Carcinoembryonic Antigen

From Taranaki Lab Manual

Tests:Carcinoembryonic Antigen
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Overview

Department Biochemistry
Test Code TCEA
Synonyms CEA 
Turnaround Time 2 hours – 3 days
Stability – Add test 24 hours 

Specimen Requirements

Specimen Type Serum

Plasma

Preferred 6 mL Red-Top
Acceptable 6 mL Yellow-Top  
Specimen Transportation
Pediatric Requirements Minimum 0.5 mL blood in 6 mL Red-Top

Aliquot Requirements

Sample Type Serum

Plasma

Minimum Volume 100 uL 
Aliquot Transportation

Clinical Information

Reference Intervals 0.0 - 5.0 ug/L 
Test Method Abbott Alinity Ci using Abbott reagents. 
Advanced Notice Not required  
Patient Preparation Not required  

Comments

CEA is a marker for colorectal, gastrointestinal, lung and breast carcinomas. 

CEA levels are not an absolute test for evidence of malignancy and must be used in conjunction with the clinical evaluation of the patient and other diagnostic evidence.

Healthy non-smokers have CEA levels less than 3.0 µg/mL, while 6% of otherwise healthy smokers have CEA levels up to 5.0 µg/mL. 

CEA is not suitable as a screening test for the primary diagnosis of tumours.

For the serial monitoring of tumours, tumour markers should be tested in the same laboratory.