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LAB PROFILES   Chemosensitivity Test (susceptibility to chemotherapy agents)
SAMPLE   blood
DEFINITIONS   The goal of all chemosensitivity tests is to determine the response of a patient's cancer cells to proposed chemotherapy agents. Knowing which chemotherapy agents the patient's cancer cells are resistant to is important. Then, these options can be eliminated, thereby avoiding the toxicity of ineffective agents. In addition, some chemosensitivity assays predict tumor cell sensitivity, or which agent would be most effective. Choosing the most effective agent can help patients to avoid the physical, emotional, financial costs of failed therapy and experience an increased quality of life. All available chemosensitivity assays are able to report drug ""resistance" information. Resistance implies that when a patient's cancer cells are exposed to a particular chemotherapy agent in the laboratory, the cancer cells will continue to live and grow. Some chemosensitivity assays also are able to report drug "sensitivity" information. Sensitivity implies that when a patient's cancer cells are treated with a particular chemotherapy agent in the laboratory, the agent will kill the cancer cells or inhibit their proliferation.
LAB PROFILES   Tumor M2PK (colon cancer)
SAMPLE   stool
DEFINITIONS   Tumor M2-PK is a synonym for the dimeric form of the pyruvate kinase isoenzyme type M2 (PKM2). Tumor M2-PK is a key enzyme within tumor metabolism and can be used in stool (fecal) samples for the screening of colorectal tumors (bowel cancer) and in EDTA plasma samples for the follow-up of various cancers. Tumor M2-PK is not an organ-specific tumor marker, such as PSA. As a biomarker the amount of Tumor M2-PK in stool and EDTA-plasma reflects the specific metabolic status of the colonic intestinal mucosa.

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