Free Patient Resource

Lab Reference Guide

Cancer Lab Results
Cheat Sheet

A plain-language guide to the most common cancer-related lab markers — what they measure, normal ranges, and what elevated values may indicate.

CEA
Carcinoembryonic Antigen (CEA)
Colorectal · Lung · Pancreatic

Used to monitor treatment response and detect recurrence. Elevated levels may suggest disease progression, but can also rise with smoking or inflammation.

Normal< 3.0 ng/mL
PSA
Prostate-Specific Antigen (PSA)
Prostate Cancer

A key screening and monitoring marker for prostate cancer. Rising PSA after treatment may indicate recurrence. Age, medications, and BPH can also affect levels.

Normal< 4.0 ng/mL
CA-125
Cancer Antigen 125 (CA-125)
Ovarian · Endometrial · Peritoneal

Primarily used to monitor ovarian cancer treatment. Can be elevated in endometriosis, fibroids, pregnancy, and liver disease — context matters.

Normal< 35 U/mL
AFP
Alpha-Fetoprotein (AFP)
Liver · Testicular · Germ Cell

Elevated in hepatocellular carcinoma and certain germ cell tumors. Also used in prenatal screening. Chronic liver disease can cause mild elevations.

Normal< 10 ng/mL

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WBC
White Blood Cell Count (WBC)
Immune Function · Infection · Leukemia

Indicates immune system status. Chemotherapy often causes low WBC (neutropenia). Elevated WBC may suggest infection or leukemia. Differential counts provide further detail.

Normal4.5–11K /µL
Hgb
Hemoglobin (Hgb)
Anemia · Fatigue · Blood Loss

Low hemoglobin (anemia) is common during cancer treatment and can cause fatigue, shortness of breath, and dizziness. Transfusions or EPO may be needed.

Normal12–17.5 g/dL
LDH
Lactate Dehydrogenase (LDH)
Lymphoma · Melanoma · Germ Cell

A general marker of tissue damage and cell turnover. Elevated LDH in cancer can indicate high tumor burden or aggressive disease. Not specific to any one cancer.

Normal140–280 U/L
ALP
Alkaline Phosphatase (ALP)
Bone Metastases · Liver

Elevated in bone metastases and liver involvement. Often used alongside imaging to track disease spread. Growing children and fracture healing also cause elevations.

Normal44–147 U/L
CRP
C-Reactive Protein (CRP)
Inflammation · Prognosis

A broad marker of inflammation. Elevated CRP in cancer patients correlates with poorer prognosis and higher tumor burden. Also rises with infection and autoimmune conditions.

Normal< 3.0 mg/L
ESR
Erythrocyte Sedimentation Rate (ESR)
Myeloma · Lymphoma · Inflammation

Measures how quickly red blood cells settle. Elevated in multiple myeloma, lymphoma, and widespread inflammation. A nonspecific but useful trend marker.

Normal0–20 mm/hr

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