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Use of cyst fluid CEA, CA19-9, and amylase for evaluation of pancreatic lesions
Authors:Christine L.H. Snozek  Ranjan C. Mascarenhas  Dennis J. O'Kane
Affiliation:a Department of Laboratory Medicine and Pathology, Mayo Clinic, Rochester, MN, USA
b Department of Internal Medicine, Mayo Clinic, Rochester, MN, USA
Abstract:

Objectives

The study goals were development of reference intervals and an interpretive algorithm for pancreatic cyst fluid tumor markers.

Design and methods

442 pancreatic cyst fluids were tested for CEA, CA19-9, and amylase.

Results

CEA > 30 ng/mL discriminates mucinous from non-mucinous cysts. After CEA analysis, amylase and CA19-9 segregate non-mucinous and mucinous subtypes, respectively.

Conclusions

Pancreatic cyst fluid tumor markers supplement other diagnostic measures. This study provides estimated reference intervals and an algorithm for interpretation.
Keywords:Pancreatic cancer   Tumor markers   Mucinous cysts   Carcinoembryonic antigen   Amylase
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