Clinical Guidelines

Biochemical Tumor Markers: Are New Testing Guidelines Fit for Purpose?

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The Clinical and Laboratory Standards Institute (CLSI) has published guideline C65 on Biochemical Tumor Marker Testing, which aims to standardize protein-based oncology diagnostics. This guideline covers ten commonly used soluble markers but notably omits serum free light chains and lacks specific guidance on radiation therapy monitoring. While it effectively addresses pre-examination factors to reduce lab errors, there is a critical need for broader scope in future versions to include multi-modal approaches and specific treatment responses. Mustafa Barbhuiya, a medical director and educator, emphasizes the necessity for an integrated framework in oncology diagnostics.

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