High levels of lactate dehydrogenase (LDH) is often common in cancer
patients.  This is because there is a high level of cell death
occurring, which is a the main reason for elevated LDH.  But there are
other causes, so it should definitely be checked out.

If you look at Wikipedia, the following information is presented on
lactate dehydrogenase (LDH):
http://en.wikipedia.org/wiki/Lactate_dehydrogenase

"In medicine, LDH is often used as a marker of tissue breakdown. As LDH
is abundant in red blood cells and can function as a marker for
hemolysis. A blood sample that has been handled incorrectly can show
false-positively high levels of LDH due to erythrocyte damage. It can
also be used as a marker of myocardial infarction. Following a
myocardial infarction, levels of LDH peak at 3-4 days and remain
elevated for up to 10 days. In this way, elevated levels of LDH can be
useful for determining if a patient has had a myocardial infarction if
they come to doctors several days after an episode of chest pain.

Other uses are assessment of tissue breakdown in general; this is
possible when there are no other indicators of hemolysis. It is used to
follow-up cancer (especially lymphoma) patients, as cancer cells have a
high rate of turnover, with destroyed cells leading to an elevated LDH
activity."   [End Wikipedia Quote]

In CML when Gleevec is destroying large numbers of leukemic cells, the
LDH would be elevated.  This would be normal, especially after just
starting Gleevec therapy.  Sometimes Allopurinol is given to help clear
the bloodstream of impurities.  Also, the blood sample could have been
mis-handled, giving false information.  A re-test should be done to
determine if this occurred.  If the test is accurate, then several
other causes are possible.  High LDH could be a sign of a serious
issue, such as a heart problem or other organ tissue damage.  Because
of that, an immediate follow-up test would be advisable.

See also the following link:
http://www.medterms.com/script/main/art.asp?articlekey=9997

--Trey


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