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== Stomach cancer laboratory findings ==
== Stomach cancer laboratory findings ==
* A complete blood cell count (CBC) can identify anemia
* A [[Complete blood count|complete blood cell count]] shows [[anemia]].


* Liver function tests may be disturbed in many patients with liver metastasis
* [[Liver function tests]] may be disturbed in patients with liver metastasis.


* Carcinoembryonic antigen (CEA) is elevated in 50% of patients
* [[Carcinoembryonic antigen]] (CEA) is elevated in 50% of patients. A drop in an elevated level of [[CEA]] means response to preoperative therapy but it is not sensitive or specific.


* Cancer antigen (CA) 19-9 is elevated
* [[CA-125|Glycoprotein CA 125]] antigen may be elevated.<ref name="pmid280023202">{{cite journal| author=Luo T, Chen W, Wang L, Zhao H| title=CA125 is a potential biomarker to predict surgically incurable gastric and cardia cancer: A retrospective study. | journal=Medicine (Baltimore) | year= 2016 | volume= 95 | issue= 51 | pages= e5297 | pmid=28002320 | doi=10.1097/MD.0000000000005297 | pmc=5181804 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=28002320  }}</ref>   
 
* [[CA19-9|Carbohydrate antigen 19-9]] (CA 19-9) is elevated.<ref name="pmid18821070">{{cite journal| author=Ucar E, Semerci E, Ustun H, Yetim T, Huzmeli C, Gullu M| title=Prognostic value of preoperative CEA, CA 19-9, CA 72-4, and AFP levels in gastric cancer. | journal=Adv Ther | year= 2008 | volume= 25 | issue= 10 | pages= 1075-84 | pmid=18821070 | doi=10.1007/s12325-008-0100-4 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=18821070  }}</ref>
* Distinctive serum glycan patterns may have the potential to serve as markers for gastric cancer risk. In a study of 72 serum samples from patients with gastric cancer, nonatrophic gastritis, or duodenal ulcer, Ozcan and colleagues found that abnormal patterns of serum glycans (sugars attached to proteins) may be useful as a screening tool for identifying patients with ''Helicobacter pylori'' infection who are at risk for stomach cancer.<sup> [[null 30], [null 31]]</sup>
* Cancer antigen 72-4 (CA72-4) may be elevated.<ref name="pmid7874576">{{cite journal| author=Guadagni F, Roselli M, Cosimelli M, Ferroni P, Spila A, Cavaliere F et al.| title=CA 72-4 serum marker--a new tool in the management of carcinoma patients. | journal=Cancer Invest | year= 1995 | volume= 13 | issue= 2 | pages= 227-38 | pmid=7874576 | doi= | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=7874576  }}</ref>
 
* [[Alpha-fetoprotein]] (AFP) may be elevated.<ref name="pmid12435906">{{cite journal| author=Kono K, Amemiya H, Sekikawa T, Iizuka H, Takahashi A, Fujii H et al.| title=Clinicopathologic features of gastric cancers producing alpha-fetoprotein. | journal=Dig Surg | year= 2002 | volume= 19 | issue= 5 | pages= 359-65; discussion 365 | pmid=12435906 | doi=10.1159/000065838 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=12435906  }}</ref>
* Glycoprotein CA 125 antigen    
* Carbohydrate antigen 19-9 (CA 19-9)  
* Cancer antigen 72-4 (CA72-4) may be elevated [68-72].  
* Alpha-fetoprotein (AFP) may be elevated [85-88]
* A drop in an elevated level of CEA means response to preoperative therapy. Due to , low rates of sensitivity and specificity, serologic markers can not be used as diagnostic tests for gastric cancer.  


==References==
==References==

Revision as of 18:27, 21 November 2017

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Mohammed Abdelwahed M.D[2]

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Stomach cancer laboratory findings

  • Carcinoembryonic antigen (CEA) is elevated in 50% of patients. A drop in an elevated level of CEA means response to preoperative therapy but it is not sensitive or specific.

References

  1. Luo T, Chen W, Wang L, Zhao H (2016). "CA125 is a potential biomarker to predict surgically incurable gastric and cardia cancer: A retrospective study". Medicine (Baltimore). 95 (51): e5297. doi:10.1097/MD.0000000000005297. PMC 5181804. PMID 28002320.
  2. Ucar E, Semerci E, Ustun H, Yetim T, Huzmeli C, Gullu M (2008). "Prognostic value of preoperative CEA, CA 19-9, CA 72-4, and AFP levels in gastric cancer". Adv Ther. 25 (10): 1075–84. doi:10.1007/s12325-008-0100-4. PMID 18821070.
  3. Guadagni F, Roselli M, Cosimelli M, Ferroni P, Spila A, Cavaliere F; et al. (1995). "CA 72-4 serum marker--a new tool in the management of carcinoma patients". Cancer Invest. 13 (2): 227–38. PMID 7874576.
  4. Kono K, Amemiya H, Sekikawa T, Iizuka H, Takahashi A, Fujii H; et al. (2002). "Clinicopathologic features of gastric cancers producing alpha-fetoprotein". Dig Surg. 19 (5): 359–65, discussion 365. doi:10.1159/000065838. PMID 12435906.

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