Carcinoembryonic Antigen and Carcinoid Tumors
- JEROME M. FELDMAN, M.D., F.A.C.P.; and
- JAMES W. PLONK, M.D.
-
Veterans Administration Hospital, and
Department of Medicine
Duke University Medical Center
Durham, North Carolina 27710
Excerpt
Carcinoembryonic antigen is a cancer-specific antigen that is present in the plasma of 82% of patients with malignant tumors arising from structures of entodermal origin (1). The tumors include adenocarcinomas of the colon, stomach, pancreas, appendix, and gallbladder. Although carcinoid tumors are also found in the gastrointestinal tract, they have a neural crest (or neuroectodermal)
rather than an entodermal origin (2). Six of seven children with neuroblastoma (a tumor of neural crest origin) had elevated plasma concentrations of carcinoembryonic antigen (1). It was therefore of interest to determine if patients with biopsy-proved metastatic carcinoid tumors had elevated plasma carcinoembryonic antigen
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