Evidence map›Paper›PMID 40615194›Full record

ArticleJACC. Case reports2025

Carbohydrate Antigen-125: Endometrial Cancer or Heart Failure Biomarker?

Vijay U Rao, Thomas Fretz, Tina Ayeni, Kerry Skurka, Meghana Raghavendra, Ankur Kalra

Abstract readCase Reports
In one paragraph

Article in JACC. Case reports, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Vijay U RaoIndiana Heart Physicians, Franciscan Cardio-Oncology Center, Franciscan Health, Indianapolis, Indiana, USA. Electronic address: vijay.rao@franciscanalliance.org.
Thomas FretzDepartment of Medicine, Indiana University School of Medicine, Indianapolis, Indiana, USA.
Tina AyeniDepartment of Gynecologic Oncology, Franciscan Cardio-Oncology Center, Franciscan Health, Indianapolis, Indiana, USA.
Kerry SkurkaCardio-Oncology Program, Franciscan Cardio-Oncology Center, Franciscan Health, Indianapolis, Indiana, USA.
Meghana RaghavendraDepartment of Oncology and Hematology, Franciscan Cardio-Oncology Center, Franciscan Health, Indianapolis, Indiana, USA.
Ankur KalraDepartment of Cardiovascular Medicine, Franciscan Health, Lafayette, Indiana, USA; Krannert Cardiovascular Research Center, Indiana University School of Medicine, Indianapolis, Indiana, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundCarbohydrate antigen-125 (also known as cancer antigen-125) (CA-125) is a biomarker used to monitor for endometrial cancer progression, but it may also reflect other disease processes. CASE SUMMARY: A 70-year-old woman with metastatic endometrial cancer who was treated with paclitaxel, carboplatin, and pembrolizumab presented with new onset ascites and rising CA-125 levels concerning for cancer progression. She received a diagnosis of heart failure (HF) and normalized her CA-125 levels with loop diuretic agents without changing her oncologic treatment. DISCUSSION: CA-125 is a novel biomarker for HF monitoring because it correlates with increased intracardiac filling pressures. In this patient, concomitant endometrial malignant disease and HF complicated ascertainment of ascites and elevated biomarker origin. Therefore, clinicians should consider alternate causes of elevated CA-125 levels besides cancer progression. TAKE-HOME MESSAGE: CA-125 levels in patients with endometrial cancer may not always reflect cancer disease progression because levels can be influenced by the presence of HF.

Indexed as

biomarkercarbohydrate antigen-125diuresisheart failure

Identifiers

PMID40615194
PMCPMC12441411

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.