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Understanding

Tumor Markers
By Mahmoud Alaa
Medical Representative Of AlMohandsin
Tumor

Growth of any cell in the body is controlled by a certain gene. If
this gene lost his function for a reason or another, this might
lead to formation of uncontrollable tumor.
Types Of Tumors
1- Benign

2-Malignant
Tumor markers
Benign Tumor:

It is a type of tumors in which the rate of
growth is slow and it does not cause
damage for the primary organ or any
spread for the surrounding tissues .
Malignant Tumor

It is a rapid and aggressive growth of the cells of one
of the body organs leading to overgrowth and
damage of the surrounding tissue. Then these
malignant cells can migrate to other organs like
lung, liver or even brain, what is called secondary's.
This Is   The Difference
Symptoms


Early stages may not show any symptoms. But
sometimes
patient can notice changes in :


1-colour,number or size of Veins.


2-ulcers which does not respond to treatment


3-unusual secretions


4-unexplainable bleeding
5-Dysphagia


6-swelling under the skin or in the breast


7-resistant diarrhea or constipation


8-untreatable cough accompanied with sputum and/or
hematopoesis
Etiology
There are no known causes but there are some
predisposing factors:

  1-Food with less fibers or full of lipids Also alcohol.

   2-Smoking:can lead to cancer lung, mouth,oesophagus,pancreas or even urinary
bladder.

  3-Viruses : B, C, HPV, EBV

  4-Parasitic Infection

  5-Industrial Pollution

  6-Exposure To Radiations

  7-Pollution, Insecticides………..etc

  8-psychological troubles, immunodeficiency, obesity, genetic predisposition
Etiology
There are no known causes but there are some
predisposing factors:

  1-Food with less fibers or full of lipids Also alcohol.

   2-Smoking:can lead to cancer lung, mouth,oesophagus,pancreas or even urinary
bladder.

  3-Viruses : B, C, HPV, EBV

  4-Parasitic Infection

  5-Industrial Pollution

  6-Exposure To Radiations

  7-Pollution, Insecticides………..etc

  8-psychological troubles, immunodeficiency, obesity, genetic predisposition
Incidence In Male
Bladder and urinary tract : 31%
Lymphatic system : 11%
Digestive system (GIT) :7%
Incidence In Female
Breast : 45%
Lymphatic system : 9%
Urinary system :5%
Uses of Tumor Markers:
1-Early diagnosis through routine regular checkup
.
2- definitive diagnosis of some tumors like: LCA-CK-EMA-Desmin-
S100


3-to choose suitable treatment .e. g ER-PR-HER-2


4-followup of treatment protocol and its efficacy


5-source of the tumor.


6-Immuological characterization for the lymphatic tumors:
    CD30-CD15- Pan T(CD3,CD43,CD45,Ro) – Pan B( CD20,CD79 a)
Organ Specific Tumor Markers :

PROSTATE :PSA ,Free PSA ,PAP "Prostatic Acid Phosphates"

BREAST :CA15-3, CEA, MCA, TPA

LIVER :AFP

OVARY :CA125

GIT :CEA, CA19,9

PANCREAS :CA19,9

VASCULAR SYSTEM : LDH, B2 macroglobulin, ptn.electroph.

LUNG :NSE, SCC-A, Cyril 21-1
Factors affecting tumor markers
assay:

Smocking                             :    CEA


Pregnancy and viral hepatitis:       AFA


Prostatic inflammation &endoscopy:PSA


If not fasting                   :       CA 19.9




WHO recommends tumor markers to be done once every 3 years for
people aged(20-30) and once every year for age between(30-50)
and once every 6 months for above that.
Thank You

            Mahmoud Alaa

More Related Content

Tumor markers

  • 1. Understanding Tumor Markers By Mahmoud Alaa Medical Representative Of AlMohandsin
  • 2. Tumor Growth of any cell in the body is controlled by a certain gene. If this gene lost his function for a reason or another, this might lead to formation of uncontrollable tumor.
  • 3. Types Of Tumors 1- Benign 2-Malignant
  • 5. Benign Tumor: It is a type of tumors in which the rate of growth is slow and it does not cause damage for the primary organ or any spread for the surrounding tissues .
  • 6. Malignant Tumor It is a rapid and aggressive growth of the cells of one of the body organs leading to overgrowth and damage of the surrounding tissue. Then these malignant cells can migrate to other organs like lung, liver or even brain, what is called secondary's.
  • 7. This Is The Difference
  • 8. Symptoms Early stages may not show any symptoms. But sometimes patient can notice changes in : 1-colour,number or size of Veins. 2-ulcers which does not respond to treatment 3-unusual secretions 4-unexplainable bleeding
  • 9. 5-Dysphagia 6-swelling under the skin or in the breast 7-resistant diarrhea or constipation 8-untreatable cough accompanied with sputum and/or hematopoesis
  • 10. Etiology There are no known causes but there are some predisposing factors: 1-Food with less fibers or full of lipids Also alcohol. 2-Smoking:can lead to cancer lung, mouth,oesophagus,pancreas or even urinary bladder. 3-Viruses : B, C, HPV, EBV 4-Parasitic Infection 5-Industrial Pollution 6-Exposure To Radiations 7-Pollution, Insecticides………..etc 8-psychological troubles, immunodeficiency, obesity, genetic predisposition
  • 11. Etiology There are no known causes but there are some predisposing factors: 1-Food with less fibers or full of lipids Also alcohol. 2-Smoking:can lead to cancer lung, mouth,oesophagus,pancreas or even urinary bladder. 3-Viruses : B, C, HPV, EBV 4-Parasitic Infection 5-Industrial Pollution 6-Exposure To Radiations 7-Pollution, Insecticides………..etc 8-psychological troubles, immunodeficiency, obesity, genetic predisposition
  • 12. Incidence In Male Bladder and urinary tract : 31% Lymphatic system : 11% Digestive system (GIT) :7%
  • 13. Incidence In Female Breast : 45% Lymphatic system : 9% Urinary system :5%
  • 14. Uses of Tumor Markers: 1-Early diagnosis through routine regular checkup . 2- definitive diagnosis of some tumors like: LCA-CK-EMA-Desmin- S100 3-to choose suitable treatment .e. g ER-PR-HER-2 4-followup of treatment protocol and its efficacy 5-source of the tumor. 6-Immuological characterization for the lymphatic tumors: CD30-CD15- Pan T(CD3,CD43,CD45,Ro) – Pan B( CD20,CD79 a)
  • 15. Organ Specific Tumor Markers : PROSTATE :PSA ,Free PSA ,PAP "Prostatic Acid Phosphates" BREAST :CA15-3, CEA, MCA, TPA LIVER :AFP OVARY :CA125 GIT :CEA, CA19,9 PANCREAS :CA19,9 VASCULAR SYSTEM : LDH, B2 macroglobulin, ptn.electroph. LUNG :NSE, SCC-A, Cyril 21-1
  • 16. Factors affecting tumor markers assay: Smocking : CEA Pregnancy and viral hepatitis: AFA Prostatic inflammation &endoscopy:PSA If not fasting : CA 19.9 WHO recommends tumor markers to be done once every 3 years for people aged(20-30) and once every year for age between(30-50) and once every 6 months for above that.
  • 17. Thank You Mahmoud Alaa