RT Journal Article SR Electronic T1 Serum Mesothelin in Epithelial Ovarian Carcinoma: A New Screening Marker and Prognostic Factor JF Anticancer Research JO Anticancer Res FD International Institute of Anticancer Research SP 4721 OP 4728 VO 26 IS 6C A1 CHIA-YEN HUANG A1 WEN-FANG CHENG A1 CHIEN-NAN LEE A1 YI-NING SU A1 SHU-CHIN CHIEN A1 YU-LIN TZENG A1 CHANG-YAO HSIEH A1 CHI-AN CHEN YR 2006 UL http://ar.iiarjournals.org/content/26/6C/4721.abstract AB The aim of this study was to determine the relationship between mesothelin and clinical pathological characteristics and whether mesothelin can be used as a biomarker for the detection and prognosis of epithelial ovarian carcinoma, or not. Patients and Methods: Pre-operative mesothelin and CA125 levels from normal populations, patients with benign ovarian tumors and patients with ovarian carcinomas were measured. The histopathological characteristics and serum meosthelin, and CA125 levels influencing clinical outcome were evaluated comparatively. Results: Mesothelin levels were higher in cancer patients than in those with benign ovarian tumors or in normal populations. Mesothelin, also significantly increased from early to advanced stages. Elevated mesothelin before therapy and advanced stage, revealed poorer overall survival (OS) for cancer patients. Elevated mesothelin before therapy also revealed poorer OS in cancer patients with optimal debulking surgery and in advanced-stage cancer patients. Conclusion: Mesothelin might be a new tumor marker for the differential diagnosis of epithelial ovarian carcinoma and a prognostic factor for the outcome of epithelial ovarian carcinoma patients. Copyright© 2006 International Institute of Anticancer Research (Dr. John G. Delinassios), All rights reserved