Friday, 22 April 2016

Carcinoembryonic Antigen | Crack PGIMER 22 MAY 2016


True about carcinoembryonic antigen (CEA) 

A. Useful for screening of Ca. colon 
B. gives confirmative evidence of Ca. colon 
C. Helpful for follow-up after resection 
D. Levels decrease immediately after resection of tumor 
E. Tumour mass size correlates with CEA level



The Answer is. (A) Useful for screening of Ca. colon (C) Helpful for follow up after resection (D)Levels decrease immediately after resection of tumor
- CEA is usefull for screening of the some cancers, particularly colon cancer
- CEA is marker to monitor colorectal carcinoma treatment, to identify recurrences after surgical resection, for staging or to localize cancer spread through measurement of biological fluids.
- CEA levels may also be raised in gastric carcinoma, pancreatic carcinoma, lung carcinoma, breast carcinoma, and medullary thyroid carcinoma, as well as some non-neoplastic conditions like ulcerative colitis, pancreatitis, cirrhosis,COPD, Crohn's disease, hypothyroidism.

- It varies inversely with tumor grade (well-differentiated tumors secrete more CEA). CEA is elevated more in tumors with lymph node and distant metastasis than in organ-confined tumors (varies directly with tumor stage). Also, Tumors causing obstruction produce higher CEA levels.