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What is the ESR Level in Cancer Patients? - MyHealth

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What is the ESR Level in Cancer Patients?

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Medically Reviewed By
Dr. Ragiinii Sharma

Written By Kirti Saxena
on Oct 27, 2023

Last Edit Made By Kirti Saxena
on Jan 9, 2025

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Your body is a complex structure; sometimes, it sends signals when something is not right. Erythrocyte Sedimentation Rate, or ESR, is one of those signals. It's a blood test that helps doctors determine if an issue is hiding in your body. ESR measures how quickly your red blood cells settle at the bottom of a tube of blood. If they settle too fast, it's a sign that there might be inflammation in your body. Inflammation is like your body's way of saying something's wrong. But here's the thing: sometimes, that "something wrong" can be a deadly disease, like cancer. ESR can be a clue that helps doctors catch cancer early or monitor how well someone is responding to treatment. High ESR levels can indicate inflammation, and there's a correlation between chronic inflammation and cancer progression. Here in this blog, we will find the connection between ESR and cancer and know how this simple ESR blood test plays a crucial role in cancer patients' diagnosis, treatment, and post-treatment surveillance.

What are Normal and Abnormal ESR levels?

Erythrocyte Sedimentation Rate (ESR) diagnoses the presence of inflammation in the body. Various factors influence ESR, including the size and shape of red blood cells, blood protein levels, and the presence of inflammation. Here are normal and abnormal ESR levels:

Normal ESR test resultsAbnormal ESR test results
Women 18- 50 yearsbetween 0 and 12 mm/hr.>12
Men 18- 50 yearsbetween 0 and 10 mm/hr.>10
Women 51-60 yearsbetween 0 and 19 mm/hr.>19
Men 51 -60 yearsbetween 0 and 12 mm/hr.>12
Women 61-70 yearsbetween 0 and 20 mm/hr.>20
Men 61 -70 yearsbetween 0 and 14 mm/hr.>14
Women 71-100 yearsbetween 0 and 35 mm/hr.>35
Men 71-100 yearsbetween 0 and 30 mm/hr.>30
Children 1 yearbetween 0 and 12 mm/hr.>12
Children 8-14 yearbetween 0 and 17 mm/hr.>17

ESR Levels and Cancer Types

ESR levels may vary in cancer patients depending on the type and stage of cancer. While ESR is a non-specific marker of inflammation, it can be elevated in various types of cancer due to the body's immune response to the disease. Here's an overview of how ESR levels can relate to different cancer types:

  • Lymphoma, including Hodgkin's and non-Hodgkin's, often leads to high ESR levels.
  • Multiple Myeloma, a type of blood cancer that affects plasma cells, can cause high ESR levels.
  • ESR levels in lung cancer patients can vary depending on the type and stage of the cancer. Non-small cell lung cancer (NSCLC) may have different ESR patterns than small cell lung cancer (SCLC).
  • ESR may be elevated in various solid tumor cancers, such as breast, ovarian, and prostate, particularly in advanced stages.

ESR levels often increase with the progression of cancer. Advanced stages of cancer are more likely to be associated with higher ESR readings. For example, a patient with advanced lung cancer may have a higher ESR due to inflammation caused by the tumor's growth and its effects on surrounding tissues.

What is the ESR Level in Cancer Patients?

ESR levels in cancer patients may vary depending on the type of cancer, its stage, and the patient's health. In some cancer cases, the ESR may be within the normal range (0-20 mm/h for men and 0-30 mm/h for women), while in others, it may be elevated, often exceeding these reference values. For instance, ESR levels can be considerably higher in cases of aggressive or advanced cancers, sometimes reaching 100 mm/h or more. 

However, it is important to note that high ESR levels can indicate inflammation associated with cancer, but ESR alone is not a definitive diagnostic tool for cancer. A comprehensive evaluation, which may include imaging studies, biopsies, and additional tumor markers, is essential for confirming a cancer diagnosis and determining the best course of treatment.

How is ESR Used in Cancer Diagnosis?

EST Test is used as part of the diagnostic process for cancer in several ways:

  • Screening Tool: ESR can be an initial screening tool to detect potential issues. Elevated ESR levels may suggest the presence of an underlying condition, including cancer.
  • Indication of Inflammation: High ESR levels indicate the presence of inflammation in the body. In the context of cancer, this can be a clue that prompts further investigation.
  • Monitoring Response to Treatment: ESR can be useful in tracking a patient's response to cancer treatment. Changes in ESR levels may indicate how well the treatment is working.

Limitations of ESR in Cancer Diagnosis

ESR is a non-specific marker of inflammation, meaning it doesn't indicate the exact cause. High ESR levels can be associated with various conditions, not just cancer.

