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Infectious Diseases in Obstetrics and Gynecology
Volume 6 (1998), Issue 4, Pages 182-185
Clinical Utility of CA125 Levels in Predicting Laparoscopically Confirmed Salpingitis in Patients With Clinically Diagnosed Pelvic Inflammatory Disease
1Department of Obstetrics and Gynecology, Medical College of Virginia, Virginia Commonwealth University, Richmond, VA, USA
2Department of Ob/Gyn, Medical University of South Carolina, 171 Ashley Avenue, Charleston 29425, SC, USA
Received 8 April 1998; Accepted 20 August 1998
Copyright © 1998 Hindawi Publishing Corporation. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
Objective: The purpose of this study was to determine the utility of serum CA125 determinations in diagnosing acute salpingitis.
Methods: CA125 levels were determined for 34 women with the clinical diagnosis of pelvic inflammatory disease (PID). Acute salpingitis was confirmed laparoscopically in 28 women (82.3%).
Results: Twenty patients (71.4%) with laparoscopically confirmed acute salpingitis had CA125 levels greater than 7.5 units, compared with no patients (0/6) with laparoscopically normal tubes (P = 0.002). The degree of elevation of CA125 levels correlated with the severity of tubal inflammation noted at laparoscopy. All patients with levels above 16 units had laparoscopically severe salpingitis.
Conclusions: We conclude that while CA125 levels above 7.5 units may modestly improve the ability of the clinical diagnosis of PID to accurately reflect visually confirmed acute salpingitis, limitations of the test make its clinical utility questionable.