Description Article code Kitsize Ordering information IRMA AFP KIPB1441 96 tests CA 125 KIP0301 96 tests CA 15.3 KIP0321 96 tests CA 19.9 KIP0311 96 tests CEA KIP0331 96 tests KIPERB321 100 tests KIP0429 96 tests KIPEMD302 100 tests Free Beta HCG KIP1001 96 tests NSE KIP2471 96 tests PSA RVRK-10CT 100 tests Free PSA RVRK-85CT 100 tests RVR-CM-100 100 tests CgA (Chromogranin A) CT-us (Calcitonin) Gastrin Tg-S CANCER MARKERS ELISA AFP KAPD1468 96 tests CgA KAPEPKT812 96 tests CT-us KAP0421 96 tests LIT3003-1505 For more information: visit www.diasource-diagnostics.com Manufactured by: DIAsource ImmunoAssays SA Rue du Bosquet 2 BE 1348 Louvain-La-Neuve Tel. 32 10 84 99 00 Fax 32 10 84 99 96 Distributed by: Along with other tests, tumor (cancer) markers can be used to help identify if cancer is present, to determine the type of cancer, and to help show if treatment is working. Serum tumor (cancer) markers is a term commonly used to refer to molecules that can be detected in a blood sample by immunochemical methods. Tumor markers are produced either by the tumor (cancer) itself or by the body in response to the presence of cancer or certain non-cancerous (benign) conditions. Units Sample type Sample Size (µl) Incubation Time´(min) Standard Range Detection Limit Reference Intervals Shelf Life (weeks) IRMA Measurements of tumor marker levels by serum markers can be useful in following clinical settings: AFP IU/ml S 50 15 + 30 3 - 400 0.2 F:0.49 – 9.84 M:0.46 – 6.41 10 CA 125 U/ml S 100 120 + 60 4.8 – 786 0.7 98% < 35 11 CA 15.3 U/ml S 20 90 + 90 2.86 – 331 0.33 98% < 30 11 CA 19.9 U/ml S 25 30 + 60 7.8 – 1061 0.7 98% < 37 11 CEA ng/ml S 100 120 2 – 200 0.17 89.7% < 3 9 CgA nmol/L S, P 50 20 h + 30 + 15 0.156 – 5 0.4 < 0.4 12 CT-us pg/ml S 200 18 h 8 – 674 0.9 < 10 5 Gastrin pmol/L S 100 60 + 30 + 15 15.6 – 500 5 < 60 11 4. DETECTION OF RESIDUAL DISEASE After surgery of a specific cancer, serum tumor markers can be used to indicate whether the entire tumor burden has been successfully removed. Free Beta HCG mIU/ml S 50 30 + 30 0.29 – 93 0.03 < 0.1 9 NSE ng/ml S 50 120 2.5 – 270 0.19 98% < 12.5 11 5. MONITORING TREATMENT Serum tumor markers can be used as tool to assess the outcome of treatment by monitoring a patient’s response to a specific or various treatment regimens. In general serum marker levels will drop if treatment is beneficial and will remain elevated or increase when treatment is not effective. PSA ng/ml S 100 120 0.1 – 80 0.004 <3 8 Free PSA ng/ml S 100 120 0.1 – 100 0.047 < 0.7 8 Tg-S ng/ml S, P 50 (N) 100 (S) 120 + 18 h 1.5 – 600 (N) 0.75 – 600 (SE) 0.25 (N) 0.1 (SE) < 50 8 1. DIAGNOSIS Serum tumor markers can, when used along with X-rays or other tests, aid in diagnosis of some types of cancer. They also can aid in locating the source of cancers that have metastasized. 2. MONITORING FOR RECURRENCE OF TUMOR After successful treatment of a cancer patient, tumor marker(s) are regularly tested to indicate whether there is a recurrence of the cancer. 3. PROGNOSIS AND STAGING Serum tumor markers can be used as aid in the tumor volume estimation, as a helpful tool to indicate tumor progression, or as indicator of metastasis involvement. Currently, the main use of tumor markers is to assess a cancer’s response to treatment and to check for recurrence. ELISA Tumor markers overview AFP IU/ml S 25 30 + 10 10 – 160 1 1 – 10 60 Adrenal Gland CgA Lung NSE, CEA, CgA CgA ng/ml S 25 120 + 60 + 20 31 – 830 5 < 100 60 Bladder NSE, CEA Neuroendrocrine CgA, NSE CT-us pg/ml S 50 18 h + 30 10 – 400 0.7 < 11 60 Bone Metastases Osteocalcin Ovary CA125, CEA, AFP, HCG + B CT-us = Calcitonin CgA = Chromogranin A Brain NSE, CEA Pancreas CA19.9, CEA, CgA S = Serum P = Plasma Breast CA15.3, CEA Pituitary Gland Prolactin Cervix CEA Prostate PSA, Free PSA Colon CEA, CA19.9, CgA Stomach CEA, CA19.9, CgA Gallbladder CA19.9, CEA Testicle AFP, Free BHCG, HCG + B Kidney CEA, NSE Thyroid Tg, Calcitonin, CEA Liver AFP, CEA, CA19.9, CgA Uterus Free BHCG, HCG + B N = Normal procedure DIASOURCE MAIN FEATURES ▪︎ Very good correlation with leading diagnostics companies ▪︎ Excellent analytical performances ▪︎ Small sample size ▪︎ Extended measuring range SE = Sensitive procedure
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