Tumor Markers and Cancer Diagnosis

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Questions and Answers

Which marker is used primarily for follow-up and not early diagnosis of ovarian carcinoma?

  • CA-125 (correct)
  • AFP
  • PSA
  • CEA

Markers of host response to tumor are characterized by which two features?

  • Low sensitivity and low specificity (correct)
  • Low sensitivity and high specificity
  • High sensitivity and low specificity
  • High sensitivity and high specificity

Steroid receptors bind which of the following hormones in malignant breast tissues?

  • Estrogen and progesterone (correct)
  • Thyroxine and glucagon
  • Cortisol and prolactin
  • Testosterone and insulin

Which type of tumor marker is used exclusively through tumor tissue biopsy?

<p>Cellular markers related to prognosis (A)</p> Signup and view all the answers

Uric acid is an example of which type of biochemical marker?

<p>Product of metabolism (B)</p> Signup and view all the answers

The presence of steroid receptors in malignant breast tissues is an indicator of what?

<p>Good response to endocrine therapy (D)</p> Signup and view all the answers

Flashcards

Follow-up ovarian cancer marker

CA-125 is primarily used to monitor treatment response and recurrence in ovarian cancer, rather than initial diagnosis.

Host response tumor marker features

Host response tumor markers often have low sensitivity and low specificity, meaning they aren't good at finding the tumor.

Breast cancer steroid receptors

Estrogen and progesterone receptors are frequently found in breast cancers.

Prognostic tumor marker source

Cellular markers for prognosis in cancer can only be determined by examining tumor tissue directly.

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Type of biochemical marker, uric acid

Uric acid is a metabolic byproduct.

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Steroid receptors in breast cancer & therapy

Steroid receptors in breast cancer indicate potential response to hormonal treatment.

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Study Notes

Tumor Markers

  • Cell Surface Glycoproteins and Mucins:
    • Used for follow-up of certain tumors, not for early diagnosis
    • Example: CA-125 is used in ovarian carcinoma

Markers of Host Response to Tumor:

  • Characterized by low sensitivity and specificity
  • May be the only biochemical markers for follow-up in some tumors
  • Examples:
    • Acute phase reactants, such as α1 acid glycoprotein and c-reactive protein
    • Products of metabolism, such as uric acid
  • Detected only on tumor tissue biopsy
  • Related to prognosis of tumors

Steroid Receptors:

  • Cytoplasmic receptors that bind estrogen and progesterone
  • Present in normal and malignant breast tissues
  • Higher percentage found in postmenopausal women
  • Presence in malignant breast tissues indicates good response to endocrine therapy

Genes and Nucleic Acid:

  • Patterns of genes or alterations in nucleic acid structures used for tumor detection
  • Specifically, looks at changes in genes or nucleic acid structures that occur in certain tumors

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