Clinical Evaluation of the Levels of CEA,CA15-3 and AlphaFeto Protein in Malignant and Benign Pleural Effusion

Abstract

Background: Pleural effusion is a common clinical
problem.
Objective: The aim of the study was to evaluate the
diagnostic utility of Carcino embryonic antigen
(CEA), CA 15- 3, and alpha-feto protein ( AFP ) as
a tumor markers in serum and pleural effusion and
evaluate the value of combining them as a diagnostic
tools that are complementary to cytology in the
diagnosis of malignancies .
Methods: Forty patients (18 malignant and 22 benign
pleural effusion) were included in this study .The
serum and effusion levels of CEA, CA 15 – 3 and
AFP were measured using immunoradiometric assay
Results: from the 40 effusions studied 26 were
exudates and 14 were transudates. The level of
pleural effusions of CEA, CA 15 – 3 and AFP were
increased above the cutoffs in 72.5%, 94.4 % and 5.5
% of tested samples with malignancies respectively.
A direct strong significant correlation between serum
and pleural fluid CEA, CA 15 – 3 and AFP was
noted.
Conclusion: Pleural effusion CEA is the most
accurate marker for the diagnostic separation of
malignant and benign. The combination of both CEA,
CA 15 – 3 improves the sensitivity by up to 11 %.
AFP has no role in the process