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. 2014 Sep 8;2014(9):CD006119. doi: 10.1002/14651858.CD006119.pub3
Tumour marker Paper Summary
IGF‐1 Bese Add paper No correlation with disease
CA125 + b2m Hernádi 1992 b2m has low specificity for detection of ovarian cancer. CA125 performs better
CA72.4 Fayed 1998 Added to CA125 it improves sensitivity and specificity for detecting recurrence, especially in mucinous tumours
CEA Khoo 1974
Khoo 1979
Lenehan 1986
Persistently low levels are consistent with a good prognosis
Serial samples were useful in predicting relapse in a small number of women; clinical role is limited to a small subset of patients
CA72.4, CA19.9 Fioretti 1992 Useful for detecting recurrence in patients with normal CA125 at diagnosis
PLAP‐A, PLAP‐C Fisken 1989 No correlation with disease
Anti‐p53 Gadducci 1995 Not clinically useful
CYFRA 21‐1 Gadducci 1998  
D‐dimer Gadducci 2001  
Urinary neopterine Hetzel 1983  
TPA Inoue 1985 Lacks tumour specificity
SLX Iwanari 1989 May be of benefit in combination with CA125
CA125 + CA15.3 + CA72.4 + SCC + 90K Garzetti 1991 Includes all gynaecological malignancies. CA125 plus 90K identified 86% of recurrences
CA125 + CEA + ferritin + TPA Lahousen 1987 If normal can avoid second look laparotomy
CA125 + CASA Oehler 1999 CASA less sensitive than CA125, CASA may be useful when CA125 inconclusive
Sialyl Le(x)‐i Kobayashi 1989 Upto 96% showed rise in levels with tumour progression
OPN Schorge 2004 Inferior to CA125 in determining response to treatment, but showed an earlier rise in recurrent disease
CA125 + TPS Sliutz 1995 Improved detection of recurrence when compared to CA125 alone
IAP Shimizu 1986 May have a role in early detection of recurrence
TPS Tempfer 1998
Zakrzewska 2000
TPS is useful, but cannot replace CA125
TPS may rise before CA125 rises in women with recurrence