For assessing carcinoma of the prostate, quantification of PSA has virtually replaced the measurement of which enzyme?

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Multiple Choice

For assessing carcinoma of the prostate, quantification of PSA has virtually replaced the measurement of which enzyme?

Explanation:
PSA testing is more prostate-specific and sensitive than prostatic acid phosphatase, which is why it has largely replaced acid phosphatase as the tumor marker for prostate cancer. Prostatic acid phosphatase can be elevated in benign prostatic conditions and other noncancerous states, making it less reliable for detecting cancer and monitoring disease. PSA, a serum protein produced by prostate cells, rises with prostate cancer and provides better screening and follow-up information, even though it isn’t perfect. The other enzymes listed are not used for prostate cancer monitoring: alkaline phosphatase is mainly a bone and liver marker, ALT reflects liver injury, and trypsin is a pancreatic enzyme.

PSA testing is more prostate-specific and sensitive than prostatic acid phosphatase, which is why it has largely replaced acid phosphatase as the tumor marker for prostate cancer. Prostatic acid phosphatase can be elevated in benign prostatic conditions and other noncancerous states, making it less reliable for detecting cancer and monitoring disease. PSA, a serum protein produced by prostate cells, rises with prostate cancer and provides better screening and follow-up information, even though it isn’t perfect. The other enzymes listed are not used for prostate cancer monitoring: alkaline phosphatase is mainly a bone and liver marker, ALT reflects liver injury, and trypsin is a pancreatic enzyme.

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