Abstract

Ovarian cancer, generally treated with combination first line chemotherapy after cytoreduction surgery [1], has the highest mortality of all invasive cancers of the female reproductive system. CA 125 serum concentration is usually adopted to evaluate the clinical situation in ovarian cancer patients [2]. An approach to rapid evaluation of clinical response and monitoring, instead of using the coarse CA 125 serum concentration, is the determination of tumor marker kinetic parameters, associated with changes in its concentrations, such as half-life (t1/2) and doubling time (DT) [3]. The rate of decline in CA 125 during primary chemotherapy has been an important independent prognostic factor in several multivariate analyses [2]. Several studies report the greatest difference in progression rate, found at a t1/2 of 20

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