Open Access
Review

Oncology biomarkers for gynecologic malignancies

Janos L. Tanyi1,Nathalie Scholler2,*
1
Division of Gynecologic Oncology, University of Pennsylvania Health System
2
Department of Obstetrics and Gynecology, Center for Research on Reproduction and Women’s Health, Penn Ovarian Cancer Research Center, University of Pennsylvania School of Medicine, Philadelphia, PA
DOI: 10.2741/444 Volume 4 Issue 3, pp.1097-1110
Published: 01 January 2012
(This article belongs to the Special Issue Advances in gynecologic malignancies)
*Corresponding Author(s):  
Nathalie Scholler
E-mail:  
naths@mail.med.upenn.edu
Abstract

Current therapies efficiently treat most patients with gynecologic malignancies detected at an early stage. Thus, the identification of oncology biomarkers for screening and monitoring of occult tumors has been highly prioritized. Hyperglycosylated human chorionic gonadotropin (hCG) epitomizes oncologic biomarker, as the serum level of this hormone is elevated in virtually all cases of gestational trophoblastic diseases. On the other hand, despite the availability of various markers such as CA125, CA19.9, CA15.3, CA72-4, Inhibin, beta-hCG, AFP, CEA and many more biomarkers under investigation, fewer than 25% of all ovarian cancers are currently detected in stage I. Large efforts have been undertaken to further identify composite markers for gynecologic malignancies that may exhibit greater specificity when studied over time, as well as to develop risk models and screening algorithms aimed at improving the specificity and sensitivity of diagnostic tests. In this review, we provide a comprehensive analysis of the biomarkers currently used in clinics for gynecologic malignancies, as well as an outlook of the most promising oncologic biomarkers currently under study.

Key words

Oncology Biomarkers, Gynecologic Malignancies, Early Detection, Disease Monitoring, CA125, hCG, HE4, Mesothelin, KLK, CEA, Review

Share and Cite
Janos L. Tanyi, Nathalie Scholler. Oncology biomarkers for gynecologic malignancies. Frontiers in Bioscience-Elite. 2012. 4(3); 1097-1110.