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Table 3-14

Cancer Tests and Tumor Markers

MarkerClinical Association
Alkaline phosphatase (ALP) (enzyme isozyme)Osteogenic sarcoma, osteoblastic carcinoma metastasis
alpha-Fetoprotein (AFP) (oncofetal antigen)Testicular, hepatic carcinoma
CA 15-3 antigen (oncofetal antigen)Breast malignancy
CA 19-9 antigen (oncofetal antigen)Stomach, colon, pancreatic carcinoma
CA 50 antigen (oncofetal antigen)Stomach, colon, pancreatic carcinoma
CA 125 antigen (oncofetal antigen)Ovarian, fallopian tube carcinoma
Calcitonin (polypeptide hormone)Thyroid medullary carcinoma
Carcinoembryonic antigen (CEA) (oncofetal antigen)Breast, colon, lung carcinoma
Catecholamines (vanillylmandelic acid metabolite)Neuroblastoma and pheochromocytoma
Creatine kinase isoenzyme (CK-BB) (enzyme isoenzyme)Breast, pulmonary carcinoma
DU-PAN-2 (glycoprotein antigen)Pancreatic carcinoma
Galactosyltransferase (GT II) (enzyme isoenzyme)Pancreatic carcinoma
Genetic mutation (DNA, oncogenes)Predisposition to development of carcinoma, leukemia, lymphoma
Human chorionic gonadotropin (hCG) (glycoprotein hormone)Testicular carcinoma
5-Hydroxyindoleacetic acid (5-HIAA) (serotonin metabolite)Carcinoid tumor
Immunoglobulins produced by B lymphocytesMultiple myeloma, lymphomas
Lactate dehydrogenase (LD) (enzyme isoenzyme LD1)Renal carcinoma, leukemia, lymphoma
Lymphocyte B- and T-cell surface antigens (blood cell)Lymphomas, lymphoblastic leukemia
Neuron-specific enolase (NSE) (enolase isoenzyme)Neuroblastoma, lung carcinoma
Prostate-specific antigen (PSA) (serine protease)Prostatic carcinoma
Prostatic acid phosphatase (PAP) (enzyme isozyme)Prostatic carcinoma
Tissue polypeptide antigen (TPA) (oncofetal antigen)Breast, lung, liver, pancreas, colorectal, stomach, ovary, prostate, bladder, head and neck, thyroid carcinoma
Squamous cell carcinoma (SCC) antigen (protein antigen)Cervical, lung, esophageal, head and neck carcinoma
Vasoactive intestinal peptide (VIP)Intestinal tumor