PMID- 33660848 OWN - NLM STAT- MEDLINE DCOM- 20211103 LR - 20211103 IS - 1879-3479 (Electronic) IS - 0020-7292 (Linking) VI - 155 IP - 3 DP - 2021 Dec TI - Comparison of preoperative serum neopterin, periostin, indoleamine 2,3-dioxygenase, YKL-40, and tenascin-C levels with current tumor markers for early-stage endometrial cancer. PG - 417-424 LID - 10.1002/ijgo.13666 [doi] AB - OBJECTIVE: To compare the predictive value of serum levels of neopterin, periostin, YKL-40, tenascin-C (TNC), and indoleamine 2,3-dioxygenase (IDO) with current tumor markers for the primary diagnosis of early-stage endometrial cancer. METHODS: A prospective cross-sectional study was conducted between January 2020 and November 2020. A total of 59 patients (38 women newly diagnosed with early-stage endometrial cancer [study group] and 21 women with benign endometrial pathologies [control group]) were enrolled. Blood samples were collected prior to surgery and underwent immunoassay analysis. RESULTS: Carcinoembryonic antigen (CEA), periostin, and IDO levels were significantly higher in the study group than the control group (P = 0.008, P = 0.034, and P = 0.003, respectively). Receiver operating characteristic curve analysis revealed that IDO, periostin, and CEA were good predictors of early-stage endometrial cancer (AUC = 0.733, 95% CI, 0.602-0.840, P < 0.002; AUC = 0.668, 95% CI, 0.533-0.785, P = 0.018; and AUC = 0.709, 95% CI, 0.576-0.820, P = 0.002, respectively). Correlation analysis revealed no significant correlation of any biomarker with age or body mass index in either the control or study group. CONCLUSION: Serum CEA, periostin, and IDO levels were significantly higher in women with endometrial cancer than in those without cancer. These results may help identify new markers for diagnosing endometrial cancer. CI - (c) 2021 International Federation of Gynecology and Obstetrics. FAU - Unuvar, Songul AU - Unuvar S AD - Department of Pharmaceutical Toxicology, Faculty of Pharmacy, University of Inonu, Malatya, Turkey. FAU - Melekoglu, Rauf AU - Melekoglu R AUID- ORCID: 0000-0001-7113-6691 AD - Department of Obstetrics and Gynecology, Faculty of Medicine, University of Inonu, Malatya, Turkey. FAU - Turkmen, Nese B AU - Turkmen NB AD - Department of Pharmaceutical Toxicology, Faculty of Pharmacy, University of Inonu, Malatya, Turkey. FAU - Yilmaz, Ercan AU - Yilmaz E AD - Department of Obstetrics and Gynecology, Faculty of Medicine, University of Inonu, Malatya, Turkey. FAU - Yasar, Seyma AU - Yasar S AD - Department of Biostatistics and Medical Informatics, Faculty of Medicine, University of Inonu, Malatya, Turkey. FAU - Yuce, Hande AU - Yuce H AD - Department of Pharmaceutical Toxicology, Faculty of Pharmacy, University of Inonu, Malatya, Turkey. LA - eng PT - Journal Article DEP - 20210324 PL - United States TA - Int J Gynaecol Obstet JT - International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics JID - 0210174 RN - 0 (Biomarkers, Tumor) RN - 0 (Chitinase-3-Like Protein 1) RN - 0 (Indoleamine-Pyrrole 2,3,-Dioxygenase) RN - 0 (Tenascin) RN - 670-65-5 (Neopterin) SB - IM MH - Biomarkers, Tumor MH - Chitinase-3-Like Protein 1 MH - Cross-Sectional Studies MH - *Endometrial Neoplasms/diagnosis MH - Female MH - Humans MH - *Indoleamine-Pyrrole 2,3,-Dioxygenase MH - Neopterin MH - Prospective Studies MH - Tenascin OTO - NOTNLM OT - YKL-40 OT - endometrial cancer OT - indoleamine 2,3-dioxygenase OT - neopterin OT - periostin OT - tenascin-C OT - tumor biomarkers EDAT- 2021/03/05 06:00 MHDA- 2021/11/04 06:00 CRDT- 2021/03/04 08:40 PHST- 2021/02/16 00:00 [revised] PHST- 2020/12/30 00:00 [received] PHST- 2021/03/03 00:00 [accepted] PHST- 2021/03/05 06:00 [pubmed] PHST- 2021/11/04 06:00 [medline] PHST- 2021/03/04 08:40 [entrez] AID - 10.1002/ijgo.13666 [doi] PST - ppublish SO - Int J Gynaecol Obstet. 2021 Dec;155(3):417-424. doi: 10.1002/ijgo.13666. Epub 2021 Mar 24.