Program: BSMT/BMLS Course: Immunology and Serology Tumor Marker Tissue Source Tumor Type Use CA 125 Coelemic Ovarian To help in epithelium cystadenocarcinoma diagnosis, Endometrial carcinoma assessment of response to treatment, and evaluation of recurrence Alpha- Fetal liver Hepatocarcinoma To help diagnose Fetoprotein Yolk sac Endodermal sinus liver cancer and tumors follow response to Non-seminomatous treatment; to assess germ cell cancer stage, prognosis, and Teratocarcinoma of response to testis or ovarian treatment of germ Mediastinum & cell tumors sacrococcyx malignant tumor Gastric Pancreatic cancer w/ liver metastasis Thyroglobulin Thyroid gland Thyroid cancer To evaluate response Grave’s disease to treatment and look for recurrence
CEA Normal fetal Colon Differentiate benign
endocrine tissue Breast from malignant Lung ascites and pleural Liver effusion Pancreatic Monitor tumor progression Huma Blood Ovarian cancer Monitor recurring epididymis epithelial ovarian Protein (HE4) cancer > 150. 1 pM HER2/neu Oncogene encoded Breast Cancer Asses tumor susceptibility to therapy (e.i) lapatinib & transtuzumab Prostate Prostatic epithelial Prostate cancer Other techniques: Specific a. PSA velocity Antigen (PSA) - Incremental increase of PSA/time b. PSA density - Ratio of serum PSA to prostate volume c. Age-adjusted PSA - Proportional
Prostatic ACP Prostate gland Prostatic carcinoma Monitoring and
Or hK2 and treatment EPCA-2 CA 19-9 Blood Main- pancreatic & To assess whether colorectal treatment is working Hepatobiliary Gastric Hepatocellular Breast Gastrointestinal cancer- assoc antigen CA 15- 3 MUC II gene Breast cancer Monitor after Glandular mastectomy and epithelial cells good measure for tumor burden > 32 U/ml – advanced breast cancer & large tumor burden CA 27. 29 Human MUC I gene Breast carcinoma To assess whether Breast treatment is working, Carcinoma- or disease has Assoc Antigen recurred EGFR Epithelial cells Non-small cell lung To help determine cancer treatment and prognosis
B-hCG Choriocarcinoma To assess stage,
and germ cell prognosis, and response tumors to treatment Oat cell carcinoma of the lung
Lactate Blood Germ cell tumors, To assess stage,
dehydrogenase lymphoma, leukemia, prognosis, and response melanoma, and to treatment neuroblastoma Name: John Rhel T. Denque Date: 05/16/18
Generic name Antigen Target Treatment Application
Alemtuzumab CD52 Chronic lymphocytic
leukemia
Bevacizumab Vascular endothelial Prevention of vascularity in