I. Phocas et al., TUMOR-ASSOCIATED ANTIGENS, CEA, CA-125 AND SCC IN SERUM AND FOLLICULAR-FLUID OF STIMULATED AND UNSTIMULATED CYCLES, European journal of obstetrics, gynecology, and reproductive biology, 54(2), 1994, pp. 131-136
Serum and follicular fluid levels of CEA, CA 125 and SCC of women part
icipating in an IVF program, in 42 cycles stimulated with GnRH-a and g
onadotropins and in 26 unstimulated cycles triggered with HCG, were ev
aluated and compared with (a) steroid and gonadotropin levels, (b) the
results of IVF, and (c) serum values in a control group of women with
spontaneous normal ovulatory cycles. In the control group, serum anti
gens did not vary significantly during the 3 phases of the cycle. In s
timulated cycles the median values in serum were 0.7 ng/ml (range, 0.0
-2.1) for CEA, 14.0 U/ml (3.3-32.4) for CA 125 and 2.05 ng/ml (1.1-17.
8) for SCC, whereas the median values in follicular fluid were 0.6 (0.
0-27.9), 21.5 (0-670) and 21.4 (1-360), respectively. In unstimulated
cycles the median values and ranges in serum were 0.9 (0.4-3.9), 12.1
(4.8-63.4) and 1.85 (0.7-4.4), respectively, whereas in follicular flu
id they were 2.9 (0.4-180.7), 32 (1.7-600) and 231 (10.8-904). Differe
nt follicles of the same patients in stimulated cycles showed a wide d
ivergence for all three antigens. In unstimulated cycles all three ant
igens in follicular fluid were strongly correlated and a significant i
nverse correlation was observed between LH and both CA 125 and SCC in
serum. In either group of cycles, no significant relationship was foun
d between any serum or follicular fluid antigen and estradiol or testo
sterone, pregnancy rate, or oocyte quality and fertilization. Thus, in
both stimulated and unstimulated cycles follicular fluid contains CEA
, CA 125 and SCC in considerable amounts while in serum only SCC was f
ound elevated. It seems that no correlation exists between any of the
three antigens and steroidogenesis or the results of the IVF-ET.