The test frequency, sample type and reference range for the various endocrine and tumour marker tests are shown in the table below.
|
Test |
Test frequency |
Reference range |
|
|
Free T4 |
serum |
Daily |
10-24 pmol/l |
|
Free T3 |
serum |
Mon/Wed/Fri |
3.5-6.5 pmol/l |
|
TSH |
serum |
Daily |
0.35-5.5 mU/l |
|
serum |
Weekly |
<10 iU/l |
|
|
LH |
serum |
Daily |
Variable. See report |
|
FSH |
serum |
Daily |
Variable. See report |
|
Progesterone |
serum |
Twice weekly |
Variable. See report |
|
Oestradiol |
serum |
Twice weekly |
Variable. See report |
|
Prolactin |
serum |
Twice weekly |
Variable. See report |
|
Testosterone |
serum |
Weekly |
Male <50yrs 10-50 nmol/l >50yrs 7-30 nmol/l Female 0.3-1.6 nmol/l |
|
SHBG |
serum |
Weekly |
Male 10-50 nmol/l Female 20-100 nmol/l |
|
Cortisol |
serum |
Daily |
9.00am 200-650 nmol/l midnight 60-250 nmol/l |
|
Urine Cortisol |
Urine, 24hr Plain bottle |
Weekly |
Up to 165 nmol/24 hours |
|
Growth Hormone |
serum |
Weekly |
Variable. See report |
|
AFP |
serum |
Daily |
<5 U/ml (Non-pregnant adult) |
|
serum |
Daily |
<5 U/l (non-pregnant) |
|
|
PSA |
serum |
Daily |
See report |
|
CEA |
serum |
Daily |
<5 µg/l |
|
CA19-9 |
serum |
Weekly |
<20 U/ml |
|
CA-125 |
serum |
Twice weekly |
<23 U/ml |
|
Downs Screening |
serum |
Twice weekly |
Risk factor. See report. (Sent to Regional Centre) |
|
Vit D |
serum |
Three times per week |
See report. Seasonal variation |
|
IGF-1 |
serum |
Weekly |
Age dependent. See report |
|
PTH |
serum on ice |
Weekly |
16-65 pg/ml. Depending on current serum [Ca] |
Thyroid function tests consist of TSH and Free T4 as first line tests. The addition of Free T3 and TPO will depend on the results of the first line tests and the clinical details. For information on the interpretation of endocrine tests, contact either Dr. Kelly , Dr Horsman or Dr. Warburton.