Assessment of Cancer Antigen 125 in Post-HCV Chronic Liver Disease and Hepatocellular Carcinoma Patients | ||||
| Afro-Egyptian Journal of Infectious and Endemic Diseases | ||||
| Article 4, Volume 8, Issue 2, June 2018, Page 88-93 PDF (364.78 K) | ||||
| Document Type: Original Article | ||||
| DOI: 10.21608/aeji.2018.8741 | ||||
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| Authors | ||||
| Rania F El-Folly1; Heba H Ali2; Nevien F EL-Fouly3 | ||||
| 1Tropical Medicine Department, Faculty of Medicine, Ain Shams University, Cairo, Egypt | ||||
| 2Clinical Pathology Department, Faculty of Medicine, Ain Shams University, Cairo, Egypt | ||||
| 3Tropical Medicine, Department of Health Research, National Center for Radiation Research and Technology, Atomic Energy Authority, Cairo, Egypt | ||||
| Abstract | ||||
| Background and study aim: Most of the morbidity and mortality of chronic liver diseases is due to its progression and complication of cirrhosis as ascites. The cancer antigen (CA) -125 is a high molecular mass glycoprotein produced both by ovarian cancer cells as well as by normal cells derived from coelomic epithelium. This study was conducted to assess the serum and/or ascitic fluid level of CA125 in HCV cirrhotic patients (decompensated or not) with or without Hepatocellular Carcinoma (HCC). Patients and Methods: Group I: Session [CurrentTestPartID] post HCV liver cirrhosis cases; (A) 30 cases without ascites, (B) 30 cases with ascites. Group II: Session [CurrentTestPartID] HCC of post HCV liver cirrhosis cases; (C) 30 cases without ascites, (D) 30 cases with ascites. Serum and ascetic fluid level of CA-125 as well as serum AFP were assessed in all cases. Results: Serum level of CA-125 between group A&B being higher in group B (P<0.01), however between groups C&D being higher in group D (P<0.01). There was a positive correlation between serum level of CA-125 and AFP level in group A and C (P>0.05). Regarding Group B and D, there was a positive correlation between serum level of CA-125 and each of AFP level (P>0.05) and ascitic level of CA-125 (P<0.01). Concerning the ascitic level of Ca 125, being higher in group D than B (P<0.01). Only AFP had a significant diagnostic performance (P<0.01) in differentiating HCC groups from non-HCC groups. Conclusion: Elevated serum and ascetic level of CA125 in decompensated cirrhosis with or without HCC. AFP had a diagnostic performance in HCC diagnosis | ||||
| Keywords | ||||
| Hepatocellular carcinoma; Cancer Antigen 125; Post-HCV Chronic Liver Disease | ||||
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