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CRP Blood Test Cancer: Understanding its Significance in Diagnosis and Treatment

By Dr. Nayana Shetty +2 more

Key Highlights: 

  • Introduction to the C-reactive protein (CRP) blood tests and their importance in cancer diagnosis and management. 
  • Differences between CRP and high-sensitivity CRP (hs-CRP) tests. 
  • CRP test results interpretation, and the relationship between CRP levels and various health conditions, including heart disease and infections. 
  • The procedure for CRP testing, preparations, and potential risks. 
  • Monitoring the changes in CRP levels during cancer therapy and their role in personalizing management plans. 
  • Frequently asked questions about CRP tests in cancer diagnosis. 
     

Introduction 

Cancer diagnostic and care methods have made huge strides in recent years.  Being able to detect cancer early is key. It boosts survival chances and the likelihood of better results from therapy. One test that has gained interest of late is the CRP (or C-reactive protein) blood test. 

In this article, we’re going to try and understand CRP blood test. We’ll find out how important it is to detect and manage cancer.  We’ll look into the difference between CRP and hs-CRP tests. Additionally, we will learn how to read the test results and what kind of health problems could an increase in CRP levels indicate. We’ll also cover the test process, how CRP levels change during cancer  therapy, and answers some frequently asked questions regarding this topic. 

crp blood test cancer

Understanding C-Reactive Protein (CRP) 

What is CRP? 

C-reactive protein (CRP) is a protein that the liver makes when there is inflammation in the body. CRP increases our immune system’s activities by helping it get rid of dead cells and foreign bodies. 

The role of CRP in the body 

CRP’s main job is to switch on the immune system, especially a type of white blood cell known as macrophage. Macrophages deal with invaders like bacteria and dead or nearly dead cells. If the inflammation in your body goes up or down, so does the CRP level. So, keeping track of CRP levels can give us a good idea of how much inflammation is happening in the body. 

CRP and inflammation 

If there’s an infection, damage, or an autoimmune disorder causing inflammation in your body, your liver will make more CRP.  So, detecting high levels of CRP via a blood test can show that you have some inflammation somewhere. However, you can’t use a CRP test to pinpoint where that inflammation is, or why it’s occurring. 

The difference between CRP and hs-CRP 

A CRP and a high-sensitivity CRP (hs-CRP) test measure the same CRP protein in your blood. However, the hs-CRP test can detect even small changes in CRP. This makes it more sensitive than a regular CRP test and this comes in handy when we need to find out if a person is at risk of heart problems.  

Did you know?

  • High-sensitivity CRP is a strong predictor of vascular events, providing prognostic information beyond LDL. source: PMC
  • CRP testing has been shown to be cost-effective in high-resource settings, but data in LMICs are limited. source: PMC7259834
  • Cost-effectiveness of CRP testing in LMICs depends on the adherence to test results and the cost per test. source: PMC7259834

CRP Blood Test for Cancer 

Indications for a CRP test in cancer diagnosis 

How often we use CRP tests to diagnose cancer depends on certain factors. These include what symptoms a patient has, and their medical history. Generally speaking, CRP tests can be very useful to health workers trying to diagnose cancer.     

  • Symptoms and patient history 

If a patient presents with symptoms that might mean they have cancer – like they’ve lost weight for no reason, they’re in pain all the time, or they’ve found a lump somewhere – a health worker might order a CRP test. This can help them detect if there’s inflammation going on in the body. If a patient has a family history of cancer or other known risk factors, a CRP test might help detect cancer sooner rather than later. 

  • Confirmatory tests 

Remember that a CRP test alone cannot confirm cancer. It’s just one more tool in the box. Along with other tests and findings, they might help health workers find out what’s most likely causing a patient’s symptoms. If a CRP test shows there’s inflammation, you might have to go on to have other tests, like imaging tests or biopsies. These are often needed to confirm a diagnosis of cancer. 

Interpreting CRP test results in cancer 

After getting back a patient’s CRP test results, health workers need to look at everything else related to the patient’s health. They then decide how the results relate to a possible diagnosis of cancer. 

