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Table 3 Diagnostic accuracy of tumour markers in patients with negative cytology

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

32.9

85.4

100.0

100.0

86.3

48.6

88.5

99.0

94.4

89.1

CA15-3

24.3

83.9

100.0

100.0

84.7

30.0

84.9

98.6

84.0

84.8

CA72-4

25.0

84.0

100.0

100.0

83.5

28.6

84.8

100.0

100.0

85.1

CA19-9

20.3

82.8

100.0

100.0

84.8

25.7

84.2

100.0

100.0

85.7

All TM

51.4

89.1

100.0

100.0

90.3

71.4

93.2

98.2

90.9

92.8

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

CEA

40.0

85.8

100.0

100.0

87.1

58.2

89.8

100.0

100.0

91.1

CA15-3

21.8

82.5

100.0

100.0

83.3

27.3

83,5

100.0

100.0

84.5

CA72-4

27.3

82.9

100.0

100.0

83.3

30.9

84.2

100.0

100.0

84.4

CA19-9

24.1

82.4

100.0

100.0

83.9

27.3

83.5

100.0

100.0

85.3

All TM

54.5

89.0

100.0

100.0

90.3

72.7

93.1

100.0

100.0

94.2

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

CEA

10.5

81.5

100.0

100.0

84.3

13.3

85.1

97.4

50.0

83.5

CA15-3

31.6

85.1

100.0

100.0

88.8

40.0

88.9

94.7

60.0

85.7

CA72-4

18.8

82.2

100.0

100.0

83.9

20.0

86.4

100.0

100.0

86.8

CA19-9

10.5

81.5

100.0

100.0

87.2

20.0

86.4

100.0

100.0

86.8

All TM

40.0

86.5

100.0

100.0

90.1

66.7

93.4

93.4

66.7

89.0

  1. aCEA 60 μg/L; CA15-3 80 KU/L; CA72-421 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;