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acid phosphatase test Alternative Namesprostatic acid phosphatase test, serum acid phosphatase test, PAP test, tartrate-resistant acid phosphatase test, TRAP test
DefinitionThe acid phosphatase test measures the level of acid
phosphatase in the blood. Acid phosphatase is an enzyme found in the
prostate gland, semen, liver, spleen, blood cells, and bone marrow. If
these organs and tissues are not functioning right, they may release
acid phosphatase into the bloodstream.Who is a candidate for the test?The acid phosphatase test is used primarily to diagnose
and stage cancer of the prostate
and to monitor the effect of the treatment. It may also be used to detect
damage to the heart, liver, and other organs.How is the test performed?To measure the amount of acid phosphatase in the
blood, a blood sample is taken from a vein in the arm. First, the skin
over the vein is cleaned with an antiseptic. A tourniquet is wrapped
around the upper arm to enlarge the veins. A small needle is
inserted into a vein, and blood is collected for testing in the laboratory.
After the tourniquet is removed, a cotton ball is held over the needle site
until bleeding stops.What is involved in preparation for the test?A person should request specific instructions from his or
her doctor.What do the test results mean?A healthy level of acid phosphatase in the blood is 0 to
0.8 U/L (units per liter). Abnormal levels of acid phosphatase in the blood
may indicate one or more of the following:
- prostate cancer
that has spread outside the prostate gland, often to bone
- decreased flow of blood to the prostate gland
- Paget disease,
a disease in which bones thicken and soften
- anemia,
which is a low number of red blood cells
- infection
- prostatitis,
which is an inflammation of the prostate gland
- thrombophlebitis,
which is inflammation and small blood clots in a vein, usually in the leg
- Gaucher disease,
which is a lipid metabolism disorder
- hyperparathyroidism,
which is a condition caused by increased activity of the parathyroid gland
- heart attack
- kidney disease, such as end-stage renal disease
- physical stimulation of the prostate gland, which can be done by
prostate examination, colonoscopy,
or enemas
- multiple myeloma,
which is a malignancy beginning in the plasma cells of the bone marrow
| Author: David T. Moran, MD Date Written: 07/31/99 Reviewer: Gail Hendrickson, RN, BS Date Reviewed: 09/20/01
Potential conflict of interest information for reviewers available on request
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