Serum NGAL to Clinically Distinguish Cholangiocarcinoma from Benign Biliary Tract Diseases

Aim. To determine whether the serum level of NGAL can discriminate cholangiocarcinoma from benign biliary tract disease in patients. Methods. This study was performed according to a prospective-specimen-collection, retrospective-blinded-evaluation (PRoBE) design. A total of 50 cholangiocarcinoma an...

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Main Authors: Kawin Leelawat, Siriluck Narong, Jerasak Wannaprasert, Surang Leelawat
Format: Article
Language:English
Published: Wiley 2011-01-01
Series:International Journal of Hepatology
Online Access:http://dx.doi.org/10.4061/2011/873548
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author Kawin Leelawat
Siriluck Narong
Jerasak Wannaprasert
Surang Leelawat
author_facet Kawin Leelawat
Siriluck Narong
Jerasak Wannaprasert
Surang Leelawat
author_sort Kawin Leelawat
collection DOAJ
description Aim. To determine whether the serum level of NGAL can discriminate cholangiocarcinoma from benign biliary tract disease in patients. Methods. This study was performed according to a prospective-specimen-collection, retrospective-blinded-evaluation (PRoBE) design. A total of 50 cholangiocarcinoma and 50 benign biliary tract disease cases were randomly selected from a cohort of consecutive cases of biliary tract diseases. Their sera were measured for the levels of NGAL and the widely used serum cholangiocarcinoma marker, carbohydrate antigen 19-9 (CA19-9). Results. The serum CA19-9 and NGAL levels were significantly elevated in cholangiocarcinoma patients (CA19-9: 𝑃<.001, NGAL: 𝑃<.001). The area under the curve (AUC) of a receiver operating characteristic (ROC) curve analysis for the diagnosis of cholangiocarcinoma of CA19-9 and NGAL was 0.81 and 0.79, respectively. Conclusion. The diagnostic accuracy of serum NGAL and CA19-9 makes them good candidates for use as biomarkers to discriminate cholangiocarcinoma patients from benign biliary tract disease patients.
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spelling doaj-art-73648b7b4d6a4d1eb744e0c4eee5a87d2025-02-03T01:10:16ZengWileyInternational Journal of Hepatology2090-34482090-34562011-01-01201110.4061/2011/873548873548Serum NGAL to Clinically Distinguish Cholangiocarcinoma from Benign Biliary Tract DiseasesKawin Leelawat0Siriluck Narong1Jerasak Wannaprasert2Surang Leelawat3Department of Surgery, Rajavithi Hospital, Bangkok 10400, ThailandDepartment of Surgery, Rajavithi Hospital, Bangkok 10400, ThailandDepartment of Surgery, Rajavithi Hospital, Bangkok 10400, ThailandFaculty of Pharmacy, Rangsit University, Pathumthani 12000, ThailandAim. To determine whether the serum level of NGAL can discriminate cholangiocarcinoma from benign biliary tract disease in patients. Methods. This study was performed according to a prospective-specimen-collection, retrospective-blinded-evaluation (PRoBE) design. A total of 50 cholangiocarcinoma and 50 benign biliary tract disease cases were randomly selected from a cohort of consecutive cases of biliary tract diseases. Their sera were measured for the levels of NGAL and the widely used serum cholangiocarcinoma marker, carbohydrate antigen 19-9 (CA19-9). Results. The serum CA19-9 and NGAL levels were significantly elevated in cholangiocarcinoma patients (CA19-9: 𝑃<.001, NGAL: 𝑃<.001). The area under the curve (AUC) of a receiver operating characteristic (ROC) curve analysis for the diagnosis of cholangiocarcinoma of CA19-9 and NGAL was 0.81 and 0.79, respectively. Conclusion. The diagnostic accuracy of serum NGAL and CA19-9 makes them good candidates for use as biomarkers to discriminate cholangiocarcinoma patients from benign biliary tract disease patients.http://dx.doi.org/10.4061/2011/873548
spellingShingle Kawin Leelawat
Siriluck Narong
Jerasak Wannaprasert
Surang Leelawat
Serum NGAL to Clinically Distinguish Cholangiocarcinoma from Benign Biliary Tract Diseases
International Journal of Hepatology
title Serum NGAL to Clinically Distinguish Cholangiocarcinoma from Benign Biliary Tract Diseases
title_full Serum NGAL to Clinically Distinguish Cholangiocarcinoma from Benign Biliary Tract Diseases
title_fullStr Serum NGAL to Clinically Distinguish Cholangiocarcinoma from Benign Biliary Tract Diseases
title_full_unstemmed Serum NGAL to Clinically Distinguish Cholangiocarcinoma from Benign Biliary Tract Diseases
title_short Serum NGAL to Clinically Distinguish Cholangiocarcinoma from Benign Biliary Tract Diseases
title_sort serum ngal to clinically distinguish cholangiocarcinoma from benign biliary tract diseases
url http://dx.doi.org/10.4061/2011/873548
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AT sirilucknarong serumngaltoclinicallydistinguishcholangiocarcinomafrombenignbiliarytractdiseases
AT jerasakwannaprasert serumngaltoclinicallydistinguishcholangiocarcinomafrombenignbiliarytractdiseases
AT surangleelawat serumngaltoclinicallydistinguishcholangiocarcinomafrombenignbiliarytractdiseases