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Carcinoembryonic Antigen (CEA)


Why is this procedure done?


Carcinoembryonic Antigen is also called CEA. It is a protein found in a babys belly and intestine as they develop inside the mother. As the baby grows, the CEA levels drop to very small amounts in the blood. With some kinds of cancer, your CEA levels may increase. It can also be higher with some other conditions. Your doctor may order this test to: ‚  
  • See how much CEA is in your blood
  • Find out if the signs you are having can be cancer
  • See if you may have a certain type of cancer
  • Learn if your treatments are working
  • See if your cancer is getting worse
  • Check before changing your drugs
  • Check fluids other than blood to see if your cancer has spread


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What will the results be?


  • The doctor will look at the results of your test and what is normal.
  • If the results are lower than they have been before, it means your body is likely responding to your cancer treatment.
  • If the results stay the same or are getting higher, your cancer may have come back or may not be responding to your treatment.
  • Not all cancers make CEA so it is possible to have cancer, even with a low or normal CEA level.
  • Your doctor may order another test to verify the diagnosis.

What happens before the procedure?


  • There are no special things to do before the test.
  • Talk to your doctor about:
    • All the drugs you are taking
    • If you have any bleeding problems
    • If you smoke. Smokers often have higher CEA levels than those who do not smoke.

What happens during the procedure?


  • It will only take a few minutes to have this test. You will be awake the whole time. You will have a small amount of blood taken from you with a needle. You may have a small amount of pain. The needle will be taken out and a bandage will be put on your skin. The lab will test your blood for CEA.
  • Talk with your doctor if other fluids are to be tested for CEA. Your doctor may want to test fluid from around your spine, lungs, or abdominal organs. Ask what is involved in collecting the fluid.

What happens after the procedure?


  • You may want to sit quietly for a few minutes before standing up. This will help keep you from feeling dizzy after the test.
  • Ask your doctor when you will get the results.

What care is needed at home?


You may do your everyday activities when you get back home. ‚  

What follow-up care is needed?


  • Your doctor may ask you to make visits to the office to check on your progress. Be sure to keep these visits. This test will help your doctor understand if you are more likely to have cancer. Together you can make a plan for more care.
  • Your doctor will tell you when you will get your test results. Your doctor will talk about the results with you in detail.
  • Your doctor will tell you if other tests are needed.
  • Your doctor may have the CEA test repeated in a few months to check your progress.

What problems could happen?


  • Pain
  • Bruising
  • Bleeding
  • Feeling dizzy
  • Infection

Where can I learn more?


American Association for Clinical Chemistry ‚  
http://labtestsonline.org/understanding/analytes/cea/tab/glance/ ‚  
NHS Choices ‚  
http://www.nhs.uk/conditions/cea-test/pages/introduction.aspx ‚  

Consumer Information Use and Disclaimer


This information is not specific medical advice and does not replace information you receive from your health care provider. This is only a brief summary of general information. It does NOT include all information about conditions, illnesses, injuries, tests, procedures, treatments, therapies, discharge instructions or life-style choices that may apply to you. You must talk with your health care provider for complete information about your health and treatment options. This information should not be used to decide whether or not to accept your health care providers advice, instructions or recommendations. Only your health care provider has the knowledge and training to provide advice that is right for you. ‚  

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