Cyfra-21-1

A tumor marker associated with lung and certain other cancers.

Last reviewedJune 16, 2026
Serum
sample type
~5 mL
blood needed
~7 days
results in app
Any time of day
best timing
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In short

Cyfra 21-1 measures a fragment of cytokeratin 19, a structural protein inside epithelial cells. When these cells break down, the fragment is released into the blood.

It is used as a tumor marker, most often linked to lung tissue. Small amounts are present in healthy people.

Cancer Markers (Screening)
Reviewed against DGKL reference practice.
Why it matters

Why test this?

Cyfra 21-1 is used mainly to monitor people diagnosed with non-small cell lung cancer, to follow treatment and check for return, alongside imaging. It is not a screening test for healthy people.

Mild rises can come from benign lung and other conditions, and from reduced kidney function. A high or rising level needs a doctor to interpret in the full clinical picture.

Reference ranges

What is a normal result?

Aniva reads your result against research-backed ranges, not just the lab's wide normal. The reference shown below is specific to this biomarker.

Ranges are guidance only. Cyfra 21-1 is an upper-cutoff marker.

GroupCommon upper guide (SI)
Adultsup to about 3.3 µg/L (ng/mL)

The exact cutoff depends on the assay. Aligned to German laboratory practice (DGKL).

Ranges are guidance and vary by lab and assay, aligned with DGKL practice. Always read your result against your own lab's reference interval.
What you'll learn

What insights will this test give you?

  • A baseline Cyfra 21-1 level, most useful when tracked over time.
  • An early flag that, with your doctor, may prompt further assessment.
  • Context your concierge can read alongside your history in a personalized action plan.
What affects your level

What can affect this result?

What can skew the result

Benign lung disease, other inflammatory conditions, and reduced kidney function can raise Cyfra 21-1. Results from different assays are not interchangeable, so trends should be followed on the same method.

Best interpreted with

Sometimes read alongside CEA and, for small cell lung cancer, NSE, and always with imaging.

How testing works

How is this tested?

Sample
Serum
Blood needed
~5 mL
Method
Immunoassay
Best timing
Any time of day
FAQ

Common questions

On this page
Why testReference rangesWhat you'll learnWhat affects itHow testing worksSourcesFAQ
✦ Privately insured? German PKV usually reimburses.

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