Elevated carcinoembryonic antigen levels correlating with disease recurrence in a patient with adenoid cystic carcinoma
β Scribed by Dr. William I. Kuhel; Dr. Harold Chow; Dr. Thomas A. Godwin; Dr. C. Richard Minick; Dr. Daniel M. Libby
- Publisher
- John Wiley and Sons
- Year
- 1995
- Tongue
- English
- Weight
- 580 KB
- Volume
- 17
- Category
- Article
- ISSN
- 1043-3074
No coin nor oath required. For personal study only.
β¦ Synopsis
Background. Carcinoembryonic antigen (CEA) is an oncofetal glycoprotein involved in cell recognition and adhesion. Serum CEA has been extensively studied as a potential chemical marker for malignancy, most notably in patients with colon carcinoma. Serum CEA measurements have not been reported for patients with salivary gland carcinomas.
Methods. Serum CEA was measured in a case study using enzyme immunoassay with monoclonal antibody specific for CEA. Tissue was examined with standard histologic and immunohistologic methods.
Results. A patient was initially seen with adenoid cystic carcinoma (ACC) of the trachea and had a markedly elevated serum CEA level which declined after surgical resection. The serum CEA level became elevated again when the patient developed abdominal metastases and then declined after debulking of the tumor. lmmunohistochemical study of the tumor was positive for CEA.
Conclusions. The measurement of serum CEA levels may play a role in the management of patients with ACC. Clinical investigation utilizing monoclonal antibodies against CEA, for imaging and for the delivery of chemotherapy and radiotherapy may be worthwhile.
π SIMILAR VOLUMES
Eighty-two patients diagnosed with gastrointestinal (GI) adenocarcinoma were evaluated before and for 26 months after primary tumor resection for the presence of two serum tumor markers: tumor-associated glycoprotein-72 (TAG-72) and carcinoembryonic antigen (CEA). Elevated TAG-72 and CEA serum level
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