Colorectal cancer laboratory tests

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editor(s)-in-Chief: Saarah T. Alkhairy, M.D.

Overview

The laboratory tests that can be used for the diagnosis of colorectal carcinoma are the following: CBC, FOBT, serum CEA and CA 19-9 levels, serum iron levels, serum vitamin B12 and folate levels, liver function tests, and pulmonary function tests.

Colorectal Cancer Laboratory Findings

  • Complete blood count and differential count - anemia
  • Fecal occult blood test(FOBT) - demonstrates occult bleeding from the intestines
  • Serum carcino-embryogenic antigen (CEA) and CA 19-9 - elevated levels have a poor prognosis
  • Low serum iron levels
  • Low serum vitamin B12 and folate levels
  • Hypercalcemia (with metastasis to the bone)

Test for Metastasis

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