Skip to main content
Log in

Circulating CEA levels in patients with fulminant hepatitis

  • Original Articles
  • Published:
Digestive Diseases and Sciences Aims and scope Submit manuscript

Abstract

CEA levels were determined in blood specimens from 14 persons suffering from fulminant hepatitis. Values ranged from 1.9 to 21 ng/ml with a mean of 7.0 ng/ml. All except one patient had a CEA level greater than 2.5 ng/ml, but only three exceeded 10 ng/ml. There was no correlation between single CEA levels and prognosis, routine liver chemistries, or histopathologic characterization of hepatic tissue obtained at postmortem examination. These data show that patients with fulminant hepatitis commonly had increased circulating levels of CEA, but these elevations were far less than may be found in patients with hepatic metastases. In severe hepatic dysfunction reduced hepatic clearance of CEA may be responsible for the increased levels.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

References

  1. Moore TL, Kupchik HZ, Marcon N, Zamcheck N: Carcinoembryonic antigen assay in cancer of the colon and pancreas and other digestive tract disorders. Am J Dig Dis 16:1621–1627, 1971

    Google Scholar 

  2. Moore TL, Dhar P, Zamcheck N, Keeley A, Gottlieb L, Kupchik HZ: Carcinoembryonic antigen(s) in liver disease. I. Clinical and morphological studies. Gastroenterology 63:88–94, 1972

    Google Scholar 

  3. Booth SN, King JPG, Leonard JC: Serum carcinoembryonic antigen in clinical disorders. Gut 14:794–799, 1973

    Google Scholar 

  4. Hansen HJ, Snyder JJ, Miller E, Vandevoorde JP, Miller ON, Hines LR, Burns JJ: Carcinoembryonic antigen (CEA) assay. A laboratory adjunct in the diagnosis and management of cancer. Hum Pathol 5:139–147, 1974

    Google Scholar 

  5. Khoo SK, Mackay IR: Carcinoembryonic antigen in serum in diseases of the liver and pancreas. J Clin Pathol 26:470–475, 1973

    Google Scholar 

  6. Bullen AW, Losowsky MS, Carter S, Patel S, Neville AM: Diagnostic usefulness of plasma carcinoembryonic antigen levels in acute and chronic liver disease. Gastroenterology 73:673–678, 1977

    Google Scholar 

  7. Lurie BB, Loewenstein MS, Zamcheck N: Elevated carcinoembryonic antigen levels and biliary tract obstruction. J Am Med Assoc 233:326–330, 1975

    Google Scholar 

  8. Gitnick GL, Molnar IG: Carcinoembryonic antigen: Transmission by blood products. Cancer 42:1568–1573, 1978

    Google Scholar 

  9. Kupchik HZ, Loewenstein MS, Feil M, Rittgers RA, Zamcheck N: The disparity of indirect and direct zirconyl-gel assays for carcinoembryonic antigen. Cancer 42:1589–1594, 1978

    Google Scholar 

  10. O'Brien M, Bronstein B, Zamcheck N, Burke B, Gottlieb LS: Cholestasis due to hepatic metastases: A factor contributing to markedly elevated plasma CEA levels. Clin Res 27:270A, 1979

    Google Scholar 

  11. Okuda K, Musha H, Kanno H, Igarashi M, Nakand M, Shinokawa Y, Kubo Y, Arishima T, Hashimoto M, Nagata E, Kojiro M, Sakamoto K, Nakashina T: Localized submassive liver cell necrosis as a terminal event of liver cell carcinoma. Cancer 37:1965–1972, 1976

    Google Scholar 

  12. Stein AM, Fawaz K, Tabrizi A, Blanchard R, Hous S: Multiple malignant hemangioendothelioma presenting as acute hepatitis. A clinicopathology study. Am J Gastroenterol 67:370–374, 1977

    Google Scholar 

  13. Krauss EA, Ludwig PW, Sumner HW: Metastatic carcinoma presenting as fulminant hepatitis. Am J Gastroenterol 72:651–654, 1979

    Google Scholar 

  14. Shuster J, Silverman M, Gold P: Metabolism of human carcinoembryonic antigen in xenogenic animals. Cancer Res 33:65–68, 1973

    Google Scholar 

  15. Primus FJ, Goldenberg DM, Hansen HJ: Metabolism of carcinoembryonic antigen (CEA) in a human tumor-hamster host model. Fed Proc 32:834, 1973 (abstract)

    Google Scholar 

  16. Thomas P, Hems DA: The hepatic clearance of circulating native and asialo carcinoembryonic antigen by the rat. Biochem Biophys Res Commun 67:1205–1209, 1975

    Google Scholar 

  17. Thomas P, Tuberville C, Westwood JH, Hems DA: The fate of subfractions of isoelectric focussed carcinoembryonic antigen (CEA) in a rat liver perfusion system.In Protides of the Biological Fluids, 24th Colloquium, Bruges, 1975, H. Peeters (ed). Oxford, Pergamon Press, 1976, p 419–423

    Google Scholar 

  18. Thomas P, Birbeck MSC, Cartwright P: A radioautographic study of the hepatic uptake of circulating carcinoembryonic antigen (CEA) in a rat liver perfusion system. Biochem Soc Trans 5:312–313, 1977

    Google Scholar 

  19. Thomas P: Studies on the mechanisms of biliary excretion of circulating glycoproteins: The carcinoembryonic antigen. Biochem J 1980, 192:837–843

    Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Additional information

Supported by Public Health Service Research Grant CA-04486 from the National Cancer Institute.

Rights and permissions

Reprints and permissions

About this article

Cite this article

George, P.K., Loewenstein, M.S., O'Brien, M.J. et al. Circulating CEA levels in patients with fulminant hepatitis. Digest Dis Sci 27, 139–142 (1982). https://doi.org/10.1007/BF01311707

Download citation

  • Received:

  • Revised:

  • Accepted:

  • Issue Date:

  • DOI: https://doi.org/10.1007/BF01311707

Keywords

Navigation