Serum biomarkers for detecting ectopic pregnancy

Clin Obstet Gynecol. 2012 Jun;55(2):418-23. doi: 10.1097/GRF.0b013e31825109f6.

Abstract

Unless an ectopic pregnancy is visible by ultrasound, diagnosis can be a challenge. Differentiating ectopic pregnancies from intrauterine pregnancies can be impossible without intervention or follow-up. This poses a clinical dilemma to the practitioner given the inherent danger to the mother of tubal rupture of an ectopic pregnancy versus the fear of intervening in the case of a desired pregnancy without certainty of diagnosis. Early diagnostic modalities are clearly lacking, and serum biomarkers are currently being investigated as a solution to need for a rapid and accurate test for ectopic pregnancy.

Publication types

  • Research Support, N.I.H., Extramural
  • Review

MeSH terms

  • ADAM Proteins / blood
  • ADAM12 Protein
  • Activins / blood
  • Biomarkers / blood
  • CA-125 Antigen / blood
  • Chorionic Gonadotropin / blood
  • Creatine Kinase / blood
  • Estradiol / blood
  • Female
  • Glycodelin
  • Glycoproteins / blood
  • Humans
  • Inhibins / blood
  • Interleukin-6 / blood
  • Interleukin-8 / blood
  • Leukemia Inhibitory Factor / blood
  • Membrane Proteins / blood
  • Myoglobin / blood
  • Myosin Heavy Chains / blood
  • Placental Lactogen / blood
  • Pregnancy
  • Pregnancy Proteins / blood
  • Pregnancy, Ectopic / blood*
  • Pregnancy, Ectopic / diagnosis*
  • Pregnancy-Associated Plasma Protein-A / analysis
  • Pregnancy-Specific beta 1-Glycoproteins / analysis
  • Progesterone / blood
  • Proteome
  • Relaxin / blood
  • Renin / blood
  • Tumor Necrosis Factor-alpha / blood
  • Vascular Endothelial Growth Factor A / blood

Substances

  • Biomarkers
  • CA-125 Antigen
  • Chorionic Gonadotropin
  • Glycodelin
  • Glycoproteins
  • Interleukin-6
  • Interleukin-8
  • Leukemia Inhibitory Factor
  • Membrane Proteins
  • Myoglobin
  • PAEP protein, human
  • Pregnancy Proteins
  • Pregnancy-Specific beta 1-Glycoproteins
  • Proteome
  • Tumor Necrosis Factor-alpha
  • Vascular Endothelial Growth Factor A
  • activin A
  • activin B
  • inhibin A
  • Activins
  • Progesterone
  • Estradiol
  • Inhibins
  • Relaxin
  • Placental Lactogen
  • Creatine Kinase
  • Renin
  • ADAM Proteins
  • ADAM12 Protein
  • ADAM12 protein, human
  • Pregnancy-Associated Plasma Protein-A
  • Myosin Heavy Chains