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Dr. Jack West is a medical oncologist and thoracic oncology specialist who is the Founder and previously served as President & CEO, currently a member of the Board of Directors of the Global Resource for Advancing Cancer Education (GRACE)

 

Video: What is the utility of serum tumor markers in managing lung cancer?
Sat, 01/05/2013 - 09:25
Author
Howard (Jack) West, MD, Vice President of Clinical Development at Summit Therapeutics, Founder and Past Board President, GRACE

The question of whether and how to use blood tests, and particularly serum tumor markers, to monitor the status of a lung cancer has come up often here.  There are a few places where we've covered this in text, but for those of you who would prefer a video format for your information gathering, here's a podcast I just did on that subject for Swedish Medical Center.

[embed]http://www.youtube.com/watch?v=ePzQF6tFNZs[/embed]

I'll underscore that this remains a controversial area, and part of the reason the question comes up so often is that so many oncologists use serum tumors. As I try to convey in the video, I think there might be a way to use them in a limited fashion, but the danger is that we often see more emphasis placed on these results than any data would justify (there is little to no evidence indicating that their use leads to improved results).

What are your thoughts about serum tumor markers? If you're a patient or caregiver, are they being checked? If so, is there a lot of emphasis placed on these results? Do the results cause anxiety for you and/or your doc? Do the findings lead to a change in management or otherwise guide treatment? And if serum tumor markers aren't being checked or you don't know, do you want that information if it might provide another metric to follow, but not necessarily one that adds to imaging and clinical measures (i.e., how the person is actually doing and feeling)?

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Stan - Thank you once again for your kind words.  Thank you as well for your donation.  As you know, your donation helps us to exist and continue to fulfill our...

Hi Stan, It's good to hear your voice and know your cheesecakes are still making the rounds.  Though I'm sure startling, I imagine some of those little pockets of the house...

Hi Rutbats,  Welcome to GRACE and thanks for the kind words. 

 

We can't say what you should or shouldn't do and I can't say why your RA doc made their...

Thank you very much for your quick answer, Janine.

I have an appointment with a pulmonologist in 10 days. I will summarize the conversation with him here, so that other people...

Glad to know you're moving forward with a pulmonologist.  The more you know the better the conversation with your pulmonologist.  Remember you can help your docs know what level their conversation...

Hi Terry, Welcome to Grace. 

I saw this exact post somewhere else months back and the only response was to a lab.  I hope that doesn't happen here, we don't allow...

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