07.01.2013 Views

Sorted By Test Name - Mayo Medical Laboratories

Sorted By Test Name - Mayo Medical Laboratories

Sorted By Test Name - Mayo Medical Laboratories

SHOW MORE
SHOW LESS

Create successful ePaper yourself

Turn your PDF publications into a flip-book with our unique Google optimized e-Paper software.

C2729<br />

81413<br />

Useful For: <strong>Test</strong>ing for IgE antibodies may be useful to establish the diagnosis of an allergic disease<br />

and to define the allergens responsible for eliciting signs and symptoms. <strong>Test</strong>ing also may be useful to<br />

identify allergens which may be responsible for allergic disease and/or anaphylactic episode, to confirm<br />

sensitization to particular allergens prior to beginning immunotherapy, and to investigate the specificity of<br />

allergic reactions to insect venom allergens, drugs, or chemical allergens.<br />

Interpretation: Detection of IgE antibodies in serum (Class 1 or greater) indicates an increased<br />

likelihood of allergic disease as opposed to other etiologies and defines the allergens that may be<br />

responsible for eliciting signs and symptoms. The level of IgE antibodies in serum varies directly with the<br />

concentration of IgE antibodies expressed as a class score or kU/L.<br />

Reference Values:<br />

Class IgE kU/L Interpretation<br />

0 Negative<br />

1 0.35-0.69 Equivocal<br />

2 0.70-3.49 Positive<br />

3 3.50-17.4 Positive<br />

4 17.5-49.9 Strongly positive<br />

5 50.0-99.9 Strongly positive<br />

6 > or =100 Strongly positive Reference values<br />

apply to all ages.<br />

Clinical References: Homburger HA: Allergic diseases. In Clinical Diagnosis and Management by<br />

Laboratory Methods. 21st edition. Edited by McPherson RA, Pincus MR. WB Saunders, Publ, New York,<br />

2007 Chapter 53, Part VI, pp 961-971<br />

Breast Carcinoma-Associated Antigen (CA 27.29), Serum<br />

Clinical Information: Carcinoma of the breast is the most prevalent form of cancer in women. These<br />

tumors often produce mucinous antigens that are large-molecular-weight glycoproteins with O-linked<br />

oligosaccharide chains. Monoclonal antibodies directed against these antigens have been developed, and<br />

several immunoassays are available to quantitate the levels of tumor-associated mucinous antigens in<br />

serum. The antibodies recognize epitopes of a breast cancer-associated antigen encoded by the human<br />

mucin 1 (MUC-1) gene, which is known by several names including MAM6, milk mucin antigen, CA<br />

27.29, and cancer antigen 15-3 (CA 15-3). While CA 27.29 is expressed at the apical surface of normal<br />

epithelial cells, it is present throughout malignant epithelial cells of the breast, lung, ovary, pancreas, and<br />

other sites. The cancer-associated form of the antigen is less extensively glycosylated than the normal<br />

form and more specific for tumor cells.<br />

Useful For: The FDA has approved CA 27.29 for serial testing in women with prior stage II or III<br />

breast cancer who are clinically free of disease. Predicting early recurrence of disease in women with<br />

treated carcinoma of the breast As an indication that additional tests or procedures should be performed to<br />

confirm recurrence of breast cancer<br />

Interpretation: Increased levels of CA 27.29 (>38 U/mL) may indicate recurrent disease in a woman<br />

with treated breast carcinoma.<br />

Reference Values:<br />

Males<br />

> or =18 years: < or =38.0 U/mL (use not defined)<br />

Females<br />

> or =18 years: < or =38.0 U/mL<br />

Reference values have not been established for patients that are

Hooray! Your file is uploaded and ready to be published.

Saved successfully!

Ooh no, something went wrong!