  • Normal and abnormal CRP levels 

Normal CRP values can change between laboratories. However, in most healthy adults, CRP levels are under 0.3 mg/dL. It’s crucial to know that even if you don’t have high CRP levels, you may still have inflammation or cancer somewhere. You might also see very high CRP levels for different reasons, such as infections, autoimmune disorders, or in case of heart diseases. 

  • High CRP and cancer prognosis 

Studies suggest that high levels of CRP link to worse results and lower survival rates in some types of cancer. High CRP levels are just one part of the whole picture. Other factors like the stage of the  tumour, the management plan, and patient factors can greatly change how a person may fare.  

CRP and Other Health Conditions 

A rise in CRP levels means presence of inflammation in the body. Remember that cancer might not always be the cause. Many other health conditions can also lead to high levels of CRP. 

  • Heart disease and CRP levels 

A hs-CRP test can show you who’s at greater risk of getting heart disease or having a heart attack or stroke. On the whole, people with high hs-CRP levels are seen as being more at risk of these conditions. However, it’s really important to look at all other risk factors. A complete approach is needed to see what the risk is to a person’s heart. 

  • Infections and high CRP levels 

Lots of different infections, such as bacterial, viral, and fungal ones, can make CRP levels go up quickly. For example, pneumonia can cause CRP levels to go way up. So can other chest infections caused by the flu, adenovirus, and loads of other germs.  

  • Diseases related to high CRP levels 

Besides cancer and infections, many other diseases are linked to high CRP levels. These include autoimmune disorders like rheumatoid arthritis, lupus, and bowel inflammation. They also include long-term kidney disease, liver disease, and obesity.  

The CRP Test Procedure 

Knowing just what a CRP test involves can help ease any worries you might have. It can also make sure that your results are as accurate as possible. 

1. Preparing for the test 

Getting ready for a CRP test is easy. You don’t need to change anything about how you eat or live before the test. Just keep on doing what you normally do. 

  • What to wear? 

When you’re going for a blood test, it’s a good idea to wear short sleeves or clothes that let health workers get easy access to the veins in your arm. 

  • Food and drink restrictions 

Usually, you don’t need to fast before a CRP test. Always check with your health worker before the test. 

2. During the test 

During a CRP test, a health worker will collect some blood from a vein. A healthcare professional, like a nurse or laboratory technician, will take the blood sample by pushing a small needle into a vein in the arm. 

  • Blood sample collection 

To take the blood sample, the health worker will first clean the skin above the vein with a germ-killing swab. They then put an elastic band around the upper arm to make the veins fill up with blood. After inserting the needle, the blood will flow into the tube attached to the needle. 

  • Test duration 

The whole procedure, from putting the band on to taking out the needle, usually only takes a few minutes. Once the blood sample is taken, the health worker will take out the needle and press down on the little hole left behind with a piece of cotton wool or gauze. 

3. Risks and complications 

As safe as it is, there are some minor risks and a bit of discomfort linked to having your blood taken for a CRP test. 

  • Pain or discomfort 

Some people might feel a small pinch when the needle goes in. While you’re getting the blood test, and afterward, you might feel a sting or pulse at the site where the needle went in. This usually subsides within a few hours by itself. If it hurts too much, tell the healthcare worker doing the test. 

  • Infection risk 

While it is uncommon, there is a slight risk of infection anytime there’s a break in the skin during a medical procedure. To reduce this risk, healthcare workers always clean the skin before taking blood. They also put on a sterile dressing afterward. 

Also Read: CRP Test vs ESR Test: Understanding the Differences and Significance

Cancer Management and CRP Monitoring 

By watching how CRP levels change while cancer is being managed, we can gather useful knowledge about how well the therapy is working. It may also guide the personalization of management plans. 

How do CRP levels change with therapy? 

As therapy goes on and the inflammation goes down, we expect CRP levels to fall as well. Tracking these changes helps health workers gauge whether the current management plan is working. 

  • Monitoring management progress 

Checking CRP levels regularly while managing cancer lets healthcare providers keep track of their patient’s progress. They can also quickly  detect any problems or delays in the process. This constant evaluation can inform changes to a management plan, with the hope of getting the best outcomes for the patient. 

