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Cancer blood tests: Lab tests used in cancer diagnosis

What the results mean

Test results must be interpreted carefully because several factors can influence test outcomes, such as variations in your body or even what you eat. In addition, keep in mind that noncancerous conditions can sometimes cause abnormal test results. And, in other cases, cancer may be present even though the blood test results are normal.

Your doctor usually uses your test results to determine whether your levels fall within a normal range. Or your doctor may compare your results with those from past tests.

What happens next

Though blood and urine tests can help give your doctor clues, other tests are usually necessary to make the diagnosis. For most forms of cancer, a biopsy — a procedure to obtain a sample of suspicious cells for testing — is usually necessary to make a definitive diagnosis.

In some cases, tumor marker levels are monitored over time. Your doctor may schedule follow-up testing in a few months. Tumor markers are most often helpful after your cancer diagnosis. Your doctor may use these tests to determine whether your cancer is responding to treatment or whether your cancer is growing.

Discuss test results with your doctor. Ask your doctor what your results say about your health and what the next steps should be.

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References
  1. Abeloff MD, et al. Abeloff's Clinical Oncology. 4th ed. Philadelphia, Pa.: Churchill Livingstone; 2008:279.
  2. Tests and procedures. Cancer.Net. http://www.cancer.net/patient/Diagnosis+and+Treatment/Diagnosing+Cancer/Tests+and+Procedures. Accessed Jan. 16, 2009.
  3. How is bladder cancer diagnosed? American Cancer Society. http://www.cancer.org/docroot/CRI/content/CRI_2_4_3X_How_is_bladder_cancer_diagnosed_44.asp?sitearea=. Accessed Jan. 16, 2009.
  4. Protein electrophoresis immunofixation electrophoresis. Lab Tests Online. http://labtestsonline.org/understanding/analytes/electrophoresis/test.html. Accessed Jan. 16, 2009.
  5. Tumor markers: Questions and answers. National Cancer Institute. http://www.cancer.gov/cancertopics/factsheet/Detection/tumor-markers. Accessed Jan. 14, 2009.
  6. Understanding tumor markers. Cancer.Net. http://www.cancer.net/patient/Library/Cancer.Net+Features/Treatments%2C+Tests%2C+and+Procedures/Understanding+Tumor+Markers?cpsextcurrchannel=1. Accessed Jan. 16, 2009.
  7. Tumor markers. American Cancer Society. http://www.cancer.org/docroot/PED/content/PED_2_3X_Tumor_Markers.asp?sitearea=PED. Accessed Jan. 16, 2009.
  8. Interpreting laboratory test results. National Cancer Institute. http://www.cancer.gov/cancertopics/factsheet/Detection/laboratory-tests. Accessed Jan. 14, 2009.
  9. Transitional cell cancer of the renal pelvis and ureter treatment (PDQ). National Cancer Institute. http://www.cancer.gov/cancertopics/pdq/treatment/transitionalcell/patient/. Accessed Jan. 29, 2009.

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March 26, 2009

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