Table 5. Receiver operating characteristic curve analyses showing the utility of alone or combined markers for differentiating of benign breast disease and breast cancer.
Tumor marker | SEN | FNR | SPE | FPR | PPV | NPV | AUC |
---|---|---|---|---|---|---|---|
CEA (ng/ml) | 58 | 42 | 72.2 | 27.8 | 69 | 61.6 | 0.680 (0.631-0.727) |
CA15-3 (U/ml) | 86.5 | 13.5 | 67.4 | 32.6 | 73.9 | 82.4 | 0.810 (0.768-0.848) |
MPV (fL) | 76.5 | 23.5 | 59.9 | 40.1 | 67.1 | 70.4 | 0.688 (0.640-0.734) |
PDW (%) | 94.5 | 5.5 | 49.7 | 50.3 | 66.8 | 89.4 | 0.789 (0.744-0.828) |
Fbg (g/l) | 48 | 52 | 84.5 | 15.5 | 76.8 | 60.3 | 0.687 (0.638-0.733) |
CA15-3+MPV+Fbg | 82 | 18 | 74.3 | 25.7 | 77.4 | 79.4 | 0.837 (0.796-0.872) |
CA15-3+PDW+Fbg | 82.5 | 17.5 | 82.9 | 17.1 | 83.8 | 81.6 | 0.900 (0.866-0.928) |
SEN, sensitivity; FNR, false negative rate; SPE, specificity; FPR, false positive rate; PPV, positive predictive value; NPV, negative predictive value; AUC, area under curve; CEA, carcinoembryonic antigen; CA15-3, cancer antigen 15-3; MPV, mean platelet volume; PDW, platelet distribution width; Fbg, fibrinogen. The cutoff values of CEA, CA15-3, fibrinogen, MPV and PDW were 1.17 ng/ml, 5.77 U/ml, 2.79 g/l, 9.6 fL, and 15.7 %, respectively.