Approach to the Patients with Elevated CA 19-9
With the widespread adoption of health check-ups, tumor markers are being used for screening healthy individuals without symptoms related to cancer. Although CA 19-9 is known to have diagnostic value when a patient presents with symptoms, the evidence for its clinical value as a cancer screening tes...
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Format: | Article |
Language: | English |
Published: |
Jin Publishing & Printing Co.
2023-05-01
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Series: | The Korean Journal of Gastroenterology |
Subjects: | |
Online Access: | https://www.kjg.or.kr/journal/view.html?uid=5913&vmd=Full |
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author | Jung Wan Choe |
author_facet | Jung Wan Choe |
author_sort | Jung Wan Choe |
collection | DOAJ |
description | With the widespread adoption of health check-ups, tumor markers are being used for screening healthy individuals without symptoms related to cancer. Although CA 19-9 is known to have diagnostic value when a patient presents with symptoms, the evidence for its clinical value as a cancer screening test in asymptomatic patients is still lacking. However, patients who experience an increase in CA 19-9 levels may feel anxious about the possibility of having cancer and may seek medical attention. If the CA 19-9 level is elevated, it may be necessary to consider initial testing for malignant tumors of the pancreas. It should be recognized that the level can also increase in malignant tumors of the gastrointestinal tract, thyroid, and reproductive organs. Since the CA 19-9 levels can also increase in various benign diseases, it is important to evaluate if there is an underlying benign disease through appropriate testing and follow-up to reduce patient anxiety and discontinue unnecessary follow-up tests. |
first_indexed | 2024-04-25T00:14:47Z |
format | Article |
id | doaj.art-a668f851d2544411ba833ea98c8cd8ce |
institution | Directory Open Access Journal |
issn | 1598-9992 2233-6869 |
language | English |
last_indexed | 2024-04-25T00:14:47Z |
publishDate | 2023-05-01 |
publisher | Jin Publishing & Printing Co. |
record_format | Article |
series | The Korean Journal of Gastroenterology |
spelling | doaj.art-a668f851d2544411ba833ea98c8cd8ce2024-03-13T06:36:02ZengJin Publishing & Printing Co.The Korean Journal of Gastroenterology1598-99922233-68692023-05-0181518518810.4166/kjg.2023.042Approach to the Patients with Elevated CA 19-9Jung Wan Choe0https://orcid.org/0000-0003-0634-5141Division of Gastroenterology, Department of Internal Medicine, Korea University Ansan Hospital, Korea University College of Medicine, Ansan, KoreaWith the widespread adoption of health check-ups, tumor markers are being used for screening healthy individuals without symptoms related to cancer. Although CA 19-9 is known to have diagnostic value when a patient presents with symptoms, the evidence for its clinical value as a cancer screening test in asymptomatic patients is still lacking. However, patients who experience an increase in CA 19-9 levels may feel anxious about the possibility of having cancer and may seek medical attention. If the CA 19-9 level is elevated, it may be necessary to consider initial testing for malignant tumors of the pancreas. It should be recognized that the level can also increase in malignant tumors of the gastrointestinal tract, thyroid, and reproductive organs. Since the CA 19-9 levels can also increase in various benign diseases, it is important to evaluate if there is an underlying benign disease through appropriate testing and follow-up to reduce patient anxiety and discontinue unnecessary follow-up tests.https://www.kjg.or.kr/journal/view.html?uid=5913&vmd=Fullca-19-9 antigentumorpancreatic diseasesbiliary tract diseasesgastrointestinal diseases |
spellingShingle | Jung Wan Choe Approach to the Patients with Elevated CA 19-9 The Korean Journal of Gastroenterology ca-19-9 antigen tumor pancreatic diseases biliary tract diseases gastrointestinal diseases |
title | Approach to the Patients with Elevated CA 19-9 |
title_full | Approach to the Patients with Elevated CA 19-9 |
title_fullStr | Approach to the Patients with Elevated CA 19-9 |
title_full_unstemmed | Approach to the Patients with Elevated CA 19-9 |
title_short | Approach to the Patients with Elevated CA 19-9 |
title_sort | approach to the patients with elevated ca 19 9 |
topic | ca-19-9 antigen tumor pancreatic diseases biliary tract diseases gastrointestinal diseases |
url | https://www.kjg.or.kr/journal/view.html?uid=5913&vmd=Full |
work_keys_str_mv | AT jungwanchoe approachtothepatientswithelevatedca199 |