The Significance of Serum CA-125 Elevation in Chinese Patients with Primary Budd-Chiari Syndrome: A Multicenter Study

Objective. To investigate the serum level of CA-125 and its corresponding clinical significance in Chinese patients with primary BCS. Methods. Serum CA-125 was measured in 243 patients with primary BCS receiving interventional treatment in the participating hospitals and in 120 healthy volunteers. T...

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Main Authors: De-lei Cheng, Hao Xu, Wei-fu Lv, Rong Hua, Hongtao Du, Qing-qiao Zhang
Format: Article
Language:English
Published: Wiley 2015-01-01
Series:Gastroenterology Research and Practice
Online Access:http://dx.doi.org/10.1155/2015/121060
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author De-lei Cheng
Hao Xu
Wei-fu Lv
Rong Hua
Hongtao Du
Qing-qiao Zhang
author_facet De-lei Cheng
Hao Xu
Wei-fu Lv
Rong Hua
Hongtao Du
Qing-qiao Zhang
author_sort De-lei Cheng
collection DOAJ
description Objective. To investigate the serum level of CA-125 and its corresponding clinical significance in Chinese patients with primary BCS. Methods. Serum CA-125 was measured in 243 patients with primary BCS receiving interventional treatment in the participating hospitals and in 120 healthy volunteers. The correlation between serum CA-125 levels and ascites volume, liver function, and prognosis was analyzed. Results. Serum CA-125 was significantly elevated in BCS patients compared to healthy volunteers (P<0.001). Higher levels of CA-125 were found in BCS patients with abnormal hepatic function and low serum albumin levels and in patients with high volume of ascites compared to patients without these abnormalities. Serum CA-125 levels significantly correlated with ascites volume, serum level of alanine aminotransferase, aspartate aminotransferase, albumin, and Rotterdam BCS scores. The follow-up study indicated that the survival rate and asymptomatic survival rate after interventional treatment were lower in BCS patients with serum CA-125 > 175 U/mL (P<0.05). Conclusion. Serum CA-125 was significantly higher in patients with primary BCS and had a positive correlation with the volume of ascites, severity of liver damage, and poor prognosis. Thus the serum CA-125 levels may be used to estimate the severity and prognosis of BCS in Chinese patients.
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publishDate 2015-01-01
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series Gastroenterology Research and Practice
spelling doaj-art-6437c90fbfd742be9edec3f5eea7f3e32025-02-03T05:43:52ZengWileyGastroenterology Research and Practice1687-61211687-630X2015-01-01201510.1155/2015/121060121060The Significance of Serum CA-125 Elevation in Chinese Patients with Primary Budd-Chiari Syndrome: A Multicenter StudyDe-lei Cheng0Hao Xu1Wei-fu Lv2Rong Hua3Hongtao Du4Qing-qiao Zhang5Department of Interventional Radiology, Anhui Provincial Hospital, Hefei, Anhui 230001, ChinaDepartment of Interventional Radiology, Affiliated Hospital of Xuzhou Medical College, 99 West Huaihai Road, Xuzhou, Jiangsu 221002, ChinaDepartment of Interventional Radiology, Anhui Provincial Hospital, Hefei, Anhui 230001, ChinaDepartment of Radiology, Xuzhou Central Hospital, Xuzhou, Jiangsu 221002, ChinaDepartment of Radiology, Xuzhou Central Hospital, Xuzhou, Jiangsu 221002, ChinaDepartment of Interventional Radiology, Affiliated Hospital of Xuzhou Medical College, 99 West Huaihai Road, Xuzhou, Jiangsu 221002, ChinaObjective. To investigate the serum level of CA-125 and its corresponding clinical significance in Chinese patients with primary BCS. Methods. Serum CA-125 was measured in 243 patients with primary BCS receiving interventional treatment in the participating hospitals and in 120 healthy volunteers. The correlation between serum CA-125 levels and ascites volume, liver function, and prognosis was analyzed. Results. Serum CA-125 was significantly elevated in BCS patients compared to healthy volunteers (P<0.001). Higher levels of CA-125 were found in BCS patients with abnormal hepatic function and low serum albumin levels and in patients with high volume of ascites compared to patients without these abnormalities. Serum CA-125 levels significantly correlated with ascites volume, serum level of alanine aminotransferase, aspartate aminotransferase, albumin, and Rotterdam BCS scores. The follow-up study indicated that the survival rate and asymptomatic survival rate after interventional treatment were lower in BCS patients with serum CA-125 > 175 U/mL (P<0.05). Conclusion. Serum CA-125 was significantly higher in patients with primary BCS and had a positive correlation with the volume of ascites, severity of liver damage, and poor prognosis. Thus the serum CA-125 levels may be used to estimate the severity and prognosis of BCS in Chinese patients.http://dx.doi.org/10.1155/2015/121060
spellingShingle De-lei Cheng
Hao Xu
Wei-fu Lv
Rong Hua
Hongtao Du
Qing-qiao Zhang
The Significance of Serum CA-125 Elevation in Chinese Patients with Primary Budd-Chiari Syndrome: A Multicenter Study
Gastroenterology Research and Practice
title The Significance of Serum CA-125 Elevation in Chinese Patients with Primary Budd-Chiari Syndrome: A Multicenter Study
title_full The Significance of Serum CA-125 Elevation in Chinese Patients with Primary Budd-Chiari Syndrome: A Multicenter Study
title_fullStr The Significance of Serum CA-125 Elevation in Chinese Patients with Primary Budd-Chiari Syndrome: A Multicenter Study
title_full_unstemmed The Significance of Serum CA-125 Elevation in Chinese Patients with Primary Budd-Chiari Syndrome: A Multicenter Study
title_short The Significance of Serum CA-125 Elevation in Chinese Patients with Primary Budd-Chiari Syndrome: A Multicenter Study
title_sort significance of serum ca 125 elevation in chinese patients with primary budd chiari syndrome a multicenter study
url http://dx.doi.org/10.1155/2015/121060
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