“…More recent studies, however, with different methodologies have failed to confirm such a significant number of elevated isoenzyme levels (Jacoby and Bagshawe, 1972;Usategui-Gomez et al, 1973;Cadeau et al, 1974), so that the general and wide applicability once considered appropriate is now less certain. In addition early studies considered that the elevated levels were directly related to the tumour mass (Stolbach et al, 1969) but this is now open to doubt. Nathanson and Fishman (1971) noted that it could serve as a useful agent to judge the efficacy of surgery and/or chemotherapy in some cases of carcinomas of the ovary, breast, colon, and pancreas while also reflecting, by rising titres in other patients, disease progression and therapeutic refractoriness.…”