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. 1979 Feb 1;66(2):120–123. doi: 10.1002/bjs.1800660212

A reappraisal of the value of carcinoembryonic antigen in the management of patients with various neoplasms

M J Cooper 1, C R Mackie 2, D B Skinner 3, A R Moossa 4,✉
PMCID: PMC11427820  PMID: 420982

Summary

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.

Contributor Information

M J Cooper, Department of Surgery, University of Chicago, 950 East 59th Street, Chicago, Illinois 60637, USA.

C R Mackie, Department of Surgery, University of Chicago, 950 East 59th Street, Chicago, Illinois 60637, USA.

D B Skinner, Department of Surgery, University of Chicago, 950 East 59th Street, Chicago, Illinois 60637, USA.

A R Moossa, Department of Surgery, University of Chicago, 950 East 59th Street, Chicago, Illinois 60637, USA.

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