Abstract
A total of 190 patients being treated or followed up for urothelial carcinoma have been studied by the serial estimation of their urinary and plasma CEA levels. Only 46% of patients with a urothelial neoplasm present have a raised urinary CEA level. Infection or ileal conduit urine vitiate the result as they produce high CEA levels in the urine in the absence of any neoplastic disease. The accuracy of urinary CEA estimations is compared with that of cytology. Plasma CEA levels do not serve as a useful guide to the presence of extra-urinary tract tumour spread if taken as isolated readings. However, serial plasma CEA estimations may indicate that metastatic disease is present several months before its detection by the more usual clinical methods in a minority of patients.
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- Darcy D. A., Turberville C., James R. Immunological study of carcinoembryonic antigen (CEA) and a related glycoprotein. Br J Cancer. 1973 Aug;28(2):147–160. doi: 10.1038/bjc.1973.132. [DOI] [PMC free article] [PubMed] [Google Scholar]
- FOOT N. C., PAPANICOLAOU G. N., HOLMQUIST N. D., SEYBOLT J. F. Exfoliative cytology of urinary sediments; a review of 2,829 cases. Cancer. 1958 Jan-Feb;11(1):127–137. doi: 10.1002/1097-0142(195801/02)11:1<127::aid-cncr2820110124>3.0.co;2-w. [DOI] [PubMed] [Google Scholar]
- 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]
- Gold P., Freedman S. O. Specific carcinoembryonic antigens of the human digestive system. J Exp Med. 1965 Sep 1;122(3):467–481. doi: 10.1084/jem.122.3.467. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Hall R. R., Laurence D. J., Darcy D., Stevens U., James R., Roberts S., Munro Neville A. Carcinoembryonic antigen in the urine of patients with urothelial carcinoma. Br Med J. 1972 Sep 9;3(5827):609–611. doi: 10.1136/bmj.3.5827.609. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Hall R. R., Laurence D. J., Neville A. M., Wallace D. M. Carcinoembryonic antigen and urothelial carcinoma. Br J Urol. 1973 Feb;45(1):88–92. [PubMed] [Google Scholar]
- Laurence D. J., Neville A. M. Foetal antigens and their role in the diagnosis and clinical management of human neoplasms: a review. Br J Cancer. 1972 Oct;26(5):335–355. doi: 10.1038/bjc.1972.45. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Laurence D. J., Stevens U., Bettelheim R., Darcy D., Leese C., Turberville C., Alexander P., Johns E. W., Neville A. M. Role of plasma carcinoembryonic antigen in diagnosis of gastrointestinal, mammary, and bronchial carcinoma. Br Med J. 1972 Sep 9;3(5827):605–609. doi: 10.1136/bmj.3.5827.605. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Nery R., Barsoum A. L., Bullman H., Neville A. M. Carcinoembryonic antigen-like substances of human urothelial carcinomas. Isolation of components from pathological urine and comparison with colorectal carcinoma antigens. Biochem J. 1974 May;139(2):431–440. doi: 10.1042/bj1390431. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Neville A. M., Nery R., Hall R. R., Turberville C., Laurence D. J. Aspects of the structure and clinical role of the carcinoembryonic antigen (CEA) and related macromolecules with particular reference to urothelial carcinoma. Br J Cancer Suppl. 1973 Aug;1:198–207. [PMC free article] [PubMed] [Google Scholar]
- Schoonees R., Gamarra M. G., Moore R. H., Murphy G. P. The diagnostic value of urinary cytology in patients with bladder carcinoma. J Urol. 1971 Nov;106(5):693–696. doi: 10.1016/s0022-5347(17)61377-6. [DOI] [PubMed] [Google Scholar]
- 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]
- Turberville C., Darcy D. A., Laurence D. J., Johns E. W., Neville A. M. Studies on carcinoembryonic antigen (CEA) and a related glycoprotein, CCEA-2. Preparation and chemical characterisation. Immunochemistry. 1973 Dec;10(12):841–843. doi: 10.1016/0019-2791(73)90189-4. [DOI] [PubMed] [Google Scholar]