Amylase-producing tumors are mainly lung cancer, ovarian cancer and myeloma. The type of isoamylase produced by the tumors is exclusively of the salivary type (s-). Therefore, hyper s-amylasemia is a valuable aid in the diagnosis of amylase-producing tumors, however, occurs in a large variety of conditions. This paper reports the clinical laboratory findings indicating of presence of tumor amylase. One hundred and eighty sera from 85 patients with primary lung cancer and 185 sera from patients with hyper s-amylasemia, but not suffering from lung cancer, ovarian cancer or myeloma, were studied for the presence of tumor amylase by amylase activity measurement and isoamylase electrophoresis. A persistently increased value for amylase in serum and/or a S3 isoform/S2 isoform activity ratio of greater than 33% were a useful indicator of the presence of tumor amylase. An incidence of amylase-producing tumor of 7% among the 85 cases of primary lung cancer was found.
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