oncol Unit, RA-1183 Buenos Aires, DF, Argentina
Kusnetzoff, D
Gnochi, D
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Univ Buenos Aires, Chair Gynecol 1, Gynecol Oncol Unit, RA-1183 Buenos Aires, DF, ArgentinaUniv Buenos Aires, Chair Gynecol 1, Gynecol Oncol Unit, RA-1183 Buenos Aires, DF, Argentina
Gnochi, D
Damonte, C
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Univ Buenos Aires, Chair Gynecol 1, Gynecol Oncol Unit, RA-1183 Buenos Aires, DF, ArgentinaUniv Buenos Aires, Chair Gynecol 1, Gynecol Oncol Unit, RA-1183 Buenos Aires, DF, Argentina
Damonte, C
Sananes, C
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Univ Buenos Aires, Chair Gynecol 1, Gynecol Oncol Unit, RA-1183 Buenos Aires, DF, ArgentinaUniv Buenos Aires, Chair Gynecol 1, Gynecol Oncol Unit, RA-1183 Buenos Aires, DF, Argentina
Sananes, C
Giaroli, A
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Univ Buenos Aires, Chair Gynecol 1, Gynecol Oncol Unit, RA-1183 Buenos Aires, DF, ArgentinaUniv Buenos Aires, Chair Gynecol 1, Gynecol Oncol Unit, RA-1183 Buenos Aires, DF, Argentina
Giaroli, A
Di Paola, G
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Univ Buenos Aires, Chair Gynecol 1, Gynecol Oncol Unit, RA-1183 Buenos Aires, DF, ArgentinaUniv Buenos Aires, Chair Gynecol 1, Gynecol Oncol Unit, RA-1183 Buenos Aires, DF, Argentina
Di Paola, G
Sardi, JE
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Univ Buenos Aires, Chair Gynecol 1, Gynecol Oncol Unit, RA-1183 Buenos Aires, DF, ArgentinaUniv Buenos Aires, Chair Gynecol 1, Gynecol Oncol Unit, RA-1183 Buenos Aires, DF, Argentina
机构:
Chongqing Med Univ, Coll Biomed Engn, State Key Lab Ultrasound Med & Engn, Chongqing, Peoples R China
North Sichuan Med Coll, Affiliated Nanchong Cent Hosp, Dept Obstet & Gynecol, Nanchong, Sichuan, Peoples R ChinaChongqing Med Univ, Coll Biomed Engn, State Key Lab Ultrasound Med & Engn, Chongqing, Peoples R China
Tang, Ying
Wen, Ming-Bo
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North Sichuan Med Coll, Affiliated Nanchong Cent Hosp, Dept Obstet & Gynecol, Nanchong, Sichuan, Peoples R ChinaChongqing Med Univ, Coll Biomed Engn, State Key Lab Ultrasound Med & Engn, Chongqing, Peoples R China
Wen, Ming-Bo
Xiang, Ru-Mei
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Chongqing Med Univ, Sch Publ Hlth & Management, Chongqing, Peoples R ChinaChongqing Med Univ, Coll Biomed Engn, State Key Lab Ultrasound Med & Engn, Chongqing, Peoples R China
Xiang, Ru-Mei
Yang, Ming-Tao
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North Sichuan Med Coll, Affiliated Nanchong Cent Hosp, Dept Obstet & Gynecol, Nanchong, Sichuan, Peoples R ChinaChongqing Med Univ, Coll Biomed Engn, State Key Lab Ultrasound Med & Engn, Chongqing, Peoples R China
Yang, Ming-Tao
Shu, Bin
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North Sichuan Med Coll, Affiliated Nanchong Cent Hosp, Dept Obstet & Gynecol, Nanchong, Sichuan, Peoples R ChinaChongqing Med Univ, Coll Biomed Engn, State Key Lab Ultrasound Med & Engn, Chongqing, Peoples R China
Shu, Bin
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Xu, Fan
Li, Jun
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North Sichuan Med Coll, Affiliated Nanchong Cent Hosp, Dept Obstet & Gynecol, Nanchong, Sichuan, Peoples R ChinaChongqing Med Univ, Coll Biomed Engn, State Key Lab Ultrasound Med & Engn, Chongqing, Peoples R China
Li, Jun
Hu, Hui-Quan
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North Sichuan Med Coll, Affiliated Nanchong Cent Hosp, Dept Obstet & Gynecol, Nanchong, Sichuan, Peoples R ChinaChongqing Med Univ, Coll Biomed Engn, State Key Lab Ultrasound Med & Engn, Chongqing, Peoples R China
Hu, Hui-Quan
Shi, Qiuling
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Chongqing Med Univ, Coll Biomed Engn, State Key Lab Ultrasound Med & Engn, Chongqing, Peoples R China
