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Journal Publication
Title of Article Serum YKL-40 as a diagnostic biomarker for cervical squamous cell carcinoma 
Date of Acceptance 8 November 2018 
Journal
     Title of Journal The Clinical Academia 
     Standard OTHER (ASEAN Citation Index (ACI)) 
     Institute of Journal Medical Advancement Foundation Khon Kaen Hospital, Muang, Khon Kaen 
     ISBN/ISSN  
     Volume Volume 42  
     Issue Issue 6 
     Month November-December 2018
     Year of Publication 2018 
     Page  
     Abstract Abstarct AIMS To assess the diagnostic properties of serum YKL-40 for diagnosis of cervical squamous cell carcinomas (SCC) METHODS Blood samples were collected from 56 patients who attended the Obstetrics and Gynecology Clinic at Khon Kaen Hospital in Thailand. YKL-40 levels in serum were detected by enzyme-linked immunosorbent (ELISA) assay in healthy women donors (n=40) and SCC patients (n=56). RESULTS Serum YKL-40 was used significantly high in SCC (median: 63.5 ng/ml; range: 23-309 ng/ml) when compared to healthy controls (median: 20.8 ng/ml; range: 3-97 ng/ml). Assessment of serum YKL-40 as a diagnostic marker for SCC using Receiver Operator Characteristic (ROC) curve revealed area under the curve (AUC) of 0.958 (95% confident interval (CI) = 0.916-0.999), the sensitivity of 94.6% and the specificity of 85% with cut-off value of 30.5 ng/ml. The results proved that there isn’t any significant association of low and high serum YKL-40 level with overall survival time in SCC patients who were observed. As a result, patients with high serum YKL-40 level tended to have poor prognosis compared to those with low serum YKL-40. CONCLUSION The study indicates that serum YKL-40 can be used as a diagnostic marker for SCC with high sensitivity and specificity.  
     Keyword Cervical cancer, YKL-40, ELISA 
Author
575090015-0 Mrs. ์NETCHANOK MOOLMANEE [Main Author]
Associated Medical Sciences Master's Degree

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