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question 10 (mandatory) (10 points) listen vertebral osteoblastic metastases of breast cancer are characterized by an elevation of serum: alkaline phosphatase amylase alpha - 1 - antitrypsin acid phosphatase
Alkaline phosphatase is an enzyme associated with bone - forming (osteoblastic) activity. In vertebral osteoblastic metastases of breast cancer, there is increased bone - forming activity which leads to elevation of serum alkaline phosphatase. Amylase is related to pancreatic and salivary gland function, alpha - 1 - antitrypsin is an antiprotease involved in protecting the lungs from damage by proteolytic enzymes, and acid phosphatase is mainly associated with prostate and other tissues but not specifically with osteoblastic bone metastases.
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A. alkaline phosphatase