Research Article

Serum Tumour Markers in Testicular Germ Cell Tumours: Frequencies of Elevated Levels and Extents of Marker Elevation Are Significantly Associated with Clinical Parameters and with Response to Treatment

Table 7

Frequencies of elevated marker levels in CS1 patients in relation to treatment.

SeminomaNonseminoma
bHCG elevatedLDH elevatedbHCG elevatedAFP elevatedLDH elevated
nn (%)n (%)nn (%)n (%)n (%)
95% CI [%]95% CI [%]95% CI [%]95% CI [%]95% CI [%]

Before orchiectomy20149 (24.4%)46 (22.9%)8037 (46.3%)50 (62.5%)18 (22.5%)
18.7 - 31.017.4 - 29.435.2 - 57.750.9 - 72.914.2 - 33.5
postoperatively20115 (7.5%)33 (16.4%)8015 (18.8%)39 (48.8%)6 (7.5%)
4.4 - 12.211.7 - 22.411.2 - 29.437.5 - 60.13.1 - 16.2
 p-<.00010.0280<.00010.00090.0027
At completion of adjuvant therapy2012 (1.0%)22 (10.9%)801 (1.3%)1 (1.3%)10 (12.5%)
0.2 - 3.97.1 - 16.30.1 - 7.70.1 - 7.76.5 - 22.2
 p-<.00010.0004<.0001<.00010.0736

aMcNemar Test for comparisons of expression rates with rate before orchiectomy.