Alk phos, alk f, ALP. May be included in blood chemistry screening panel. Normal range: 20-90 I.U./liter. Normal range may vary somewhat according to the brand of laboratory assay materials used.
BUN (Blood Urea Nitrogen)
CBC (Complete Blood Count) with Platelets
Consists of several tests on blood serum. The platelet count is usually ordered separately. The table which follows indicates the portions of the CBC relevant to malignancies. If one or more of the starred items is outside of the normal values, the CBC is considered abnormal.
|* White Blood Count (WBC)|
Differential whitecell count (diff)
|5,000-10,000 total WBC|
|Neutrophils PMNs, polys,||60-70% total WBC|
|segsEosinophils||1-4% total leukocyte count|
|Basophils||0.5-1% total leukocyte count|
|Monocytes||2-6% total leukocyte count|
|Lymphocytes||20-40% total leukocyte count|
|* Red Blood Count(RBC)||3.6-5.0 million/cu.mm. (F)
4.2-5.4 million/cu.mm. (M)
|* Hematocrit (Hct)||37-47%|
|* Hemoglobin (Hgb)||12-16 g/100 ml. (F)
14-18 g/100 ml. (M)
|Red Blood CellIndices|
|Mean Corpuscular Volume (MCV)||87-103 cu.micrograms/red cell|
|Mean Corpuscular Hemoglobin (MCH)||27-32 picograms|
|Mean Corpuscular Hemoglobin Concentration (MCHC)||32-36%|
|Stained Red CellExamination||Normocytic, normochromic|
|* Platelet Count||150,000-300,000/cu.mm.|
Chemistry Screening Panel
Blood chemistries, SMA-12, SMAC-6, ACA, MSSP, and many other names, usually based on the piece of equipment in use. The blood chemistry panel consists of 12 to 20 tests:
|Total protein (TP)||6-8 g/dl|
|Albumin (Alb.)||4-4.5 g%|
|Calcium (CA+)||Total: 9-11 mg/dl|
|Inorganic phosphorus (Inor. Phos.)||2.5-4.8 mg/dl|
|Cholesterol (Chol)||150-330 mg/dl (age 40-59)|
|Glucose (Glu)||70-100 mg/dl (fasting serum)|
|Blood Urea Nitrogen (BUN)||10-15 mg/100 ml|
|Uric acid||2.2-7 mg/dl (F)
4.2-8 mg/100 ml (M)
|Creatinine (Creat.)||0.6-1 mg/dl (F)
0.8-1.7 mg/100 ml (M)
|Total Bilirubin (T. Bili.)||0.3-1.3 mg/dl|
|Alkaline Phosphatase (Alk. Phos)||20-90 I U/liter|
|Aspartate transaminase (AST or SGOT)||5-40 Sigma-Frankel u/ml OR
0-36 IU/ltr (lower in women)
Fecal Occult Blood
Identifies presence of blood in stool; reported as positive or negative Also called: Guaiac, Hematest, Occultest, Hemoccult, Benzidine, or Orthotoluidine test.
Histochemistry of Bone Marrow
Pathologic examination of bone marrow biopsy specimen using special staining techniques to determine subclassification of the leukemia. Histochemistry of the bone marrow is a laboratory study performed in addition to the standard histologic analysis of the specimen.
I-131 Uptake Test
Measures ability of thyroid gland to accumulate, concentrate and retain iodine; usually done at same time as a thyroid scan. Normal values: 1%-13% absorbed by thyroid after 2 hours; 2-25% absorbed after 6 hours; 15-45% absorbed after 24 hours. Used primarily to rule out a variety of benign conditions.
Liver Function Tests
A series of blood chemistry tests measuring enzymes excreted by the liver during abnormal functioning due to metastases, obstruction or other conditions. Also called: liver panel. A liver panel may contain any of the following tests. If any one of these tests is outside the normal range of values, the test should be reported as abnormal.
|Alkaline Phosphatase (Alk.Phos.)||20-90 IU/liter|
|Lactic Dehydrogenase (LDH)||100-190 u/L at 37 degrees|
|SGOT||4-35 u/L (F)
8-46 u/L (M)
|SGPT||4-35 u/L (F)
7-46 u/L (M)
|Leucine aminopeptidase (LAP)||75-185 u/ml (F)
80-200 Goldbarg-Rutenburg u/ml (M)
|Bilirubin (total)||< 1.5 mg/dl|
Renal Function Tests
Urine chemistry tests to measure the output of the kidneys.
|Albumin (protein)||2-8 mg/dl|
See Tumor Markers section.