ESR results alone are insufficient for a definitive cancer diagnosis. They should be interpreted in conjunction with other diagnostic tools and clinical information.

Further testing, such as a Cancer Screening Package and specific cancer markers, is often required to confirm the presence of cancer, determine its type, and stage it accurately.

Other Diagnostic Tests Used with ESR

Tumor Markers: Specific blood tests, such as the PSA test (Prostate-Specific Antigen) for prostate cancer or the CA-125 test for ovarian cancer, and also you can take Cancer Screening Package Male and Cancer Screening Package female to detect and monitor certain cancer types. Regular follow-up health checkups, including ESR monitoring, are essential for cancer survivors.

Tips to Manage ESR Levels

Consider the following tips and lifestyle changes:

  • Diet: A balanced diet rich in fruits, vegetables, whole grains, and healthy fats can help reduce inflammation. Limit processed foods, sugars, and excessive red meat.
  • Regular Exercise: Regular physical activity can lower inflammation and improve overall well-being. Aim for at least 150 minutes of moderate-intensity exercise per week.
  • Stress Management: Chronic stress can trigger inflammation. Practice stress-reduction techniques like meditation, yoga, or mindfulness.
  • Adequate Sleep: Quality sleep is crucial for immune health. Aim for 7-9 hours of restful sleep per night.
  • Hydration: Staying well-hydrated supports the body's natural processes and can help reduce inflammation.
  • Regular Health checkups: Consult your doctor and take routine health checkups, including ESR tests with various tumor markers, to identify potential issues for maintaining well-being.

Takeaway 

ESR is an important test for early detection of potential cancer recurrence or other health issues, underscoring regular check-ups' significance. However, managing ESR levels involves lifestyle changes that promote overall health and reduce inflammation. A balanced diet, regular exercise, stress management, and open communication with healthcare professionals can contribute to a healthier and potentially lower ESR level. In the face of cancer's challenges, remember that early detection, timely intervention, and a comprehensive approach to healthcare are essential. Regular health check-ups and open communication with healthcare providers provide hope and a path to better outcomes. 

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12 Comments

  • ALOK LAL

    Feb 10, 2025 at 6:58 AM.

    मुख्य 44 साल का अभी मैंने अपना ईएसआर टेस्ट किया था जिसका परिणाम 82 मिमी/घंटा आया। क्या ये कैंसर है कृपाया मुझे बताएं

    • Myhealth Team

      Feb 10, 2025 at 7:56 PM.

      ESR (एरिथ्रोसाइट सेडिमेंटेशन रेट) 82 mm/hr सामान्य से अधिक है, जो शरीर में सूजन या संक्रमण का संकेत दे सकता है। यह कैंसर जैसी गंभीर स्थिति का संकेत हो सकता है, लेकिन यह अन्य कारणों जैसे संक्रमण, ऑटोइम्यून रोग (जैसे रुमेटाइड आर्थराइटिस), या क्रोनिक बीमारी के कारण भी हो सकता है। केवल ESR से कैंसर का निदान नहीं किया जा सकता। तुरंत डॉक्टर से परामर्श करें, जो आपके लक्षणों और अन्य टेस्ट (जैसे सीबीसी, सीआरपी, इमेजिंग) के आधार पर सही कारण का पता लगाएंगे। घबराएं नहीं, लेकिन जल्दी जांच करवाएं।

  • Aneesa

    Dec 26, 2024 at 9:28 AM.

    I'm 37 years old and I have 39mm/hr esr Is this cancer

    • Myhealth Team

      Dec 26, 2024 at 11:40 AM.

      An ESR (Erythrocyte Sedimentation Rate) of 39 mm/hr is higher than the normal range, but it is not specific to cancer. Elevated ESR can be caused by various conditions, including inflammation, infections, autoimmune disorders, or other chronic diseases. It’s important to consult your doctor for further evaluation and diagnosis based on your overall health and any other symptoms.

  • Parveen Sultana

    Dec 16, 2024 at 5:45 AM.

    I have esr 38 and I have severe headache.

    • Myhealth Team

      Dec 16, 2024 at 5:33 PM.

      An ESR (Erythrocyte Sedimentation Rate) of 38 is elevated, which may indicate inflammation or an underlying condition. Severe headaches could be related, possibly due to conditions like migraines, sinus issues, or even more serious concerns like vascular inflammation. It's crucial to consult a healthcare provider for proper diagnosis and treatment. In the meantime, stay hydrated, avoid triggers like stress or loud noise, and rest well.

  • monisha

    Nov 28, 2024 at 6:33 AM.

    I'm 24 years old female and i have esr 44mm/hr , is that is concerning?

    • Myhealth Team

      Nov 28, 2024 at 11:10 AM.

