provides a comprehensive
look at the who, what, when and how of Carcinoembryonic antigen
< b>Carcinoembryonic antigen: Carcinoembryonic antigen (CEA) is a protein
found in many types of cells but associated with tumors and the developing fetus.
CEA is tested in blood. The normal range is <2.5 ng/ml in an adult non-smoker
and <5.0 ng/ml in a smoker.
Benign conditions that can increase CEA include smoking, infection, inflammatory
bowel disease, pancreatitis, cirrhosis of the liver, and some benign tumors (in
the same organs which have cancers with increased CEA). Benign disease does not
usually cause a CEA increase over 10 ng/ml.
The main use of CEA is as a tumor marker, especially with intestinal cancer.
The most common cancers that elevate CEA are in the colon and rectum. Others: cancer
of the pancreas, stomach, breast, lung, and certain types of thyroid and ovarian
cancer. Levels over 20 ng/ml before therapy are associated with cancer which has
already metastasized (spread).
CEA is useful in monitoring the treatment of CEA-rich tumors. If the CEA is high
before treatment, it should fall to normal after successful therapy. A rising CEA
level indicates progression or recurrence of the cancer. (Chemotherapy and radiation
therapy can themselves cause a rise in CEA due to death of tumor cells and release
of CEA into the blood stream but that rise is typically temporary).
"Carcinoembryonic" reflects the fact that CEA is made by some cancers ("carcino-")
and by the developing fetus ("-embryonic").
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