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. 1972 Sep 9;3(5827):605–609. doi: 10.1136/bmj.3.5827.605

Role of Plasma Carcinoembryonic Antigen in Diagnosis of Gastrointestinal, Mammary, and Bronchial Carcinoma

D J R Laurence, U Stevens, R Bettelheim, D Darcy, C Leese, C Turberville, P Alexander, E W Johns, A Munro Neville
PMCID: PMC1785948  PMID: 5071695

Abstract

Our studies have confirmed that raised plasma levels of carcinoembryonic antigen (C.E.A.) occur with many but not all malignant tumours, particularly those of the gastrointestinal tract, breast, and bronchus. However, the incidence of raised values may reach 30% in diseases associated with inflammation or regeneration or both. Consequently, it cannot serve yet as a routine screening test for cancer. Effective surgical therapy results in high plasma C.E.A. levels returning to normal. Subsequent rises appear to develop with tumour recurrence or spread. At present the most useful role for C.E.A. seems to be in monitoring patients during the post-therapeutic followup period. Further basic work is required before C.E.A. can become of routine medical value.

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Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. Abelev G. I. Alpha-fetoprotein in ontogenesis and its association with malignant tumors. Adv Cancer Res. 1971;14:295–358. doi: 10.1016/s0065-230x(08)60523-0. [DOI] [PubMed] [Google Scholar]
  2. Alexander P. Foetal "antigens" in cancer. Nature. 1972 Jan 21;235(5334):137–140. doi: 10.1038/235137a0. [DOI] [PubMed] [Google Scholar]
  3. BLOOM H. J. G. Prognosis in carcinoma of the breast. Br J Cancer. 1950 Sep;4(3):259–288. doi: 10.1038/bjc.1950.26. [DOI] [PMC free article] [PubMed] [Google Scholar]
  4. Burtin P., Von Kleist S., Sabine M. C. Loss of a normal colonic membrane antigen in human cancers of the colon. Cancer Res. 1971 Jul;31(7):1038–1041. [PubMed] [Google Scholar]
  5. Butin P., Martin E., Sabine M. C., von Kleist S. Immunological study of polyps of the colon. J Natl Cancer Inst. 1972 Jan;48(1):25–32. [PubMed] [Google Scholar]
  6. Coligan J. E., Lautenschleger J. T., Egan M. L., Todd C. W. Isolation and characterization of carcinoembryonic antigen. Immunochemistry. 1972 Apr;9(4):377–386. doi: 10.1016/0019-2791(72)90308-4. [DOI] [PubMed] [Google Scholar]
  7. Egan M. L., Lautenschleger J. T., Coligan J. E., Todd C. W. Radioimmune assay of carcinoembryonic antigen. Immunochemistry. 1972 Mar;9(3):289–299. doi: 10.1016/0019-2791(72)90093-6. [DOI] [PubMed] [Google Scholar]
  8. GOLD P., FREEDMAN S. O. DEMONSTRATION OF TUMOR-SPECIFIC ANTIGENS IN HUMAN COLONIC CARCINOMATA BY IMMUNOLOGICAL TOLERANCE AND ABSORPTION TECHNIQUES. J Exp Med. 1965 Mar 1;121:439–462. doi: 10.1084/jem.121.3.439. [DOI] [PMC free article] [PubMed] [Google Scholar]
  9. Häkkinen I., Viikari S. Occurrence of fetal sulphoglycoprotein antigen in the gastric juice of patients with gastric diseases. Ann Surg. 1969 Feb;169(2):277–281. doi: 10.1097/00000658-196902000-00016. [DOI] [PMC free article] [PubMed] [Google Scholar]
  10. Klavins J. V., Mesa-Tejada R., Weiss M. Human carcinoma antigens cross reacting with anti-embryonic antibodies. Nat New Biol. 1971 Dec 1;234(48):153–154. doi: 10.1038/newbio234153a0. [DOI] [PubMed] [Google Scholar]
  11. Kleinman M. S., Harwell L., Turner M. D. Studies of colonic carcinoma antigens. Gut. 1971 Jan;12(1):1–10. doi: 10.1136/gut.12.1.1. [DOI] [PMC free article] [PubMed] [Google Scholar]
  12. Lo Gerfo P., Krupey J., Hansen H. J. Demonstration of an antigen common to several varieties of neoplasia. N Engl J Med. 1971 Jul 15;285(3):138–141. doi: 10.1056/NEJM197107152850302. [DOI] [PubMed] [Google Scholar]
  13. Lo Gerfo P., Lo Gerfo F., Herter F., Barker H. G., Hansen H. J. Tumor-associated antigen in patients with carcinoma of the colon. Am J Surg. 1972 Feb;123(2):127–131. doi: 10.1016/0002-9610(72)90321-2. [DOI] [PubMed] [Google Scholar]
  14. Order S. E., Porter M., Hellman S. Hodgkin's disease: evidence for a tumor-associated antigen. N Engl J Med. 1971 Aug 26;285(9):471–474. doi: 10.1056/NEJM197108262850901. [DOI] [PubMed] [Google Scholar]
  15. Purves L. R., Geddes E. W. A more sensitive test for alpha-fetoprotein. Lancet. 1972 Jan 1;1(7740):47–48. doi: 10.1016/s0140-6736(72)90048-7. [DOI] [PubMed] [Google Scholar]
  16. Tee D. E., Wang M., Watkins J. Antigenic properties of human tumours. "Tumour-specific" antigens. Eur J Cancer. 1965 Nov;1(3):315–317. doi: 10.1016/0014-2964(65)90068-x. [DOI] [PubMed] [Google Scholar]
  17. Thomson D. M., Krupey J., Freedman S. O., Gold P. The radioimmunoassay of circulating carcinoembryonic antigen of the human digestive system. Proc Natl Acad Sci U S A. 1969 Sep;64(1):161–167. doi: 10.1073/pnas.64.1.161. [DOI] [PMC free article] [PubMed] [Google Scholar]
  18. Trouillas P. Carcino-fetal antigen in glial tumours. Lancet. 1971 Sep 4;2(7723):552–552. doi: 10.1016/s0140-6736(71)90478-8. [DOI] [PubMed] [Google Scholar]
  19. Viza D., Davies D. A., Harris R. Solubilization and partial purification of human leukaemic specific antigens. Nature. 1970 Sep 19;227(5264):1249–1251. doi: 10.1038/2271249a0. [DOI] [PubMed] [Google Scholar]
  20. Yachi A., Matsuura Y., Carpenter C. M., Hyde L. Immunochemical studies on human lung cancer antigens soluble in 50 per cent saturated ammonium sulfate. J Natl Cancer Inst. 1968 Apr;40(4):663–682. [PubMed] [Google Scholar]
  21. Zamcheck N., Moore T. L., Dhar P., Kupchik H. Immunologic diagnosis and prognosis of human digestive-tract cancer: carcinoembryonic antigens. N Engl J Med. 1972 Jan 13;286(2):83–86. doi: 10.1056/NEJM197201132860207. [DOI] [PubMed] [Google Scholar]

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