30-Second Summary
Lab tests measure substances in your blood, urine, and other body fluids that can be a sign of cancer or a treatment side effect.
Abnormal lab results are not a sure sign of cancer, and it's possible to have normal results even if cancer is present.
Results are often reported as a range because normal values vary from person to person and even day to day.
Common tests include the complete blood count (CBC), blood chemistry, tumor markers, urinalysis, and liquid biopsy.
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High or low levels of certain substances in your body can be a sign of cancer. So lab tests of your blood, urine, and other body fluids can help doctors make a diagnosis. But there's an important caveat: abnormal lab results are not a sure sign of cancer, and it's possible to have normal results even when cancer is present. Lab tests are used together with imaging and biopsies — never entirely on their own.
Why results come as a range
Lab results for healthy people vary from person to person, for reasons that include age, sex, race, medical history, and general health. Your own results can even vary from day to day. Because normal values move around a bit, they are usually reported as a range with a lower and an upper limit, based on results from large numbers of people tested in the past.
Common lab tests used in cancer
- Complete blood count (CBC) — measures red blood cells, white blood cells, and platelets, plus hemoglobin and related details. Often part of a routine check-up, it can help diagnose some cancers (especially leukemias) and is used to monitor health during and after treatment.
- Blood chemistry test — measures substances released into the blood by organs and tissues, giving information about how well your kidneys, liver, and other organs are working. High or low levels can signal disease or a treatment side effect.
- Tumor marker tests — measure substances made by cancer cells, or by the body in response to cancer, that appear at higher levels when cancer is present.
- Liquid biopsy — a blood test that looks for cancer cells or pieces of tumor DNA released into the blood; may help find cancer early, plan treatment, or check whether it has returned.
- Urinalysis and urine cytology — examine the urine for abnormal contents or cells; can help diagnose kidney and bladder cancers.
- Cytogenetic analysis and immunophenotyping — look for chromosome changes or cell markers; especially useful for diagnosing and monitoring blood cancers such as leukemias and lymphomas.
- Sputum cytology — looks for abnormal cells in mucus coughed up from the lungs, which can help diagnose lung cancer.
Making sense of your results
Results are often posted in your patient portal before your doctor can talk with you about them. It's natural to want answers right away, but a single lab value rarely tells the whole story. Your doctor is the best person to explain what your results mean — putting them together with your scans, your biopsy, and your overall health — and to decide what comes next.
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Common questions
▸How are lab tests used in cancer?
High or low levels of certain substances in your body can be a sign of cancer, so lab tests of your blood, urine, and other fluids can help doctors make a diagnosis. However, abnormal results are not a sure sign of cancer. Lab results are used along with other tests, such as biopsies and imaging, to help diagnose and learn more about a person's cancer.
▸Can a lab test alone tell me if I have cancer?
Usually not. For many tests, it is possible to have normal results even if you have cancer, and it is possible to have results outside the normal range even if you are healthy. That's why lab tests alone can't say for sure whether you have cancer or another disease — your doctor interprets them alongside other tests.
▸Why are my results shown as a range?
Normal results for healthy people vary from person to person because of age, sex, race, medical history, and general health — and your own results can vary from day to day. Because normal values move around a bit, they are often reported as a range with lower and upper limits, based on results from large numbers of people tested in the past.
▸What is a complete blood count (CBC)?
A CBC measures the number of red blood cells, white blood cells, and platelets in your blood, along with hemoglobin and other details. It is often part of a routine check-up, can help diagnose some cancers (especially leukemias), and is used to monitor your health during and after treatment.
▸What is a liquid biopsy?
A liquid biopsy is a test done on a sample of blood to look for cancer cells or pieces of DNA from tumor cells that are sometimes released into the blood. It may help find cancer at an early stage, plan treatment, or find out how well treatment is working or whether cancer has come back.
▸What are tumor markers?
Tumor marker tests measure substances produced by cancer cells or by the body in response to cancer. Most tumor markers are made by both normal and cancer cells but at much higher levels by cancer cells. They can help diagnose cancer, guide treatment decisions, measure how well treatment worked, and watch for signs that cancer has returned.
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