      An ESR of 44 mm/hr is higher than normal for a 24-year-old female and may indicate inflammation or an underlying issue. Consult your doctor for further tests and evaluation, especially if you have symptoms like fever, joint pain, or fatigue. Maintain a healthy lifestyle to support overall well-being.

  • Imtiaj Ahmmed likhon

    Oct 13, 2024 at 10:53 PM.

    My esr level 30.3 years ago i experienced a major accident, too much bleeding Is it normal??

    • Myhealth Team

      Nov 8, 2024 at 2:07 PM.

      An ESR of 30.3 may be slightly elevated, which can be a result of past trauma or inflammation from your accident. It’s important to consult your doctor to rule out any ongoing issues and ensure everything is normal.

  • Mel

    Sep 13, 2024 at 5:55 PM.

    I have recently had a blood test and my esr is 32mm. I have just turned 50. Also my cholesterol is 7.4. I have a healthy diet. Smoke occasionally but not smoke. What could this indicate? Thank you

    • MyHealth Team

      Sep 17, 2024 at 6:52 AM.

      An ESR of 32 mm/h suggests inflammation, while a cholesterol level of 7.4 mmol/L indicates increased cardiovascular risk. Continue with a healthy diet, exercise, and reduce smoking. Consult your doctor for a detailed evaluation and management plan.

  • Robin

    Sep 12, 2024 at 9:37 PM.

    I have ESR of 8. I’m 67 years old. Is that too low? I’m seeing endocrinologist for Hashimoto’s and osteopenia. Is

    • MyHealth Team

      Sep 13, 2024 at 4:34 PM.

      An ESR (Erythrocyte Sedimentation Rate) of 8 mm/hr is generally considered within the normal range for most adults, though it can vary slightly depending on the lab and your health status. For a 67-year-old, this level is not too low. It’s good to monitor with your endocrinologist, especially given your Hashimoto’s and osteopenia. They can provide more context based on your overall health.

  • Karna Thapa

    Sep 8, 2024 at 5:26 PM.

    I have just tested my bloods and I have 17 mm/hr my ESR. Is it the symptoms of any cancer? I have inflammation on my joint and veins.

    • MyHealth Team

      Sep 11, 2024 at 4:00 PM.

      Dear Karna Thapa,

      An ESR (Erythrocyte Sedimentation Rate) of 17 mm/hr indicates inflammation in the body but is not specific to cancer. Elevated ESR can be associated with various conditions, including infections, autoimmune diseases, or chronic inflammation. Since you have inflammation in your joints and veins, it may be related to conditions like rheumatoid arthritis or other inflammatory disorders.

      It's important to consult a healthcare provider for a comprehensive evaluation to determine the underlying cause of your symptoms and ESR elevation.

      Thankyou

  • Dave smith

    Aug 22, 2024 at 2:05 PM.

    My ESR is 21. Reference on blood test was 1 to 10. I also have back pain and stomach pain when sitting. Is this cancer?

    • MyHealth Team

      Aug 24, 2024 at 7:00 PM.

      An ESR of 21 is elevated and can indicate inflammation, but it's not specific to cancer. Back and stomach pain can have many causes, including musculoskeletal issues or digestive problems. It's important to consult your healthcare provider for a thorough evaluation to determine the cause of your symptoms and get an accurate diagnosis.

  • Hannele

    Aug 7, 2024 at 2:06 PM.

    Is 2 ESR low to 56 old woman ?

    • MyHealth Team

      Aug 9, 2024 at 5:48 PM.

      An ESR (Erythrocyte Sedimentation Rate) of 2 mm/hr is quite low, especially for a 56-year-old woman. Generally, normal ESR values are higher in older adults and can vary based on age and health conditions. While a low ESR isn’t typically a concern on its own, it’s best to consult with a healthcare provider to understand if this result is relevant to your overall health or if further investigation is needed.

  • Stuart Klinger

    Aug 3, 2024 at 1:28 AM.

    If I have an ESR of 94, does it have to mean its probably cancer ?

    • MyHealth Team

      Aug 5, 2024 at 9:53 AM.

      An ESR of 94 is elevated and indicates significant inflammation, but it does not necessarily mean cancer. Elevated ESR can be due to various conditions, including infections, autoimmune diseases, and chronic inflammatory conditions. It's important to consult your doctor for further evaluation and diagnosis to determine the underlying cause and appropriate treatment.

  • Jyoti

    Jun 7, 2024 at 11:07 AM.

    Mera ESR 92 hai

    • MyHealth Team

      Jun 7, 2024 at 7:23 PM.

      आपका ESR स्तर 92 है, जो काफी अधिक है। कृपया तुरंत डॉक्टर से परामर्श करें। उन्हें आपकी स्थिति का संक्षेप में विवरण दें और उनके सुझावों का पालन करें।

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