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 |