BACKGROUNDCancers are characterised by unregulated cell growth, tissue invasion, and metastasis. Biological markers can be used to monitor cancer, predict the therapeutic response and prognosis of cancer, and in certain situations even to diagnose cancer. These markers are referred to as tumour markers. Aberrant glycosylation processes in tumour cells may contribute to the biosynthesis of the carbohydrate structures so that malignant or transformed cells contain increased levels of SA on their surfaces.The aim of the present study was to evaluate the usefulness of serum sialic acid in early diagnosis of cancers as a tumour marker for various cancers and to evaluate the usefulness of sialic acid as an indicator for severity of the disease for staging and metastasis.