Use of cyst fluid CEA, CA19-9, and amylase for evaluation of pancreatic lesions |
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Authors: | Christine L.H. Snozek Ranjan C. Mascarenhas Dennis J. O'Kane |
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Affiliation: | a Department of Laboratory Medicine and Pathology, Mayo Clinic, Rochester, MN, USA b Department of Internal Medicine, Mayo Clinic, Rochester, MN, USA |
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Abstract: |
ObjectivesThe study goals were development of reference intervals and an interpretive algorithm for pancreatic cyst fluid tumor markers.Design and methods442 pancreatic cyst fluids were tested for CEA, CA19-9, and amylase.ResultsCEA > 30 ng/mL discriminates mucinous from non-mucinous cysts. After CEA analysis, amylase and CA19-9 segregate non-mucinous and mucinous subtypes, respectively.ConclusionsPancreatic cyst fluid tumor markers supplement other diagnostic measures. This study provides estimated reference intervals and an algorithm for interpretation. |
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Keywords: | Pancreatic cancer Tumor markers Mucinous cysts Carcinoembryonic antigen Amylase |
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