Tumor Markers Flashcard

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Free PSA
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< 4 ng/mL is healthy. Varies.
>25% free PSA.
Prostate cancer correlation.
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AFP
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hepatoma, some ovarian and testes.
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CEA clinical utility
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Secreted by various including breast, lung, colorectal, and stomach cancers. Mainly used to monitor recurrence of cancer but it is a useful marker for colorectal cancer. NOt a screening tool
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Thryoglobulin (tumor marker)
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check for recurrence after surgery. It is elevated in grave's disease, and thryoditis. Anti thyroglobulins are also screened.
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Neuron specific enolase
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glycotic enzyme. Formed in neuroendocrine system, and it is elevated in neuroblastoma and small lung cancer.
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calcitonin
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polypeptide hormone, made by C cells in thryoid to regulate calcium. Elevated in thyroid medullary carcinoma. Helps diagnosis, monitor treatment, and reccurence.
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H factor. Nuclear matrix protein
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Bladder tumor marker
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Her-2/neu gene
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oncogene product (genetic marker). Breast cancers mainly followed by GI and ovarian.
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HCG
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Unique Beta subunit. Elevated in germ cell cancers, trophoblastic, and others.
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