The role of CA-125, GLS and FASN in predicting cytoreduction for epithelial ovarian cancers

BMC Res Notes. 2020 Jul 22;13(1):346. doi: 10.1186/s13104-020-05188-x.

Abstract

Objective: Cytoreduction has an important role in improving the survival rate of epithelial ovarian cancer (EOC) patients. This study aimed to assess the ability of preoperative serum CA125, FASN and GLS as predictors of cytoreductive surgery for epithelial ovarian cancer (EOC).

Results: The average values of serum CA-125, FASN, and GLS in the suboptimal cytoreduction group were higher than those in optimal cytoreduction group. The cut off point (COP) was 248.55 (p = 0.0001) with 73.2% sensitivity and 73.6% specificity for CA-125, 0.445 (p = 0.017) with 62.5% sensitivity and 60.4% specificity for FASN, and 22.895 (p = 0.0001) with 73.2% sensitivity and 75.5% specificity for GLS. The COP of CA-125 and GLS combined was 29.16 (p = 0.0001) with sensitivity 82.1% and specificity 73.6%, while the COP of CA-125, GLS, and FASN combined was 0.83 (p = 0.0001) with 87.5% sensitivity and 73.6% specificity.

Keywords: CA-125; Cytoreductive surgery; Epithelial ovarian cancer; FASN; GLS.

MeSH terms

  • CA-125 Antigen
  • Carcinoma, Ovarian Epithelial / surgery
  • Cytoreduction Surgical Procedures
  • Fatty Acid Synthase, Type I
  • Female
  • Glutaminase
  • Humans
  • Membrane Proteins
  • Neoplasm Staging
  • Neoplasms, Glandular and Epithelial* / surgery
  • Ovarian Neoplasms* / pathology
  • Ovarian Neoplasms* / surgery

Substances

  • CA-125 Antigen
  • MUC16 protein, human
  • Membrane Proteins
  • FASN protein, human
  • Fatty Acid Synthase, Type I
  • GLS protein, human
  • Glutaminase