Enzyme patterns in cancer

The recent reports of the use of serum and tissue enzyme assays in primary diagnosis and then in following the course of the disease have been reviewed. These include use of bone marrow acid phosphatase, isoenzymes of both acid and alkaline phosphatase, LDH5/LDH1 ratios, sialyltransferase and the combination of carcinoembryonic antigen with serum enzyme assays to help in prediction of the occurrence of hepatic metastases.