Do you know that this tumor is not untraceable? Many tumors can be detected by drawing blood. What we are going to talk about today is tumor markers. Let’s talk about what the high indicators suggest and how to deal with them.
First of all, the increase in alpha-fetoprotein is related to liver cancer. Two-thirds of patients with early liver cancer will have an increase in alpha-fetoprotein. If you draw blood to find out the rise of this index, you’d better do a liver B-mode ultrasound or MRI to check the liver function and the five items of hepatitis B. If there is no abnormality, it is better to review it after three months. For ordinary people, color Doppler ultrasound and blood drawing of the liver should be done once a year to check the alpha-fetoprotein. But pay attention to the friends with hepatitis B, we must shorten the follow-up interval to 3 to 6 months. Liver cancer, if it can be detected early, the survival rate is very high. Then there is carcinoembryonic antigen, which is also a very common tumor marker. Rectal cancer, pancreatic cancer, gastric cancer, lung cancer and breast cancer will all show an increase in this index. If the increase is more than five times, it is better to do a general examination to detect tumors. If it is only a slight increase and there is no discomfort, you can quit smoking and limit alcohol, live a healthy life for a period of time and then review after a good rest. Then CA125 is elevated, which is common in ovarian cancer and endometrial cancer. Of course, some gynecological inflammation will also be slightly elevated, so if there are abnormalities, you can do a gynecological examination to see, including abdominal color Doppler ultrasound and so on. Elevated CA 199 is common in pancreatic cancer and gastrointestinal tumors, but a small number of healthy people will also have a slight increase in this indicator, so just a little higher ah, do not be too anxious, if this indicator is elevated, you can do the corresponding part of the CT and gastrointestinal endoscopy, if there is a problem, you can take a biopsy directly. There is also an elevated NSE index, which is common in small cell lung cancer, and then if this index continues to rise or significantly rise, it must do a chest CT to see. There is also prostate-specific antigen, which older men can remember to add if they have a physical examination, which is a more specific indicator of prostate cancer. There is also a cytokeratin 19 fragment, which is a relatively specific indicator of lung cancer and esophageal cancer. If you like smoking and this index is elevated, you must screen the lung CT to see if there is a lung mass. Then if you like to eat hot or pickled food, and this index is high, you should also pay attention to screening for esophageal cancer. CA153 is also an indicator of early breast cancer, which is more sensitive to adjuvant therapy. There is also CA242, which is most commonly elevated in pancreatic and intestinal cancers. CA724 elevation is common in gastric cancer. When CA724 is elevated, a gastroscope can be used for further review. Of course, a slight increase may also be inflammation, so don’t panic too much if it is a little higher. Having said that, in fact, tumor markers can be detected by drawing a tube of blood, so it can be said to be one of the good screening methods for high-risk groups. But remember, tumor markers are not equal to tumors, so don’t be too nervous, but pay full attention to it. If it rises, then go to the doctor, ah, according to the medical history, ah, family history, ah, as well as living habits, as well as other examination results of a comprehensive assessment, and then dynamically monitor the changes in this indicator. To sum up, the early treatment of cancer early detection is the best solution, so it is suggested that ordinary people can do the corresponding physical examination every year.