  • Evaluating therapy effectiveness 

Over time, monitoring CRP levels can help healthcare providers decide if a therapy option is working. They do this by looking at how inflammation changes because that could be a clue about how active the cancer is. When judging how effective a therapy is, it’s critical to think about everything to do with the patient’s health. Just looking at CRP levels won’t give the full picture. 

The role of CRP in tailoring cancer  management 

In recent years, the idea of personalized medicine has taken hold. The belief is that management plans should be made to fit the needs and characteristics of each patient. 

  • Personalized approach 

By regularly checking on CRP levels during cancer therapy, healthcare providers can better understand how each patient is reacting to therapy. This information can give health workers a way of customizing management plans to suit each patient’s needs and desires. By doing so, they can make sure that everyone gets the most suitable care. 

  • Adjusting management plans 

If CRP levels suggest that a patient’s current management plan is not effectively dealing with their inflammation, healthcare providers may decide to change things. This could involve adding new therapies or changing how much of a certain drug they’re giving. Having a good idea of what’s going on with CRP levels throughout the process gives doctors the information they need to decide on the best way forward for each patient. 

Conclusion 

Cancer is a serious health issue all over the world. Early detection and management are key to improving the outlook for patients. Very recent advances in medicine have brought attention to the possible importance of markers of inflammation like CRP in finding and dealing with cancer. 

While a test for CRP can’t confirm or deny a diagnosis of cancer by itself, it can offer valuable insights into how much inflammation there is in the body. When used along with other tests CRP levels can help doctors and nurses work out what might be causing a patient’s symptoms. They can also guide decisions about  management. 

As we all learn more about how CRP and cancer are linked, it’s so important for healthcare providers and patients alike to stay in the loop about the latest research and developments. By keeping well-informed and putting new knowledge into day-to-day clinical practice, we can strive for the best results for those affected by cancer. 

Also Read: CRP Test Report: Interpreting Results and Their Medical Implication

Frequently Asked Questions (FAQs) 

What does a high CRP level indicate in cancer patients? 

A high CRP level in cancer patients suggests inflammation in the body. This may be due to what the tumor is doing, or the side effects from therapy. However, other things – such as infections or autoimmune disorders – can also cause CRP levels to rise. So, CRP levels must always be seen in the bigger clinical picture. This helps decide what they mean in the context of cancer. 

How accurate is the CRP test in diagnosing cancer? 

A CRP test by itself isn’t very good for diagnosing cancer. It only measures how much swelling is in the body, and there could be lots of reasons for this. But, when combined with other tests, other clinical findings, and information that is specific to a patient, CRP levels can offer valuable insights. And that can help healthcare providers diagnose and manage cancer more effectively. 

Can a CRP test detect a specific type of cancer? 

No, a CRP test can’t detect which type of cancer there is. This is because it only measures inflammation in the body. To diagnose a specific type of cancer, healthcare providers have to use other tools. These could be imaging tests, biopsies, and other laboratory tests that are specific to each type of cancer. 

Is the CRP test used alone for cancer diagnosis? 

No, the CRP test isn’t used on its own to diagnose cancer. Instead, it’s an extra tool that can help healthcare providers see if there’s inflammation in the body. This could be to do with cancer or other health conditions. The CRP test should be seen alongside other clinical information. That will determine why a patient has certain symptoms and then help guide their management plan. 

How often should a patient with cancer undergo a CRP test? 

How often someone with cancer has a CRP test depends on lots of things. These include the specific type of cancer, the stage of the disease, and what the patient needs or what’s happening in their life. Healthcare providers will usually decide when to do CRP tests based on these factors. They also take account of how the patient is reacting to therapy and their overall clinical status. 