Chongqing Med Univ, Coll Biomed Engn, State Key Lab Ultrasound Med & Engn, 1 Med Coll Rd, Chongqing, Peoples R ChinaChongqing Med Univ, Coll Biomed Engn, State Key Lab Ultrasound Med & Engn, Chongqing, Peoples R China
机构:
Tokyo Med & Dent Univ, Dept Comprehens Reprod Med, Grad Sch, Bunkyo Ku, Tokyo 1138519, JapanTokyo Med & Dent Univ, Dept Comprehens Reprod Med, Grad Sch, Bunkyo Ku, Tokyo 1138519, Japan
Harada, T
Kubota, T
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Tokyo Med & Dent Univ, Dept Comprehens Reprod Med, Grad Sch, Bunkyo Ku, Tokyo 1138519, JapanTokyo Med & Dent Univ, Dept Comprehens Reprod Med, Grad Sch, Bunkyo Ku, Tokyo 1138519, Japan
Kubota, T
Aso, T
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Tokyo Med & Dent Univ, Dept Comprehens Reprod Med, Grad Sch, Bunkyo Ku, Tokyo 1138519, JapanTokyo Med & Dent Univ, Dept Comprehens Reprod Med, Grad Sch, Bunkyo Ku, Tokyo 1138519, Japan
机构:Uniwersytetu Med Karola Marcinkowskiego, Klin Ginekol Operacyjnej, Katedry Ginekol Poloznictawa & Onkol Ginekol, PL-60535 Poznan, Poland
Szczublewski, Piotr
Szpurek, Dariusz
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Uniwersytetu Med Karola Marcinkowskiego, Klin Ginekol Operacyjnej, Katedry Ginekol Poloznictawa & Onkol Ginekol, PL-60535 Poznan, PolandUniwersytetu Med Karola Marcinkowskiego, Klin Ginekol Operacyjnej, Katedry Ginekol Poloznictawa & Onkol Ginekol, PL-60535 Poznan, Poland
Szpurek, Dariusz
Moszynski, Rafal
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Uniwersytetu Med Karola Marcinkowskiego, Klin Ginekol Operacyjnej, Katedry Ginekol Poloznictawa & Onkol Ginekol, PL-60535 Poznan, PolandUniwersytetu Med Karola Marcinkowskiego, Klin Ginekol Operacyjnej, Katedry Ginekol Poloznictawa & Onkol Ginekol, PL-60535 Poznan, Poland
Moszynski, Rafal
Szubert, Sebastian
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Uniwersytetu Med Karola Marcinkowskiego, Klin Ginekol Operacyjnej, Katedry Ginekol Poloznictawa & Onkol Ginekol, PL-60535 Poznan, PolandUniwersytetu Med Karola Marcinkowskiego, Klin Ginekol Operacyjnej, Katedry Ginekol Poloznictawa & Onkol Ginekol, PL-60535 Poznan, Poland
Szubert, Sebastian
Sajdak, Stefan
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Uniwersytetu Med Karola Marcinkowskiego, Klin Ginekol Operacyjnej, Katedry Ginekol Poloznictawa & Onkol Ginekol, PL-60535 Poznan, PolandUniwersytetu Med Karola Marcinkowskiego, Klin Ginekol Operacyjnej, Katedry Ginekol Poloznictawa & Onkol Ginekol, PL-60535 Poznan, Poland
机构:
Ankara City Hosp, Dept Ob&Gyn, Minist Hlth, Univ Mahallesi 1604,Cadde 9, TR-06800 Ankara, TurkeyAnkara City Hosp, Dept Ob&Gyn, Minist Hlth, Univ Mahallesi 1604,Cadde 9, TR-06800 Ankara, Turkey
Yorganci, Aycag
Kadioglu, Nezaket
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Ankara Liv Hosp, Ankara, TurkeyAnkara City Hosp, Dept Ob&Gyn, Minist Hlth, Univ Mahallesi 1604,Cadde 9, TR-06800 Ankara, Turkey
Kadioglu, Nezaket
Gumgumcu, Harika
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机构:
Ankara City Hosp, Dept Ob&Gyn, Minist Hlth, Univ Mahallesi 1604,Cadde 9, TR-06800 Ankara, TurkeyAnkara City Hosp, Dept Ob&Gyn, Minist Hlth, Univ Mahallesi 1604,Cadde 9, TR-06800 Ankara, Turkey
Gumgumcu, Harika
Ozyer, Sebnem
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机构:
Ankara City Hosp, Dept Ob&Gyn, Minist Hlth, Univ Mahallesi 1604,Cadde 9, TR-06800 Ankara, TurkeyAnkara City Hosp, Dept Ob&Gyn, Minist Hlth, Univ Mahallesi 1604,Cadde 9, TR-06800 Ankara, Turkey
Ozyer, Sebnem
Engin-Ustun, Yaprak
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机构:
Etlik Zubeyde Hanim Womens Hlth Educ & Res Hosp, Ankara, TurkeyAnkara City Hosp, Dept Ob&Gyn, Minist Hlth, Univ Mahallesi 1604,Cadde 9, TR-06800 Ankara, Turkey