%0 Journal Article %T Unrecognized Value of Carcinoembryonic Antigen in Recurrent Rectal and Sigmoid Colon Cancer: Case Series %A Leonid L Yavorkovsky %A Myron S Kwong %A Pilar Ivanov %A Sejal Jhatakia %J Archive of "The Permanente Journal". %D 2019 %R 10.7812/TPP/18-022 %X Carcinoembryonic antigen (CEA) surveillance is recommended in patients with colorectal cancer for detection of potentially resectable metastases. In patients with appropriate symptoms, a highly increased CEA concentration (> 5 times the upper limit of normal) is considered strongly suggestive of cancer. Despite the recognized value, the test is neither absolutely sensitive nor specific for recurrent cancer. Generally, a greater diagnostic value has been assigned to elevated CEA levels, most commonly greater than 5 ng/mL. Fluctuations within the established normal CEA range are not customarily analyzed %K cancer recurrence %K cancer surveillance %K carcinoembryonic antigen %K colorectal cancer %U https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6550287/