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Serum levels of tumor-associated trypsin inhibitor (TATI) in benign and malignant gynecological diseases.

The behavior of tumor-associated trypsin inhibitor (TATI) as a marker for gynecological cancer was studied in a control population and in patients with different benign and malignant diseases. When a cut-off level of 21.4 micrograms/l was used the specificity was 100% in patients with benign diseases. The sensitivity in patients with malignant tumors was low for cervical and corpus cancer, 13% and 14%, respectively, whereas it was 33% in all the ovarian malignant tumors, reaching 60% in the mucinous type. There was a clear correlation between TATI level and stage.

Adolescent↗

CA 125 in the serum and tissue of patients with gynecological disease.

Serum levels of CA 125 were determined in 239 patients suffering from gynecological malignancies. The upper limit for normal was 35 U/ml. Raised levels were found in 82% of patients with primary ovarian carcinoma, and in 29% of those with benign ovarian tumors. The values from patients with ovarian carcinomas in partial or complete remission were compared with those from patients with progressive disease. The former group had elevated levels in 19% compared to 89% in the latter group. Fifty-four percent of the values in progressive cervical carcinoma and 41% of the levels in progressive endometrial carcinoma were greater than 35 U/ml. High CA 125 levels were found in the cytosol of placenta, ovarian carcinoma, cervical carcinoma, and in ascitic fluid; correlation with serum levels was satisfactory. Even though CA 125 is of limited specificity for ovarian cancer, serum levels are important for follow up care and for the early detection of recurrences.

Antigens, Neoplasm↗

[Use of computers in the roentgenological diagnosis of gynecologic diseases].

The authors analyze the use of computers in x-ray examinations of gynecologic patients. X-ray signs of infertility, endometritis, tuberculosis, myoma, malignant tumors, etc. were formalized. A total of 131 patients were examined and a council of physicians for these cases was computer-simulated. Variants of computer-processed x-ray diagnoses are presented, their informativeness indexes ranging from 0 to 100%. Programmed processing may be realized via SM-4, SM-1420, IZOT-1016C, Electronika 100-25 computers. The FORTRAN program language was employed to make up the programs.

Diagnosis, Computer-Assisted↗