Cyst fluid iron-related compounds as useful markers to distinguish malignant transformation from benign endometriotic cysts.

• Material Type: 博士論文
• Title: Cyst fluid iron-related compounds as useful markers to distinguish malignant transformation from benign endometriotic cysts.
• Author/Editor: Yoshimoto, Chiharu; Iwabuchi, Takuya; Shigetomi, Hiroshi; Kobayashi, Hiroshi
• Author Heading: Yoshimoto, Chiharu; Iwabuchi, Takuya; Shigetomi, Hiroshi; Kobayashi, Hiroshi
• Publication, Distribution, etc.: IOS Press
• Publication Date: 2015-06-02
• Publication Date (W3CDTF): 2015-06-02
• Alternative Title: 良性の子宮内膜症性嚢胞と悪性転化を鑑別するのに腫瘍内容液中の鉄関連物質が有用なマーカーとなる
• Periodical title: Cancer biomarkers
• No. or year of volume/issue: 15 4
• Volume: 15
• Issue: 4
• Pages: 493-499
• ISSN (Periodical Title): ISSN : 1574-0153
• Degree grantor/type: 奈良県立医科大学
• Date Granted: 2015-11-27
• Dissertation Number: 乙第1367号
• Degree Type: 博士（医学）
• Text Language Code: eng
• Subject Heading: Endometriosis; malignant transformation; iron; cyst fluid
• Target Audience: 一般
• Note (General): type:Thesis; OBJECTIVE: The purpose of this study was to investigate cyst fluid levels of total iron, heme iron and free iron in benign endometriotic cysts and endometriosis-associated ovarian cancer (EAOC) and to demonstrate the significance of these biomarkers in differential diagnosis between EAOC and endometriotic cysts. METHODS: Cyst fluid samples were obtained from eleven patients with EAOC and thirty-six women with benign endometriotic cysts at the time of surgery. RESULTS: The median (± SD) total iron levels for endometriotic cysts and EAOC cysts were 244.4 ± 204.9 mg/L and 14.2 ± 36.6 mg/L, respectively. EAOC patients had much lower levels of iron-related compounds compared with endometriotic cyst samples (p< 0.001). When the total iron results were analyzed using the receiver operating characteristics (ROC) curve method, the optimum diagnostic cut-off point was 64.8 mg/L, sensitivity was 90.9%, specificity was 100%, positive predictive value (PPV) was 100%, and negative predictive value (NPV) was 97.3%. Patient demographic characteristics such as tumor size, age at operation, parity and menopause were not correlated with cyst fluid iron levels. CONCLUSIONS: We conclude for the first time that iron-related compounds are important biomarkers that can predict malignant transformation with high sensitivity and specificity for women with endometriosis.; 博士（医学）・乙第1367号・平成27年11月27日; Copyright ©2015 IOS Press All rights reserved.; The definitive version is available at " http://dx.doi.org/10.3233/CBM-150484 "; identifier:Cancer biomarkers Vol.15 No.4 p.493-499 (2015.06); identifier:15740153; identifier:http://ginmu.naramed-u.ac.jp/dspace/handle/10564/3105; identifier:Cancer biomarkers, 15(4): 493-499
• Access Restrictions: インターネット公開
• Related Material (DOI): 10.3233/CBM-150484
• Data Provider (Database): 国立情報学研究所 : 学術機関リポジトリデータベース（IRDB）（機関リポジトリ）; https://irdb.nii.ac.jp
• Original Data Provider (Database): 奈良県立医科大学 : 奈良県立医科大学機関リポジトリ GINMU

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http://ginmu.naramed-u.ac.jp/dspace/bitstream/10564/3105/1/01_%e4%b9%991367%e6%9c%ac%e6%96%87%e3%81%ae%e8%a6%81%e6%97%a8.pdf fulltext

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