Tumor markers and oncogenic microbes Flashcards
Purpose of tumor markers?
Monitor tumor recurrence, response to therapy
*Biopsy makes the definitive diagnosis
Alkaline phosphatase
Metastases to bone or liver
Pagest disease of bone
Seminoma (placental ALP)
AFP associations with cancers
Hepatocellular carcinoma
Hepatoblastoma
Yolk sac tumor
Mixed germ cell tumor
AFP associations with fetal anomalies
^AFP in neural tube defects
^AFP in abdominal wall defects
Decreased in down syndrome
b-HCG
Hydatidiform moles Choriocarcinomas Testicular cancer Mixed germ cell tumor HCG=Hydatidiform, choriocarcinomas, germ cell (don't forget the balls!)
Where is b-HCG produced?
Syncytiotrophoblasts of the placenta
CA15-3/CA27-29
Breast cancer
CA 19-9
Pancreatic adenocarcinoma
CA 125
Ovarian cancer
Calcitonin
Medullary thyroid carcinoma (Parafollicular cells)
CEA
CarcinoEmbryonicAntigen: very nonspecific
70% of colorectal and pancreatic cancers
Also seen in gastric, breast, medullary thyroid carcinomas
Chromogranin
Neuroendocrine tumors and carcinoid
PSA
Prostate specific antigen.
Prostate cancer
BPH
Prostatitis
Oncogenic EBV
Burkitt, hodgkin, nasopharyngeal, Primary CNS lymphoma
Oncogenic HBV/HCV
Hepatocellular carcinoma