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Table 2 Diagnostic accuracy of tumour markers in effusion

From: Evaluation of two strategies for the interpretation of tumour markers in pleural effusions

 

Single cut-offa

Ratio F/Sb

Sensitivity

NPV

Specificity

PPV

Accuracy

Sensitivity

NPV

Specificity

PPV

Accuracy

CEA

36.9

78.1

100.0

100.0

80.6

58.2

84.3

99.0

94.7

85.8

CA15-3

37.7

78.5

100.0

100.0

80.9

43,7

80.2

98.6

92.9

81.6

CA72-4

32.8

77.0

100.0

100.0

79.3

36.1

78.2

100.0

100.0

80.6

CA19-9

22.5

74.5

100.0

100.0

75.8

32.0

77.1

100.0

100.0

79.3

All TM

63.9

86.4

100.0

100.0

89.3

77.0

90.7

98.2

94.7

91.0

Effusions with ADA < 45U/L; CRP < 50 mg/L and %polymorphonuclear cells <90

CEA

41.7

76.9

100.0

100.0

80.2

63.1

84.0

100.0

100.0

87.2

CA15-3

38.8

76.3

100.0

100.0

79.4

43.7

77.8

100.0

100.0

81.5

CA72-4

34.7

74.3

100.0

100.0

77.4

38.8

76.3

100.0

100.0

79.4

CA19-9

24.8

71.6

100.0

100.0

74.1

34.0

74.8

100.0

100.0

77.7

All TM

69.9

86.8

100.0

100.0

89.9

80.6

91.0

100.0

100.0

93.4

Effusions with ADA > 45U/L; CRP > 50 mg/L and/or %polymorphonuclear cells >90

CEA

10.5

81.5

100.0

100.0

81.2

31.6

84.9

97.3

75.0

81.2

CA15-3

31.6

85.1

100.0

100.0

86.2

36.8

85.9

94.5

63.6

81.0

CA72-4

18.8

82.2

100.0

100.0

85.6

21.1

83.7

100.0

100.0

84.4

CA19-9

10.5

81.5

100.0

100.0

81.5

21.1

83.7

100.0

100.0

84.4

All TM

36.8

86.5

100.0

100.0

87.5

57.9

90.0

93.5

68.8

85.5

  1. aCEA 60 ng/mL; CA15-3 80 KU/L; CA72-4 21 KU/L; CA19-9 201 KU/L
  2. bF/S > 1.2 and at least one of these CEA > 5 μg/L, CA15-3 > 30 KU/L, CA72-4 > 6.9 KU/L and CA19-9 > 37 KU/L