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Which cancers do not show up in blood tests?

Aside from leukemia, most cancers cannot be detected in routine blood work, such as a CBC test. However, specific blood tests are designed to identify tumor markers, which are chemicals and proteins that may be found in the blood in higher quantities than normal when cancer is present.

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May 03, 2022

Having blood work performed as part of an annual wellness checkup is one of the most effective steps you can take to protect your health and maximize your well-being. Using the results of a routine blood test, such as a complete blood count (CBC), your physician can create a baseline for your overall health. By comparing the results of subsequent blood tests to the baseline, your physician can then identify changes that may warrant further investigation. That way, you might learn about a health issue early on, allowing you time to address it before you develop noticeable symptoms. Among other things, routine blood testing can detect nutritional deficiencies, high cholesterol, anemia, diabetes, hormonal imbalances, infection and problems with thyroid, liver or kidney function. As such, blood work can provide a host of valuable health-related information. This may lead you to wonder if you could have cancer if your blood tests are normal.

Blood testing and cancer

In addition to serving as a general health "barometer," blood work plays an important role in diagnosing certain types of cancer. For instance, leukemia, a cancer that affects the body’s blood-forming tissues, can sometimes be detected in a routine blood test. Specifically, the CBC test measures the levels of the various types of blood cells circulating in the bloodstream, including red blood cells, white blood cells and platelets. Although an abnormal result could point to leukemia, it is important to note that it could also indicate a benign inflammatory condition. Therefore, a physician will typically order follow-up testing to confirm or rule out a leukemia diagnosis. Aside from leukemia, most cancers cannot be detected in routine blood work, such as a CBC test. However, specific blood tests are designed to identify tumor markers, which are chemicals and proteins that may be found in the blood in higher quantities than normal when cancer is present. One common example is the prostate-specific antigen (PSA) test, which measures the level of PSA in the blood. An elevated level of PSA—a protein produced by the prostate gland—may be a sign of prostate cancer. Although blood work cannot currently be used on its own to conclusively diagnose cancer, it is often used in conjunction with other diagnostic tests, such as:

A physical examination

Imaging tests, such as X-rays, CT scans, MRIs, ultrasounds, bone scans and PET scans

A urinalysis

A Pap smear (for cervical cancer)

A mammogram (for breast cancer)

An endoscopic procedure, such as a bronchoscopy (for lung cancer) or colonoscopy (for colorectal cancer)

A high-sensitivity fecal occult blood test (for colorectal cancer)

A myelogram (for a spinal cord tumor)

A biopsy, such as a needle, skin or surgical biopsy

Cancer screening and risk assessment

A recognized leader in the development of groundbreaking scientific technology that is widely used to detect or treat many types of cancer, Moffitt Cancer Center is proud to offer the latest cancer screening tests as well as genetic testing for cancer risk. If you would like to learn more, you can request an appointment with a specialist by calling 1-888-663-3488 or completing a new patient registration form online. As our patient, you can feel confident that you are a priority of Florida’s top cancer hospital, which is changing the model and delivering nationally ranked care in new and transformative ways. Our goal is to connect each new patient with a caring cancer expert within one day.

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End-of-Life Signs: The Final Days and Hours Breathing difficulties. Patients may go long periods without breathing, followed by quick breaths. ... Drop in body temperature and blood pressure. ... Less desire for food or drink. ... Changes in sleeping patterns. ... Confusion or withdraw.

Hospice patients may want to eat, but experience difficulty swallowing or with nausea. Medications and disease can also change the taste of food. Food is often associated with nurturing and keeping up our strength. For many people approaching death, food can cause stomach and digestive problems. Avoid forced or pressured eating by allowing loved ones to eat softened versions of food, when they want it. As the body transitions to active dying, it often signals it has less need for food. “The issue of nutrition is probably one of the most guilt-inducing and emotionally charged issues for patients and families, said Synthia Cathcart, R.N., BSN. There will come a time when a patient no longer feels any desire to eat. No matter how upsetting to the family, the patient should not be pressured or forced into eating.”

Solutions

Offer small meals to those who still have a desire to eat. Serve meals during a time when patients experience less pain or agitation. Travel mugs with a straw enable patients to drink on their own schedule. If someone is refusing food or drink, flavored or plain ice chips can keep the mouth moist.

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