REAPPRAISAL OF THE VALUE OF CARCINOEMBRYONIC ANTIGEN IN THE MANAGEMENT OF PATIENTS WITH VARIOUS NEOPLASMS

被引:36
作者
COOPER, MJ [1 ]
MACKIE, CR [1 ]
SKINNER, DB [1 ]
MOOSSA, AR [1 ]
机构
[1] UNIV CHICAGO,DEPT SURG,CHICAGO,IL 60637
关键词
D O I
10.1002/bjs.1800660212
中图分类号
R61 [外科手术学];
学科分类号
摘要
Eight hundred and eight patients with histologically proved malignant disease had carcinoembryonic antigen (CEA) estimations performed at the time of tissue diagnosis. An elevated level was found in 384 of 518 patients with gastrointestinal neoplasms (74 per cent) and in 162 of 290 patients with other neoplasms (56 per cent). No correlation was found between CEA elevations and tumour differentiation. There was a good correlation between tumour staging and CEA levels for patients with colorectal cancer; the more advanced the tumour, the higher the CEA. Several illustrative cases are presented and the role of CEA assay in the diagnosis and management of neoplasia is discussed. CEA assay is a poor screening test for neoplastic disease, but serial CEA monitoring is valuable in the detection of residual or recurrent cancer. Copyright © 1979 British Journal of Surgery Society Ltd.
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页码:120 / 123
页数:4
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