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CA 19-9

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CA 19-9

A tumour-associated carbohydrate antigen located on the sialylated Lewis A blood group antigen (individuals who are genotypically Lewis a-b-[Lea-b-] comprise 5% of the population and cannot synthesize the antigen).

Serum levels
> 37 U/mL occur in 72–100% of patients with pancreatic cancer; 97% of those with levels > 1000 U/m; 65% of those with hepatocellular carcinoma; 20+% of those with gastric cancer; 20% of those with colorectal cancer. Because CA19-9 is also elevated in benign conditions (e.g., obstructive jaundice, liver disease, acute and chronic pancreatitis, diabetes, interstitial lung disease, collagen vascular disease, cholecystitis and cirrhosis of the liver), it is not widely used as a cancer marker. At one time it was regarded as useful in differentiating mesothelioma (in which it is negative) from various adenocarcinomas (in which it is positive).
Segen's Medical Dictionary. © 2012 Farlex, Inc. All rights reserved.

CA 19-9 (Cancer antigen 19-9)

A tumor marker associated with pancreatic cancer.
Mentioned in: Tumor Markers
Gale Encyclopedia of Medicine. Copyright 2008 The Gale Group, Inc. All rights reserved.
Mentioned in
References in periodicals archive
- Combination of sTRA and CA19-9 Test to Detect Pancreatic Cancer Biomarkers
According to the company, the results demonstrated that the IMMray PanCan-d signature together with CA19-9 generated ROC AUC-values of 0.97, 0.98 and 0.96 when differentiating PDAC (pancreatic cancer) vs non-PDAC symptomatic individuals, healthy controls and type II diabetes, respectively.
In addition, the CA19-9 levels dropped 94% from levels prior to this line of therapy.
While the mean CA19-9 value before RT was 53.2[+ or -]115.4 (median, 16.1), it was 17.5[+ or -]32.1 (median, 7.0) in the 5th week after RT.
Laboratory test results were as follows: CA125: 82 U/mL, CA19-9: 42 U/mL, and glycated hemoglobin (HbA1c): 11%.
During the preoperative period, the mean levels of CA 125, CEA, CA19-9 and CA 15-3 in all study patients were 63.19[+ or -]93.8 U/mL (range 3.09-394 U/mL), 31.29[+ or -]76.63 U/mL, 20.83[+ or -]11.24 U/mL (range 6.40-48.60 U/mL) and 2.32[+ or -]2.09 ng/mL (range 0.50-10.8 ng/mL), respectively.
Immunohistochemical staining were carried out on the cell block and core biopsy sections using antibodies to thyroid transcriptor factor-1 (TTF-1), Napsin-A, Thyroglobulin, CD10, PAX 8, AMACR, CA19-9 and CD57 (Automated Ventana Bench Mark machine, the EnVisionTm System).
A CA19-9 level > 129 U/L in the setting of a biliary mass is highly suggestive of cholangiocarcinoma.
Tumor markers including Alpha Fetoprotein, CEA and CA19-9 were also normal.
In the case of CA19-9, this limited utility may reflect the fact that this biomarker is not expressed in some patients, and in others it may be increased for reasons unrelated to PDAC, such as biliary infections and inflammatory processes (6).
Laboratory examination showed elevated carbohydrate antigen 125 (CA125) level, 280.7 IU/ml, and normal CA19-9 and carcinoembryonic antigen (CEA) level.
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