References: 

  1. ScienceDirect. Your Browser is out of date. [Internet]. [cited 2024 Apr 2]. Available from: http://www.sciencedirect.com/science/article/pii/S1110260814001173 
  1. Centers for Disease Control and Prevention (CDC). Heart Disease Facts [Internet]. [cited 2024 Apr 2]. Available from: https://www.cdc.gov/heartdisease/facts.htm 
  1. National Center for Biotechnology Information (NCBI). The Impact of C Reactive Protein on Global Cardiovascular Risk on Patients with Coronary Artery Disease 
  1. National Center for Biotechnology Information (NCBI). Effect of Nutritional Status and Dietary Patterns on Human Serum C-Reactive Protein and Interleukin-6 Concentrations – PMC [Internet]. [cited 2024 Apr 2]. Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4642421 
  1. National Center for Biotechnology Information (NCBI). Impact of Probiotic Administration on Serum C-Reactive Protein Concentrations: Systematic Review and Meta-Analysis of Randomized Control Trials – PMC [Internet]. [cited 2024 Apr 2]. Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5295064 
  1. ScienceDirect. Your Browser is out of date. [Internet]. [cited 2024 Apr 2]. Available from: https://www.sciencedirect.com/science/article/abs/pii/S0891584908005686?via%3Dihub 
  1. Centers for Disease Control and Prevention (CDC). Know Your Risk for Heart Disease [Internet]. [cited 2024 Apr 2]. Available from: http://www.cdc.gov/heartdisease/risk_factors.htm 
  1. National Center for Biotechnology Information (NCBI). THE USE OF HIGH SENSITIVITY C-REACTIVE PROTEIN IN CLINICAL PRACTICE – PMC [Internet]. [cited 2024 Apr 2]. Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2639398 
  1. National Center for Biotechnology Information (NCBI). Role of C-Reactive Protein at Sites of Inflammation and Infection – PMC [Internet]. [cited 2024 Apr 2]. Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5908901 
  1. National Center for Biotechnology Information (NCBI). C Reactive Protein [Internet]. [cited 2024 Apr 2]. Available from: https://www.ncbi.nlm.nih.gov/books/NBK441843 
  1. National Center for Biotechnology Information (NCBI). Chronic Inflammation [Internet]. [cited 2024 Apr 2]. Available from: https://www.ncbi.nlm.nih.gov/books/NBK493173 
  1. Centers for Disease Control and Prevention (CDC). Know the Signs and Symptoms of Infection [Internet]. [cited 2024 Apr 2]. Available from: https://www.cdc.gov/cancer/preventinfections/symptoms.htm 
  1. National Center for Biotechnology Information (NCBI). C-Reactive Protein and Cancer—Diagnostic and Therapeutic Insights – PMC [Internet]. [cited 2024 Apr 2]. Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7727277 
  1. National Health Service (NHS). Blood tests [Internet]. [cited 2024 Apr 2]. Available from: https://www.nhs.uk/conditions/blood-tests 
  1. National Center for Biotechnology Information (NCBI). The course of C-reactive protein response in untreated upper respiratory tract infection – PMC [Internet]. [cited 2024 Apr 2]. Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1326064 
  1. National Center for Biotechnology Information (NCBI). Circulating levels of C-reactive protein, interleukin-6 and tumour necrosis factor-α and risk of colorectal adenomas: a meta-analysis [Internet]. [cited 2024 Apr 2]. Available from: http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=PubMed&dopt=Abstract&list_uids=27608842 
  1. National Center for Biotechnology Information (NCBI). Circulating levels of C-reactive protein, interleukin-6 and tumour necrosis factor-α and risk of colorectal adenomas: a meta-analysis – PMC [Internet]. [cited 2024 Apr 2]. Available from: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5325449 
  1. National Center for Biotechnology Information (NCBI). Search Page [Internet]. [cited 2024 Apr 2]. Available from: http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=search&term=Jessica%20Watson 
  1. National Center for Biotechnology Information (NCBI). Search Page [Internet]. [cited 2024 Apr 2]. Available from: http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=search&term=Chris%20Salisbury 
  1. National Center for Biotechnology Information (NCBI). Search Page [Internet]. [cited 2024 Apr 2]. Available from: http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=search&term=Jonathan%20Banks 
  1. National Center for Biotechnology Information (NCBI). Search Page [Internet]. [cited 2024 Apr 2]. Available from: http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=search&term=Penny%20Whiting 
  1. National Center for Biotechnology Information (NCBI). Search Page [Internet]. [cited 2024 Apr 2]. Available from: http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=search&term=Willie%20Hamilton 
  2. PMC [Internet]. [cited 2024 Apr 2]. Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3945266 

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