Advertisement
Regular Article| Volume 95, ISSUE 8, P666-669, August 2001

The value of Ca 125 in the evaluation of tuberculosis activity

      This paper is only available as a PDF. To read, Please Download here.

      Abstract

      The aim of the present study was to investigate the value of Ca 125, a tumour marker, in evaluation of pulmonary tuber culosis activity. This study included 96 subjects who were divided into three groups. Group I consisted of 40 patients with active pulmonary tuberculosis. Group 2 included 20 patients with inactive pulmonary tuberculosis. There were 36 healthy subjects in group 3. While measurement of serum Ca 125 level was performed only once in groups 2 and 3, Ca 125 levels were measured five times in group 1. The measurements were performed before the treatment, at the second, fourth and sixth months and the third year following the end of the treatment. Mean±Math Eq serum Ca 125 concentrations were 109·7±86·9 U ml−1in group 1, 14·5±7·8 U ml−1in group 2 and 10·5±7·3 U ml−1in group 3. Serum Ca 125 levels were significantly higher in group 1 than in the other groups (P<0·0001), but there was no significant statistical difference between the values of groups 2 and 3 (P>0·05). Ca 125 levels in group 1 showed a significant decrease after treatment (P<0·0001). For estimation of the activity of tuberculosis, the sensitivity and specificity of Ca 125 were found 97·5% and 100%, respectively, at a 31 U ml−1cut-off point. Our results suggest that Ca 125 is beneficial in the determination of tuberculosis activity and in differentiation between active and inactive pulmonary tuberculosis.

      Keywords

      References

      REFERENCES

      1. Am Rev Respir Dis. 1990; 142: 725-735
        • Ameglio F
        • Giannarelli D
        • Cordiali-Fei P
        Use of discriminant analysis to assess disease activity in pulmonary tuberculosis with a panel of specific and nonspecific serum markers.
        Am J Clin Pathol. 1994; 101: 719-725
        • Saltini C
        • Colizzi V
        Soluble immunological markers of disease activity in tuberculosis.
        Eur Respir J. 1999; 14: 485-486
        • Hosp M
        • Elliott AM
        • Raynes JG
        Neopterin, beta-2 microglobulin and acute phase proteins in HIV-1-serpositive and seronegative Zambian patients with tuberculosis.
        Lung. 1997; 175: 265-275
        • Aoki Y
        • Katoh O
        • Nakanishi Y
        • Kuroki S
        • Yamada H
        Comparison study of IFN- γ, ADA, and Ca 125 as the diagnostic parameters in tuberculosis pleuritis.
        Respir Med. 1994; 88: 139-143
        • Taha RA
        • Kotsimbos TC
        • Song YL
        • Menzies D
        • Hamid O
        IFN- γ and IL-12 are increased in active compared with inactive tuberculosis.
        Am J Crit Care Med. 1997; 155: 1135-1139
        • Verbon A
        • Juffermans N
        • Van Deventer SJ
        • Speelman P
        • Van Deutekom H
        • Van Der PT
        Serum concentrations of cytokines in patients with active tuberculosis.
        Clin Exp Immunol. 1999; 115: 110-113
        • Juffermans NP
        • Verbon A
        • van Deventer SJ
        • Van Deutekom H
        • Speelman P
        • Van Der PT
        Tumor necrosis factor and interleukin-1 inhibitors as markers of disease activity of tuberculosis.
        Am J Respir Crit Care Med. 1998; 157: 1328-1331
        • Hunter VJ
        • Weinberg JB
        • Haney AF
        Ca 125 levels in peritoneal fluid and serum from patients with benign gynecologic conditions and ovarian cancer.
        Gynecol Oncol. 1990; 30: 161-165
        • Diez M
        • Cerdan FJ
        • Ortega MD
        • Torres A
        • Picardo A
        • Balibrea JL
        Evaluation of serum Ca 125 as a tumor marker in non-small cell lung cancer.
        Cancer. 1991; 67: 150-154
        • Buamah P
        Benign conditions associated with raised serum CA-125 concentration.
        J Surg Oncol. 2000; 75: 264-265
        • Yoshimura T
        • Okamura H
        Peritoneal tuberculosis with elevated serum CA 125 levels: a case report.
        Gynecol Oncol. 1987; 28: 342-344
        • Candocia SA
        • Locker GY
        Elevated serum Ca 125 secondary to tuberculous peritonitis.
        Cancer. 1993; 72: 2016-2018
        • Simsek H
        • Savas MC
        • Kadayifci A
        • Tatar G
        Elevated serum CA 125 concentration in patients with tuberculous peritonitis: a case-control study.
        Am J Gastroenterol. 1997; 92: 1174-1176
        • O'Riordian DK
        • Deery A
        • Dorman A
        • Epstein OE
        Increased Ca 125 in a patient with tuberculous peritonitis: case report and review of published works.
        Gut. 1995; 36: 303-305
        • de Paz FN
        • Fernandez BH
        • Simon RP
        Pelvic-peritoneal tuberculosis simulating ovarian carcinoma: report of three cases with elevation of the Ca 125.
        AJG. 1996; 91: 1660-1661
        • Gurgan T
        • Zeyneloglu H
        • Urman B
        • Develioglu O
        • Yaraly A
        Pelvic-peritoneal tuberculosis with elevated serum and peritoneal fluid CA 125 levels: a report of two cases.
        Gynecol Obstet Invest. 1993; 35: 60-61
        • Balian A
        • de Pinieux I
        • Belloula D
        Abdominal tuberculosis: deceptive and still encountered.
        Presse Med. 2000; 29: 994-996
        • Miranda P
        • Jacops AJ
        • Roseff L
        Pelvic tuberculosis presenting as an asymptomatic pelvic mass with rising serum CA-125 levels. A case report.
        J Reprod Med. 1996; 41: 273-275
        • Hirose T
        • Ohta S
        • Sato I
        Tuberculous pleura-peritonitis showing increased levels of Ca 125.
        Nihon Kyobu Shikkon Gakkai Zasshi. 1997; 35: 196-200
        • Matsuako Y
        • Nakashima T
        • Endo K
        Recognition of ovarian cancer antigen Ca 125 by murine monoclonal antibody produced by immunization of lung cancer cells.
        Cancer Res. 1987; 47: 6335-6340
        • Ronay G
        • Jager W
        • Tulusan AH
        Immunohistochemical and serologic detection of Ca 125 in patients with peritoneal tuberculosis and ascites.
        Geburtshilfe Frauenheilkd. 1989; 49: 61-63
        • Daoud E
        • Bodor G
        Ca 125 concentrations in malignant and nonmalignant disease.
        Clin Chem. 1991; 37: 1968-1974
        • Jacobs EL
        • Haskell CM
        Clinical use of tumor markers in oncology.
        Curr Problems Cancer. 1991; 6: 301-338