Blood serum is the liquid recovered after blood has clotted and the clot and blood cells have been separated. In particular, fibrinogen has been converted into the fibrin network of the clot. Blood plasma is instead the liquid portion of blood whose clotting has been prevented, so it retains fibrinogen.[ref]
Serum in the NCI Dictionary of Cancer Terms. Definition: liquid after removal of cells and clotting proteins
A two-tube comparison makes the distinction concrete. Allow one sample to clot before centrifugation; prevent clotting in the other and then centrifuge it. Both yield liquid fractions, but the preparations have undergone different biochemical processes. Blood serum still contains many proteins, including antibodies; it is not a protein-free version of blood. Consequently an assay validated for one specimen type should not be interpreted as though sample preparation were irrelevant.
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