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Cyfra 21-1 – cytokeratin fragment 19 (lung cancer)

Also known as: Cyfra 21-1 – Cytokeratin Fragment
SKU: 601

125.00

Study material: Venous blood
Response time (working day): 14
The test is done on an empty stomach: Yes
Home call service: Yes
Country: EU

General Information

 

Cytokeratin fragment 19 antigen (CYFRA 21-1) belongs to the cytokeratin protein family, which is mainly synthesized in epithelial tissue and forms the cytoskeleton of epithelial cells.

CYFRA 21-1 is used as a tumor marker, especially in non-small cell lung cancer, along with carcinoembryonic and squamous cell antigens. Also for other epithelial tumors such as bladder carcinoma. An increase in its concentration during a tumor is associated with cell lysis (breakdown), after which cytokeratin degradation products are released into the blood.

Like other tumor markers, cytokeratin fragment 19 has less screening and diagnostic value; it is used to assess the progress of treatment and prognosis of the disease.

CYFRA 21-1 is a relatively new marker defined by 2 monoclonal antibodies directed against cytokeratin fragment 19.

 

 

Preliminary preparation: no need

Material for examination:Venous blood

Reference norms:<3.3 ng/ml

 

 

When should we take the test?

 

  • When non-small cell lung cancer is suspected
  • When differentiating volumetric lung formations of unknown genesis
  • For the therapeutic control of non-small cell lung cancer, especially during tumor resection, to assess the likelihood of recurrence
  • For predicting bladder tumors

Possible interpretation of the results

CYFRA 21-1 is not used for lung cancer screening in asymptomatic patients or in high-risk groups (eg smokers).

Since cytokeratin 19 is not an organ-specific marker, its level can also be increased in other volumetric processes.

Factors that may cause inaccuracy of answers:

  • Treatment with high doses of biotin (>5 mg/day). It is recommended to stop taking the medicine at least 8 hours before the study.
  • High titer of anti-streptavidin and anti-ruthenium antibodies.
  • Monoclonal antibodies administered for therapeutic purposes

Reference values

 

Immunohistochemical studies have confirmed that cytokeratin 19 is mainly found in lung carcinomas, so it is used as a marker of non-small cell lung cancer.

 

 

 

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This medical information is not intended to be a universal treatment guide for all patients. The treatment process, including the type, volume, and frequency of diagnostic tests and therapeutic procedures, is determined by the physician individually — based on an assessment of the patient's condition and relevant medical indications. The decision is made in consultation with the patient. Before purchasing a test, please read the instructions for its preparation.
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