Non-Malaysian citizens are subject to 6% SST, to be verified and paid at the counter before screening.
CA19-9 Test — Pancreatic & Biliary Tract Cancer Marker
Introduction
CA19-9 (Cancer Antigen 19-9) is a widely used tumor marker for pancreatic cancer and biliary tract cancers. It plays an important role in risk assessment, treatment monitoring, and recurrence surveillance.
Note: High CA19-9 does not always mean cancer, as benign conditions such as cholangitis, gallstones, or pancreatitis can also increase its levels.
Why Take a CA19-9 Test?
- Risk assessment: Provides clinical reference when pancreatic or biliary malignancy is suspected.
- Treatment monitoring: Tracks changes during therapy to evaluate treatment response.
- Recurrence surveillance: Assists in post-treatment or post-surgery follow-up.
Method & Workflow
A venous blood sample is collected to measure serum CA19-9. Interpretation should always be combined with imaging (ultrasound, CT, MRI) and clinical evaluation.
Factors & Notes
- Benign diseases (cholangitis, gallstones, pancreatitis) can also elevate CA19-9.
- Individuals lacking the Lewis antigen may not show CA19-9 elevation, even with cancer.
- Serial trends are more valuable than a single measurement.
Who Should Consider Testing?
- Patients clinically suspected of pancreatic or biliary tract cancers
- Confirmed cases under treatment who require therapy monitoring
- Post-treatment or post-surgery patients requiring recurrence follow-up
- Individuals undergoing a tumor marker panel for digestive cancers
Frequently Asked Questions (FAQ)
Q1: Does high CA19-9 always mean pancreatic cancer?
A: No. Benign conditions such as cholangitis, gallstones, or pancreatitis may also raise CA19-9.
Q2: Can CA19-9 be used for general cancer screening?
A: No. It is not suitable as a stand-alone screening test but should be combined with imaging and other diagnostic methods.
Q3: How should CA19-9 results be interpreted?
A: Always review alongside patient history, symptoms, imaging, and other tumor markers, focusing on serial results.
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CONTACT US. We will arrange a one-on-one consultation with a dedicated specialist to provide you with detailed explanations and recommendations.
Pre-Screening Preparation