WS/T 459-2018 in English
VALIDCommon used serum tumor marker tests:clinical practice and quality management
- Issued on:2018-12-11
- Implemented on:2019-06-01
- File Format:PDF
- Delivery:Via email within 1~3 business days
$359.00
本标准规定了常用血清肿瘤标志物检测的临床应用和质量管理要求。
本标准适用于临床实验室以及研制和生产肿瘤标志物试剂的单位。
Introduction
Analysis of the core content of the standard
| Markers | Main application tumors | Diagnostic cut-off value | Recommendation for combined detection |
|---|---|---|---|
| AFP | Primary liver cancer | 400μg/L for 1 month | Ultrasound examination |
| CEA | Colorectal cancer/lung cancer | Method dependence | Imaging examination |
| NSE | Small cell lung cancer | Method dependence | ProGRP combined |
Key technical requirements
Pre-analytical quality control: Avoid hemolysis (especially NSE detection requires centrifugation within 60 minutes), prevent sweat contamination (affects SCC), pay attention to physiological increases during pregnancy (AFP can exceed 1000μg/L)
Detection system validation: Need to verify precision (intra-batch CV <5%), accuracy (recovery rate 90-110%) and measurement range (including medical decision levels)
Clinical application warnings
- ProGRP detection needs to exclude renal function interference (false positive rate increases when GFR <60)
- CA19-9 has no diagnostic value in Lewis antigen-negative individuals (3-7%).
- Transient NSE elevation may occur 24-72 hours after chemotherapy (tumor lysis).
Implementation recommendations
- Establish laboratory-specific reference intervals (variation between different methods can reach 30%).
- Screening plan for high-risk groups: HBV carriers should undergo combined monitoring with AFP and ultrasound every 6 months.
- Frequency of recurrence monitoring: Every 3 months within 2 years after surgery, and every 6 months for 3-5 years.

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