Version 2.80

Description

Measures circulating epithelial cells that are assumed to be carcinoma cells. In the context of breast cancer, a count of greater than 5 circulating tumor calls per 7.5 mL predicts a significantly shorter survival than those with a less then 5. Test is based on immunologic stain for Epithelial Cell Adhesion Molecule (EpCAM) antigen which are manetically tagged to concentrate them, then stained with CD45+ Alophycocyan (CD45-APC), anti cytokeratin phycoerythrin 8, 18, and 19 (CK-PE) and PAPI to identify the nucleus. The goal is to find epithelium derived cells. EpCAM is not always present in tumor cells and it is not completely specific so CK-PE is needed to confirm epitelial, PAPI to verify that the object is a cell not depre and CD45 to detect and exclude white cells. In terms of markers, the cells of interest are those that EpCAM+ CK-PE+ PAPI+ (to be sure that they are cells) and CD45-APC negative (to exclude white cells. Counts from this manufacturer are reportes per 7.5ml.

At present only one product is approved by the FDA is ."CellSearch™ system (Veridex), and it is offered by all of the major laboratories. As of May 2011, It has only been approved for metastatic , breast, prostate and colorectal cancer. The test has not specificity for a particular cancer, but the cut off for deciding worse prognosis differs by organ. Other mechanisms for measuring Circulating Tumor cells , exist, most internally developed by laboratories and not fully automated. Another company has an experimental system that does not depend upon magnetically tagged EpCAM for a first pass cut- claims to be able to count more cells (30 cc of blood), and may be more sensitive. Source: Regenstrief Help

Basic Part Properties

Part Name
Circulating tumor cells.colon
Part Display Name
Circulating tumor cells.colon
Part Type
Component (Describes the core component or analyte measured)
Created On
2011-09-01
Construct for LOINC Short Name
CTC.colon

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CodeSystem lookup
https://fhir.loinc.org/CodeSystem/$lookup?system=http://loinc.org&code=LP134394-8

Language Variants Get Info

Tag Language Translation
it-IT Italian (Italy) Cellule tumorali circolanti.colon
zh-CN Chinese (China) 循环肿瘤细胞.结肠
Synonyms: 循环肿瘤细胞;Circulating tumor cell;CTC
tr-TR Turkish (Turkey) Dolaşımdaki tümör hücreleri.colon
ru-RU Russian (Russian Federation) Циркулирующие опухолевые клетки.ободочная кишка
es-ES Spanish (Spain) Células tumorales circulantes.colon
nl-NL Dutch (Netherlands) circulerende tumorcellen.colon
el-GR Greek (Greece) Κυκλοφορούντα καρκινικά κύτταρα.ορθό
Synonyms: Κυκλοφορούντα καρκινικά κύτταρα.ορθό