Bone-specific alkaline phosphatase in plasma as tumour marker for osteosarcoma.

Abstract:

:The levels of bone-specific alkaline phosphatase (BALP) in plasma and tumour tissue samples of 20 Chinese patients with osteosarcoma in Hong Kong were measured by the wheat germ lectin precipitation technique. The plasma BALP levels in these patients were significantly higher than those of the normal subjects (p < 0.001), and also significantly higher than those of patients with benign bone tumor and those of patients with malignant tumor metastasized to the bone (p < 0.0001). Considering the prognostic value of BALP for osteosarcoma, the plasma BALP levels at the time of diagnosis were found to be significantly related to the rate of disease recurrence (p < 0.05). Furthermore, at the time of relapse, the plasma BALP levels in the group of recurrent osteosarcoma patients were significantly higher than those of osteosarcoma patients showing no recurrence (p < 0.05). When ALP was assayed in the tumor tissue, the BALP levels were also significantly higher than those of the control cortical bone extracts in the same group of patients (p < 0.05). We conclude that plasma BALP is a sensitive and specific biochemical parameter in the diagnosis and the subsequent monitoring of osteosarcoma.

journal_name

Oncology

journal_title

Oncology

authors

Liu PP,Leung KS,Kumta SM,Lee KM,Fung KP

doi

10.1159/000227573

subject

Has Abstract

pub_date

1996-07-01 00:00:00

pages

275-80

issue

4

eissn

0030-2414

issn

1423-0232

journal_volume

53

pub_type

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